MOTS-c
Mitochondrial-derived peptide encoded in the 12S rRNA. Preclinical data on insulin sensitivity, exercise capacity, and metabolic health. No FDA approval. Human data limited to small studies.
Educational only — not medical advice. SmartPeptide does not prescribe, diagnose, or treat. Always consult a licensed healthcare provider before using any peptide, supplement, medication, or protocol.
What the research shows
Rodent and in-vitro work suggests MOTS-c improves insulin sensitivity and modulates metabolic pathways via AMPK. Lee et al. (Cell Metab 2015) is the foundational paper.
What's still experimental
Virtually all human use is experimental. Dose-finding, route of administration, and durability of effect are unestablished.
Anecdotal / community reports
Heavy community interest for 'longevity stacks'. Self-reported energy/recovery improvements are common but uncontrolled.
Anecdotal reports are NOT scientific evidence. They reflect personal experience and may not generalize.
FDA approval status
Source: openFDA + DailyMed (NIH/NLM)Doses studied in research
No established dose rangeWhat published trials tested or FDA-approved labels specify. Reporting research facts — not a SmartPeptide recommendation.
This is the honest answer for peptides like BPC-157, IGF-1 LR3, MOTS-c, Epitalon and similar research compounds — robust human dose- ranging studies have not been published. Always work with a licensed clinician familiar with experimental peptides if you are considering any use.
FDA enforcement & recalls
Live · openFDA Drug Enforcement APIMechanism & targets
ChEMBL · UniProt · Open TargetsMolecule (ChEMBL)
View on ChEMBLProtein targets (UniProt)
- Mitochondrial-derived peptide MOTS-cA0A0C5B5G6gene: MT-RNR1Homo sapiens· 16 aaReviewed
Regulates insulin sensitivity and metabolic homeostasis (PubMed:25738459, PubMed:33468709). Inhibits the folate cycle, thereby reducing de novo purine biosynthesis which leads to the accumulation of the de novo purine synthesis intermediate 5-aminoimidazole-4-carboxamide (AICAR) and the activation of the metabolic regulator 5'-AMP-activated protein kinase (AMPK) (PubMed:25738459). Protects against age-dependent and diet-induced insulin resistance as well as diet-induced obesity (PubMed:25738459)…
- Cyclic AMP-dependent transcription factor ATF-1P18846gene: ATF1Homo sapiens· 271 aaReviewed
This protein binds the cAMP response element (CRE) (consensus: 5'-GTGACGT[AC][AG]-3'), a sequence present in many viral and cellular promoters. Binds to the Tax-responsive element (TRE) of HTLV-I. Mediates PKA-induced stimulation of CRE-reporter genes. Represses the expression of FTH1 and other antioxidant detoxification genes. Triggers cell proliferation and transformation
- Nuclear factor erythroid 2-related factor 2Q16236gene: NFE2L2Homo sapiens· 605 aaReviewed
Transcription factor that plays a key role in the response to oxidative stress: binds to antioxidant response (ARE) elements present in the promoter region of many cytoprotective genes, such as phase 2 detoxifying enzymes, and promotes their expression, thereby neutralizing reactive electrophiles (PubMed:11035812, PubMed:19489739, PubMed:29018201, PubMed:31398338). In normal conditions, ubiquitinated and degraded in the cytoplasm by the BCR(KEAP1) complex (PubMed:11035812, PubMed:15601839, PubMe…
Live research
PubMed · ClinicalTrials.gov · Europe PMC · OpenAlexRecent PubMed studies
- MOTS-c attenuates hyperoxia-induced neonatal cardiac injury by inhibiting oxeiptosis via maintaining the KEAP1-PGAM5 interaction.Li SH, Chen SQ, Lu T, et al. · Life sciences · 2026 Aug 1
- LAT1-mediated delivery of engineered R13A-MOTS-c attenuates radiation-induced lung injury via Nrf2 activation and mitochondrial protection.Zhang YL, Huang G, Li SP, et al. · Redox biology · 2026 Jul
- Mitochondrial-derived peptide MOTS-c targets SLC7A11 to preserve spermatogenesis by suppressing ferroptosis.Liu S, Ru K, Shen YJ, et al. · Free radical biology & medicine · 2026 Jul
- Circulating mitochondrial-derived microproteins at rest and in response to an acute bout of endurance exercise in individuals with cerebral palsy.Horwath O, Corell L, Wan J, et al. · Experimental physiology · 2026 Jun 25
- Mitochondrial-derived peptide MOTS-c activates metabolic signaling but blunts reparative function in human mesenchymal stromal cells.Xing L, Lu B, Zhu X, et al. · Inflammation and regeneration · 2026 Jun 22
- Mitochondrial peptide MOTS-c suppresses systemic and cardiac inflammasome activation in a diabetic rat model.Mills AR, de Souza A, Pham T, et al. · Experimental physiology · 2026 Jun 19
Clinical trials (ClinicalTrials.gov)
- Exercise Post-Diagnosis of Breast CancerCOMPLETEDNCT04013568 · NA · n=62 · 2019-08-28
- Long Term Outcomes After Vestibular ImplantationRECRUITINGNCT06500975 · NA · n=32 · 2024-12-01
- Analysis of Effects of High-intensity Physical Exercise in Subjects With Dialyzed Chronic Kidney Disease and in Conservative TreatmentRECRUITINGNCT07438002 · NA · n=50 · 2025-09-02
- Platelet Reactivity, B-amyloid, MOTS-c and Mortality of Type II Diabetics With CADUNKNOWNNCT04027712 · N/A · n=120 · 2014-01-01
- MOTS-c for Improving Insulin Sensitivity in Adults With Prediabetes and Overweight/ObesityRECRUITINGNCT07505745 · PHASE2 · n=120 · 2026-02-02
Europe PMC — 9,485 additional records
Includes EU/UK studies and PubMed Central full-text articles. Often surfaces research weeks before PubMed indexes it.
- MOTS-c attenuates hyperoxia-induced neonatal cardiac injury by inhibiting oxeiptosis via maintaining the KEAP1-PGAM5 interactionLi SH, Chen SQ, Lu T, et al. · 2026
- LAT1-mediated delivery of engineered R13A-MOTS-c attenuates radiation-induced lung injury via Nrf2 activation and mitochondrial protectionZhang YL, Huang G, Li SP, et al. · 2026Open access
- Mitochondrial-derived peptide MOTS-c targets SLC7A11 to preserve spermatogenesis by suppressing ferroptosisLiu S, Ru K, Shen YJ, et al. · 2026
- Energetic metabolism-regulatory glycopeptide hydrogel accelerates pressure ulcer wound repairSun M, Guo F, Wang P, et al. · 2026Open access
Research volume (OpenAlex topic graph)
Human clinical evidence
Semantic Scholar · AI TLDRs · influence-rankedMost influential human studies
- The Mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistanceJournal articleOpen access63 influential / 635 citedChanghan Lee, J. Zeng, B. Drew · Cell Metabolism · 2015
TLDR Report of a sORF within the mitochondrial 12S rRNA encoding a 16 amino acid peptide named MOTS-c (mitochondrial open-reading-frame of the twelve S rRNA -c) that regulates insulin sensitivity and metabolic homeostasis suggests that mitochondria may actively regulate metabolic homeostasis at the cellular and organismal level via peptides encoded within their genome.
- MOTS-c attenuates mitochondrial dysfunction induces pyroptosis and cartilage degradation in osteoarthritis via an Nrf2-Dependent Mechanism.Journal article1 influential / 4 citedKechi Li, Tao Yang, Feiyu Chen · Free Radical Biology & Medicine · 2025
TLDR It is demonstrated that MOTS-c can not only effectively inhibit the expression of inflammatory factors but also promote the expression of major components of the extracellular matrix (ECM) and suppress the production of matrix metalloproteinases.
- MOTS-c in type 2 diabetes mellitus: From risk factors to cardiac complications and potential treatment.ReviewOpen accessTingting Fang, June-Chiew Han, A. Taberner · Life Science · 2025
TLDR This review systematically classifies and analyses the various associations of MOTS-c with T2DM risk factors, and uniquely compiles and discusses the distinct exogenous MOTS-c therapeutic approaches applied in preclinical metabolic disease studies, thereby providing valuable insights into future translational research.
- Mitochondrial‐Derived Peptide MOTS‐c Suppresses Ovarian Cancer Progression by Attenuating USP7‐Mediated LARS1 DeubiquitinationJournal articleOpen access1 influential / 21 citedYadong Yin, Yujie Li, Boyi Ma · Advancement of science · 2024
TLDR A crucial role is revealed in OC of MOTS‐c and a possibility for MOTS‐c as a therapeutic target for the treatment of this manlignacy is provided.
- Pyrroloquinoline Quinone Alleviates Mitochondria Damage in Radiation-Induced Lung Injury in a MOTS-c-Dependent Manner.Journal article1 influential / 16 citedYanli Zhang, Jian-feng Huang, Shengpeng Li · Journal of Agricultural and Food Chemistry · 2024
TLDR PQQ alleviates RILI by preserving mitochondrial function through a MOTS-c-dependent mechanism, suggesting that PQQ may serve as a promising nutraceutical intervention against RILI.
Research funding & verification
NIH RePORTER · CrossRef DOI registryNIH-funded research
U.S. National Institutes of Health- 272201700078C-P00013-9999-2$385.1MCOVID-19: NIAID Clinical Research Support Services (CRSS)BAMBRA STROKES · PPD DEVELOPMENT LP · FY2021
- 1UC6AI058618-01$128.0MNational Center/Emerging Infectous Diseases & BiodefenseMark S Klempner · BOSTON UNIVERSITY MEDICAL CAMPUS · FY2003
- 1UC6AI058588-01$110.1MNational Biocontainment Laboratory (NBL)Stanley M. Lemon · UNIVERSITY OF TEXAS MED BR GALVESTON · FY2003
- 272201700078C-P00008-9999-2$72.4MCOVID-19: NIAID Clinical Research Support Services (CRSS)BAMBRA STROKES · PPD DEVELOPMENT LP · FY2020
Publication landscape
CrossRef · DOI registry- National Natural Science Foundation of China39 works
- Horizon 202011 works
- Ministère des Affaires Etrangères10 works
- Centre National de la Recherche Scientifique10 works
- National Institutes of Health6 works
- American Federation for Aging Research5 works
Funder diversity is a credibility signal. Research concentrated in a single drug company's funding warrants more scrutiny than research funded across NIH, charities, and academic grants.
Preprints — cutting edge
bioRxiv · medRxiv · via Europe PMCPreprints have NOT been peer-reviewed. They are early research shared by authors before formal validation. Treat findings as preliminary.
- PreprintMOTS-c Coordinates Inter-Organellar Proteostasis for Adaptation to Chronic Metabolic StressBwiza CP, Schwab E, Xia L, et al. · 2026-06-23
- PreprintMitochondrial-Derived Peptide MOTS-c Targets SLC7A11 to Preserve Spermatogenesis by Suppressing FerroptosisLiu S, Ru K, Shen Y, et al. · 2025-09-13 · cited 1×
- PreprintMOTS-c Attenuates Airway Barrier Dysfunction in Allergic Asthma by Inhibiting Epithelial Apoptosis via Nrf2Zhang W, Li S, Zhang Y, et al. · 2024-12-27
- PreprintSafety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic PerformanceMendias CL, Awan TM. · 2026-04-07
- PreprintHumanin and MOTS-c Attenuate Atrial Fibrillation by Suppressing Fibrosis and Mitochondrial DysfunctionLiao Y, Xu J, Jiao Y, et al. · 2026-04-06
- PreprintSafety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic PerformanceMendias CL, Awan TM. · 2025-12-12
Known risks
Unknown long-term safety in humans. No structured pharmacovigilance.
Reported side effects
Sparse human reports; mostly injection-site irritation noted in anecdotal logs.
FDA adverse event reports (FAERS)
Updated quarterly by FDAWhat requires medical supervision
Without FDA approval or established human safety data, any use should be informed by a clinician familiar with experimental peptides.
Questions for your clinician
- What's the strongest human evidence for my goal?
- How do we evaluate baseline + response objectively?
- What's our stop criteria?