MOTS-c is a 16-amino acid peptide encoded within the mitochondrial DNA. It plays a crucial role in regulating cellular metabolism by influencing pathways related to glucose utilization, insulin sensitivity, and cellular stress responses. Under conditions of metabolic stress, MOTS-c translocates to the nucleus, where it modulates the expression of genes associated with mitochondrial biogenesis and metabolic regulation .
MOTS-c operates by entering the cell nucleus and interacting with transcription factors that govern the expression of genes involved in energy metabolism and mitochondrial function. This interaction helps maintain cellular homeostasis, particularly during periods of metabolic stress, by enhancing the cell's ability to adapt to changing energy demands .
Research in mice indicates that MOTS-c can reverse age-related insulin resistance in muscles by enhancing glucose uptake. It achieves this by improving the skeletal muscle response to AMPK activation, which increases the expression of glucose transporters. Importantly, this activation occurs independently of the insulin pathway, providing an alternative method to boost muscle glucose uptake when insulin is insufficient or ineffective. The overall effect is improved muscle function, enhanced muscle growth, and reduced functional insulin resistance.
Studies in mice have shown that low estrogen levels lead to increased fat mass and dysfunction in normal adipose tissue, which raises the risk of insulin resistance and diabetes. Supplementing with MOTS-c increases brown fat activity and reduces adipose tissue accumulation. The peptide also appears to prevent adipose dysfunction and the inflammation that often precedes insulin resistance.
MOTS-c’s influence on fat metabolism is partly mediated through activation of the AMPK pathway, a critical energy sensor that promotes glucose and fatty acid uptake for metabolism. This is the same pathway activated by ketogenic diets, such as the Atkins diet, which encourage fat metabolism while preserving lean body mass. MOTS-c targets the methionine-folate cycle, increases AICAR levels, and activates AMPK.
New research suggests MOTS-c can translocate from mitochondria to the nucleus, where it regulates gene expression involved in glucose restriction and antioxidant responses following metabolic stress.
Evidence also indicates that MOTS-c regulates lipid metabolism by downregulating sphingolipid, monoacylglycerol, and dicarboxylate pathways while increasing beta-oxidation. This action helps prevent fat accumulation and may offer new strategies to combat obesity and diabetes by addressing mitochondrial fat metabolism dysfunction, which contributes to insulin resistance and excessive fat storage.
Research measuring MOTS-c levels in insulin-sensitive and insulin-resistant individuals shows the peptide correlates with insulin sensitivity primarily in lean subjects. This suggests MOTS-c plays a role in the development of insulin insensitivity rather than its maintenance. Scientists believe MOTS-c could serve as a biomarker for pre-diabetic lean individuals, potentially acting as an early warning sign. Supplementation might help delay insulin resistance and diabetes onset. While mouse studies are promising, further research is needed to fully understand MOTS-c’s effects on insulin regulation.
MOTS-c contributes to bone health by promoting type I collagen synthesis through the TGF-beta/SMAD signaling pathway, which supports osteoblast survival. Studies show MOTS-c also enhances osteogenic differentiation of bone marrow stem cells via the same pathway, leading to increased bone formation. Thus, MOTS-c not only protects existing bone cells but also encourages new bone development.
Research has identified a variant of the MOTS-c gene linked to exceptional longevity in populations such as the Japanese. This variant substitutes glutamate for lysine at position 14 of the peptide, likely altering its structure and function. While the exact impact is unclear, this genetic difference may contribute to the increased lifespan observed in Northeast Asian populations.
Dr. Changhan David Lee of USC Leonard Davis School of Gerontology emphasizes the crucial role of mitochondrial biology in extending human lifespan and healthspan. Until recently, dietary restriction was the only proven way to influence mitochondrial function and longevity. Peptides like MOTS-c offer new potential to directly enhance mitochondrial performance.
Studies measuring MOTS-c levels in patients undergoing coronary angiography found that lower MOTS-c correlates with greater endothelial dysfunction. Endothelial cells line blood vessels and regulate blood pressure, clotting, and plaque formation. Research in rats shows that while MOTS-c may not directly alter vessel responsiveness, it enhances endothelial sensitivity to signaling molecules like acetylcholine, improving vascular function.
MOTS-c is one of several mitochondria-derived peptides (MDPs) that protect cardiac cells from stress and inflammation. Dysregulation of MDPs is believed to contribute to cardiovascular disease development, reperfusion injury, and endothelial dysfunction.
Dr. Changhan David Lee and Dr. Pinchas Cohen are leading scientists researching mitochondrial peptides like MOTS-c and their therapeutic potential in diabetes, Alzheimer’s, and aging-related diseases. Dr. Cohen, dean of the USC Leonard Davis School of Gerontology, discovered several mitochondrial peptides including humanin and MOTS-c, which have shown promise as insulin sensitizers and metabolic regulators.
Note: These scientists do not endorse or promote any product sales related to MOTS-c. Their work is cited here to credit their extensive research contributions.
Studies have investigated the potential therapeutic effects of MOTS-c in various conditions associated with mitochondrial dysfunction, including:
While these findings are promising, further research is needed to fully understand the therapeutic potential and safety profile of MOTS-c in humans.
MOTS-c is currently available for research purposes only and is not approved for human consumption. It is typically provided in a lyophilized (powder) form to ensure maximum stability. Researchers interested in studying MOTS-c should adhere to appropriate safety protocols and ethical guidelines.
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