Research profile · Peptide
MOTS-c
Also known as Mitochondrial ORF of the 12S rRNA type-c
Overview
A 16-amino-acid microprotein encoded within the mitochondrial genome, studied in metabolic and exercise physiology.
- Category
- Peptide
- Highest evidence level identified
- Early human evidence
- Last scientifically reviewed
- 19 August 2026
- Last regulatory review
- 19 August 2026
Mechanism under investigation
MOTS-c is a 16-amino-acid microprotein encoded within the mitochondrial genome rather than the nuclear genome, one of a small family of mitochondrial-derived peptides. Its principal described mechanism is inhibition of the folate cycle and tethered purine biosynthesis, raising AICAR and thereby activating AMPK. Under metabolic stress it has also been reported to translocate to the nucleus and interact with stress-response transcription factors. Because it is an endogenous human peptide, its physiological role and its effects when administered are distinct questions.
Research areas
- Mitochondrial biology
- Metabolic research
These are fields in which the compound has been investigated. Listing a field is not a statement that anything was demonstrated within it.
Current evidence
In-vitro evidence
Cells, tissues or biochemical systems outside a living organism.
Substantial and internationally distributed. Cell-free and cell-culture work establishes the folate–AICAR–AMPK axis, documents nuclear translocation, and reports direct kinase binding, including reduced binding for a naturally occurring sequence variant.
Animal evidence
Studies in living non-human animals.
Substantial. Administration in mice is reported to prevent age-dependent and diet-induced insulin resistance, to enhance physical performance across age groups, and to attenuate skeletal muscle atrophy. This work is published in high-impact international journals with public funding — a materially different provenance profile from several other compounds in this dataset.
Human observational evidence
Studies observing people without assigning an intervention.
This is the strongest tier. Independent groups across multiple countries report that acute endurance exercise raises circulating mitochondrial-derived peptides in humans, and genetic-epidemiological work on an East Asian-specific variant links it to muscle fibre composition and performance. Circulating-level studies in metabolic disease exist but are inconsistent in direction.
Clinical-trial evidence
Studies assigning an intervention to human participants.
Genuine but immature, with no efficacy results published. One completed phase 1 study tested an analogue rather than the peptide itself; its results were announced by the sponsor but are not posted to the registry and have not been published. A phase 2a of the peptide itself began in February 2026 and is recruiting, with no data.
Study limitations
- No published efficacy trial of the administered peptide in humans exists. The only completed clinical study tested an analogue, has no registry-posted results and no peer-reviewed publication.
- Most human data are observational measurements of naturally occurring peptide responding to exercise or disease state. These describe physiology and cannot be read as evidence that administering it produces benefit.
- Circulating levels are measured by varying, often in-house assays, and the direction of change in metabolic disease is reported inconsistently across studies.
- Genetic-association work uses a population-restricted variant, so findings from those cohorts do not generalise to a UK population.
UK regulatory context
Experimental — not authorised for human use in the UK
A compound appearing in research literature that holds no UK authorisation for human use in any indication.
Source: The Human Medicines Regulations 2012, regulation 46 — prohibition on sale or supply of an unauthorised medicinal product (opens legislation.gov.uk in a new tab) (legislation.gov.uk)
Regulatory classification is jurisdiction-specific. A compound authorised elsewhere is not thereby authorised in the UK, and a supplier’s description of a substance does not determine how it is classified in law. See safety and regulation for the framework and the authoritative sources.
Safety and interpretation
Because this is an endogenous peptide, its natural presence in the body says nothing about the safety of administering it at pharmacological exposures, and long-term human safety data do not exist. A completed phase 1 study of an analogue reported no serious adverse events according to its sponsor, but no peer-reviewed safety publication exists and no results are posted to the registry. It is also prohibited at all times in sport.
References
- Regulator or official body
legislation.gov.uk, 2012 · accessed 19 August 2026
No UK marketing authorisation exists for this compound.
- Guidance
World Anti-Doping Code International Standard Prohibited List 2026 (opens wada-ama.org in a new tab)
World Anti-Doping Agency, 2026 · accessed 20 August 2026
Section S4.4.1 names this peptide explicitly among activators of AMP-activated protein kinase, prohibited at all times both in and out of competition. Read in full from the official document rather than from a secondary source.
- Primary research
Lee C, Zeng J, Drew BG, et al.. Cell Metabolism, 2015
- Primary research
Reynolds JC, Lai RW, Woodhead JST, et al.. Nature Communications, 2021
- Primary research
von Walden F, Fernandez-Gonzalo R, Norrbom J, et al.. Journal of Applied Physiology, 2021
- Primary research
Kumagai H, Natsume T, Kim SJ, et al.. Biochimica et Biophysica Acta — General Subjects, 2022