MOTS-c
Mitochondrial-Derived Peptide
aka MOTS-c mitochondrial peptide · mitochondrial ORF of the 12S rRNA type-c
A mitochondria-encoded peptide research associates with AMPK activation, metabolic flexibility, and exercise capacity.
Sequence
MRWQEMGYIFYPRKLR
Met-Arg-Trp-Gln-Glu-Met-Gly-Tyr-Ile-Phe-Tyr-Pro-Arg-Lys-Leu-Arg
Mechanism of action
MOTS-c is a mitochondrial-derived peptide that influences cellular metabolism by activating the AMPK pathway, which enhances glucose uptake and fatty acid oxidation. It also modulates the expression of genes involved in metabolism and stress response, promoting mitochondrial biogenesis and function. This peptide can improve insulin sensitivity and energy expenditure, contributing to metabolic health.
What the evidence actually shows
There are a limited number of human trials on MOTS-c, with preliminary studies indicating improvements in metabolic markers and exercise performance. However, larger and more comprehensive studies are needed to confirm these effects and understand long-term safety. | REGULATORY: FDA Category 2 reclassification to Category 1 expected (announced Feb 2026).
Regulatory status
In the UK, MOTS-c is considered a research compound and is not approved for clinical use by the MHRA.
Source ↗Pharmacokinetics
Dosing — what backs each figure
No published human dose of MOTS-c exists. A Phase 2 trial in prediabetes (NCT07505745) is recruiting with a once-daily subcutaneous 'fixed dose' for 12 weeks, but the dose itself is not disclosed. Everything currently circulating comes from mouse studies using 5-15 mg/kg/day by intraperitoneal injection.
5 or 15 mg/kg/day by intraperitoneal injection for 2 weeks (normal-diet and high-fat-diet young mice, and middle-aged/old mice); also 15 mg/kg 3x weekly from 13.5 and 23.5 months of age for late-life healthspan endpoints
mouse (CD-1, C57BL/6J, C57BL/6N) · intraperitoneal · PMID 33473109
MOTS-c treatment prevented age-dependent and high-fat-diet-induced insulin resistance and diet-induced obesity (original characterisation study)
mouse · intraperitoneal · PMID 25738459
Animal doses do not convert to human doses by body weight alone. Route matters too — a compound dosed intraperitoneally in mice tells you little about subcutaneous use.
- Dose
- Research literature cites ~5 to 10 mg per dose in protocols
- Frequency
- 2-3x weekly
Why this isn't evidence
No human study has published a MOTS-c dose, and the '5 to 10 mg' figure looks like the mouse 5-15 mg/kg/day intraperitoneal number read as a flat human milligram dose - a 5 mg/kg mouse dose does not translate to 5 mg in a person by any accepted scaling method.
This figure is shown because it is what circulates and what people search for — not because it is supported. Cycle lengths in particular tend to be convention copied between compounds rather than anything derived from a compound's own pharmacokinetics.
Handling and storage
Safety
- ·Injection site irritation
- ·Mild headache
- ·Allergic reactions
- ·Pregnancy
- ·Breastfeeding
- ·"Severe liver or kidney disease"
- ·Metformin: May enhance glucose-lowering effects through similar pathways
Limited human data
Reported combinations
- ·Berberine
- ·Resveratrol
- ·High-dose antioxidants: May blunt exercise-induced mitochondrial adaptations
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (2)
- Lee C, Zeng J, Drew BG, Sallam T, Martin-Montalvo A, Wan J, Kim SJ, Mehta H, Hevener AL, de Cabo R, Cohen P. (2015) The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance ↗Cell MetabPMID 25738459DOI
Original description of MOTS-c. In mice, MOTS-c activated AMPK via inhibition of the folate/methionine cycle and prevented diet-induced obesity and insulin resistance. Animal and cell work only.
- Reynolds JC, Lai RW, Woodhead JST, Joly JH, Mitchell CJ, Cameron-Smith D, Lu R, Cohen P, Graham NA, Benayoun BA, Merry TL, Lee C. (2021) MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline and muscle homeostasis ↗Nat CommunPMID 33473109DOI
MOTS-c administration improved physical performance in young, middle-aged and old mice and regulated nuclear gene expression and skeletal muscle metabolism; MOTS-c is induced by exercise. Mouse study with human observational exercise data.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage.lyophilized, storage.reconstituted, storage.lightSensitive, reconstitution.solvent, regulatory.wada