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# MOTS-c

Low Evidence 

A mitochondrial-derived peptide studied for metabolic regulation, exercise mimetic effects, and longevity.

Aliases Mitochondrial ORF of the 12S rRNA Type-c 

Evidence Low Evidence 

Last Updated  2026-06-21 

Reading Time  3 min 

## Table of Contents

1.  [What It Is](#what-it-is)
2.  [Regulatory Status](#regulatory-status)
3.  [Evidence Snapshot](#evidence-snapshot)
4.  [Commonly Discussed Benefits](#benefits)
5.  [Safety & Cautions](#safety)
6.  [Comparisons](#comparisons)
7.  [Calculator Tools](#calculator)
8.  [Citations](#citations)

## What It Is

MOTS-c (Mitochondrial Open Reading Frame of the 12S rRNA-c) is a 16-amino acid peptide encoded within the mitochondrial genome. It is one of the few known mitochondria-derived peptides (MDPs) with systemic signaling activity. Research has demonstrated its role in metabolic regulation, exercise mimicry, and insulin sensitivity. Circulating MOTS-c levels decline measurably with age, placing it at the forefront of longevity research in 2026. A 2025 study published in Experimental & Molecular Medicine demonstrated that MOTS-c prevents pancreatic islet cell senescence by modifying senescence-associated transcriptional and metabolic profiles in β-cells, delaying diabetes progression in animal models. A separate 2025 study in Frontiers in Physiology showed MOTS-c restores mitochondrial respiration in type 2 diabetic heart tissue, expanding its therapeutic relevance to cardiovascular metabolic disease. In sedentary animal models, exogenous MOTS-c reproduced training-induced metabolic adaptations, earning it the label 'exercise mimetic peptide.' Updated research confirms skeletal muscle MOTS-c levels increase nearly 12-fold during exercise. Exogenous MOTS-c doubled running capacity in mice and reversed age-related physical decline by activating the AMPK/PGC-1α pathway and directly binding casein kinase 2 (CK2). Notably, circulating MOTS-c levels are significantly higher in centenarian populations compared to age-matched controls, suggesting maintained MOTS-c signaling may serve as both a biomarker and driver of successful metabolic aging. A key challenge for clinical translation is MOTS-c's low bioavailability, poor stability, and short half-life — limitations common to mitochondrial-derived peptides that have slowed clinical development. As of April 2026, no active MOTS-c human trials are registered on ClinicalTrials.gov, though a trial using a MOTS-c analog for fatty liver and obesity (NCT03998514) has been registered. MOTS-c is scheduled for PCAC review on July 23, 2026, alongside BPC-157, KPV, and TB-500, to determine whether it can be legally compounded under section 503A. A 2026 study in ScienceDirect examined MOTS-c's role in type 2 diabetes mellitus complications including cardiovascular disease, establishing MOTS-c as a multi-organ protective factor whose deficiency correlates with cardiometabolic risk. Public comments via docket FDA-2025-N-6895 are accepted until July 22, 2026.

Also known as:  Mitochondrial ORF of the 12S rRNA Type-c 

## Regulatory Status

Category 1 — Bulk Compounding (PCAC review July 23, 2026) 

Moved from Category 2 back to Category 1 per HHS announcement February 27, 2026. FDA PCAC will review MOTS-c (free base and acetate) on July 23, 2026 for potential 503A Bulks List inclusion for obesity and osteoporosis indications. Public comment docket FDA-2025-N-6895 open until July 22, 2026.

Effective: February 2026

[View FDA Source](https://www.fda.gov/advisory-committees/advisory-committee-calendar/july-23-24-2026-meeting-pharmacy-compounding-advisory-committee-07232026)

## Evidence Snapshot

Low Evidence 

Low 

Medium 

High 

Study Type

Model

Outcome

Link

Animal (mouse)

Age-dependent physical decline — MOTS-c administration

Doubled running capacity; reversed age-related decline via AMPK/PGC-1α pathway

[Source](https://www.nature.com/articles/s41467-020-20790-0)

Animal (mouse, 2025)

Pancreatic islet cell senescence — diabetes model

MOTS-c prevented β-cell senescence and delayed diabetes progression by modifying senescence-associated transcriptional and metabolic profiles

[Source](https://www.nature.com/articles/s12276-025-01521-1)

Animal (mouse, 2025)

Type 2 diabetic heart — mitochondrial respiration

MOTS-c restored mitochondrial respiration in diabetic cardiac tissue

[Source](https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2025.1602271/full)

Observational (human cohort)

Centenarian populations vs age-matched controls

Significantly higher circulating MOTS-c levels in centenarians, suggesting maintained MOTS-c signaling as biomarker of successful metabolic aging

[Source](https://pmc.ncbi.nlm.nih.gov/articles/PMC9905433/)

Review/Preclinical (2026)

MOTS-c in T2DM — risk factors to cardiac complications

MOTS-c deficiency correlates with cardiometabolic risk; multi-organ protective effects documented across diabetic complications

[Source](https://www.sciencedirect.com/science/article/abs/pii/S0024320525006459)

## Commonly Discussed Benefits

[Metabolism](/benefits/metabolism)[Fat Loss](/benefits/fat-loss)[Longevity](/benefits/longevity)[Muscle Growth](/benefits/muscle-growth)[Anti-Aging](/benefits/anti-aging)[Energy](/benefits/energy)

Researching MOTS-c ? Track it, set reminders, and keep notes in the free app.

[Track in App](https://app.peptrackerpro.com/?add=mots-c)

## Safety & Cautions

-   Discovery is recent; most data is preclinical
-   No completed human clinical trials
-   Long-term effects unknown
-   Not FDA-approved for any indication
-   Unlike small-molecule metabolic compounds such as SLU-PP-332 and 5-Amino-1MQ, MOTS-c IS on the FDA's July 23, 2026 PCAC compounding review list — a favorable vote would not legitimize those other compounds

## Comparisons

See how MOTS-c compares to related peptides:

[MOTS-c vs 5-Amino-1MQ](/compare/mots-c-vs-5-amino-1mq) [MOTS-c vs Epithalon](/compare/mots-c-vs-epithalon) [MOTS-c vs Humanin](/compare/mots-c-vs-humanin) [MOTS-c vs NAD+](/compare/mots-c-vs-nad) [MOTS-c vs SLU-PP-332](/compare/mots-c-vs-slu-pp-332) [MOTS-c vs SS-31](/compare/mots-c-vs-ss-31)

## Calculator Tools

Use our research tools to explore dosing and reconstitution data:

[Reconstitution Calculator](/calculators)

## Citations

1.  \[1\]  Lee C. et al. — The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis. Cell Metab. 2015 [PubMed](https://pubmed.ncbi.nlm.nih.gov/25738459/)
2.  \[2\]  MOTS-c prevents pancreatic islet cell senescence to delay diabetes — Exp Mol Med. 2025 [PubMed](https://www.nature.com/articles/s12276-025-01521-1)
3.  \[3\]  MOTS-c restores mitochondrial respiration in type 2 diabetic heart — Frontiers Physiol. 2025 [PubMed](https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2025.1602271/full)
4.  \[4\]  MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline — Nature Commun. 2021 [PubMed](https://www.nature.com/articles/s41467-020-20790-0)
5.  \[5\]  MOTS-c in type 2 diabetes mellitus: From risk factors to cardiac complications — Life Sciences 2026 [PubMed](https://www.sciencedirect.com/science/article/abs/pii/S0024320525006459)
6.  \[6\]  FDA — July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee [PubMed](https://www.fda.gov/advisory-committees/advisory-committee-calendar/july-23-24-2026-meeting-pharmacy-compounding-advisory-committee-07232026)
7.  \[7\]  STAT — An obesity drug deep-dive, and peptides move mainstream (June 11, 2026) [PubMed](https://www.statnews.com/2026/06/11/an-obesity-drug-deep-dive-and-peptides-move-mainstream/)

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## Related Peptides

### 5-Amino-1MQ

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[View Details](/peptides/5-amino-1mq) [\+ Compare](/compare?select=5-amino-1mq)[](https://app.peptrackerpro.com/?add=5-amino-1mq)

### Epithalon

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A tetrapeptide studied for its potential to activate telomerase and influence biological aging markers.

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[View Details](/peptides/epithalon) [\+ Compare](/compare?select=epithalon)[](https://app.peptrackerpro.com/?add=epithalon)

### Humanin

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An endogenous mitochondrial-derived peptide studied for neuroprotection, cellular stress resistance, and longevity, whose blood levels fall with age and are elevated in centenarians.

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[View Details](/peptides/humanin) [\+ Compare](/compare?select=humanin)[](https://app.peptrackerpro.com/?add=humanin)

### NAD+

Medium Evidence 

A coenzyme essential for cellular energy production, studied for anti-aging and metabolic support.

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[View Details](/peptides/nad) [\+ Compare](/compare?select=nad)[](https://app.peptrackerpro.com/?add=nad)

### SLU-PP-332

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[View Details](/peptides/slu-pp-332) [\+ Compare](/compare?select=slu-pp-332)[](https://app.peptrackerpro.com/?add=slu-pp-332)

### SS-31

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[View Details](/peptides/ss-31) [\+ Compare](/compare?select=ss-31)[](https://app.peptrackerpro.com/?add=ss-31)

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