What MOTS-c is
MOTS-c (Mitochondrial Open Reading frame of the 12S rRNA-c) is a 16-residue peptide encoded within the mitochondrial genome — specifically within an open reading frame embedded in the 12S ribosomal RNA gene. It was identified in 2015 as one of the earliest members of a family of mitochondrial-derived peptides (MDPs) that includes humanin and SHLPs.[1] MDPs are hypothesized to serve as signaling molecules connecting mitochondrial state to nuclear gene expression.
Mechanism
MOTS-c's metabolic effects cluster around AMPK activation:[2][3]
- Folate cycle and AICAR. MOTS-c regulates the folate cycle and de novo purine biosynthesis pathway, increasing intracellular AICAR (5-aminoimidazole-4-carboxamide ribonucleotide). AICAR phosphorylates and activates AMPK.
- AMPK → SIRT1 / PGC-1α. Activated AMPK regulates energy homeostasis and engages the SIRT1 and PGC-1α axis, which drives mitochondrial biogenesis and anti-inflammatory signaling.
- Glucose uptake. Through AMPK, MOTS-c promotes glucose entry into skeletal muscle and improves insulin sensitivity, inhibiting weight gain and insulin resistance in high-fat-diet rodent models.
- Nuclear translocation under stress. Under metabolic stress, MOTS-c can translocate from the cytosol to the nucleus in an AMPK-dependent manner and bind transcription factors regulated by antioxidant response elements (ARE), improving cellular stress resistance.[4]
Pharmacokinetics
- Bioavailability. Mitochondrial-derived peptides including MOTS-c have low bioavailability and poor stability, limiting straightforward therapeutic development.[2]
- Half-life. Plasma half-life is reported as short in the literature. A specific, peer-reviewed human half-life value is not yet well summarized in the published record.
- Human PK. Published rigorous human pharmacokinetic characterization for injectable MOTS-c is limited; claims of specific hour values should be sourced carefully.
Storage and stability
- Lyophilized powder. Store sealed per the supplier's certificate of analysis — typically refrigerated at 2–8 °C or frozen at −20 °C.
- After reconstitution. Store refrigerated at 2–8 °C. Bacteriostatic water (0.9% benzyl alcohol) is preferred for multi-draw use; sterile water is used for single-draw preparations.
- Handling. Swirl to mix. Avoid freeze–thaw. Discard cloudy or discolored solutions.
Reconstitution math
Math only — no dose recommendation. Concentration after reconstitution determines how many insulin-syringe units equal a given amount.
Example 1 · 10 mg vial + 2 mL bac water
concentration = 10 mg / 2 mL = 5 mg/mL = 5000 mcg/mL
1 unit = 0.01 mL = 50 mcg
→ 1 mg = 20 units
→ 2 mg = 40 units
→ 5 mg = 100 units (full syringe)
Example 2 · 10 mg vial + 1 mL bac water
concentration = 10 mg / 1 mL = 10 mg/mL = 10,000 mcg/mL
1 unit = 0.01 mL = 100 mcg = 0.1 mg
→ 1 mg = 10 units
→ 5 mg = 50 units
→ 10 mg = 100 units (full syringe)
Example 3 · 10 mg vial + 3 mL bac water
concentration = 10 mg / 3 mL ≈ 3.333 mg/mL ≈ 3333 mcg/mL
1 unit ≈ 33.3 mcg
→ 1 mg ≈ 30 units
→ 3.33 mg ≈ 100 units (full syringe)
Frequently asked questions
What is MOTS-c?
A 16-amino-acid mitochondrial-derived peptide encoded in the 12S rRNA region of mtDNA. First described 2015. Not FDA-approved.[1]
How does it work?
Increases AICAR → activates AMPK → engages SIRT1 / PGC-1α. Also translocates to the nucleus under metabolic stress. Promotes glucose uptake in preclinical models.[2][3][4]
What is the half-life?
Short; specific peer-reviewed value not well summarized in published literature. Low oral bioavailability.[2]
How do I reconstitute a 10 mg vial?
Typical: 10 mg + 2 mL bac water = 5 mg/mL → 1 unit = 50 mcg; 1 mg = 20 units. Using 1 mL gives 10 mg/mL (100 mcg per unit).
Is it FDA-approved?
No. Research peptide; no Phase 3 trials as of April 2026.
How is it stored after reconstitution?
Refrigerated at 2–8 °C. Bacteriostatic water for multi-draw use; sterile water for single-draw. Avoid freeze–thaw and vigorous shaking.
Primary references
- Lee C, Zeng J, Drew BG, et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab, 2015;21:443–454 (PubMed 25738459). PubMed 25738459
- Kim KH, Son JM, Benayoun BA, Lee C. Mitochondria-derived peptide MOTS-c: effects and mechanisms related to stress, metabolism, and aging. Protein Cell, 2023 review (PMC9854231). PMC9854231
- Merry TL, et al. MOTS-c: a promising mitochondrial-derived peptide for therapeutic exploitation. Review, 2023 (PMC9905433). PMC9905433
- Kim KH, Son JM, Benayoun BA, Lee C. The mitochondrial-encoded peptide MOTS-c translocates to the nucleus to regulate nuclear gene expression in response to metabolic stress. Cell Metab, 2018 (PubMed 29983246). PubMed 29983246