MOTS-c for Improving Insulin Sensitivity in Adults With Prediabetes and Overweight/Obesity
Hudson Biotechn = 1202 Feb 2026 to est. 17 May 2028
Prediabetes · Insulin Resistance · Overweight/Obesity
PepBank has 176 MOTS-c studies with results. 98 of them gave MOTS-c, with 697 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 697 results and 280 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
MOTS-c (mitochondrial open reading frame of the 12S rRNA-c) is a 16-residue peptide encoded by a short open reading frame in the human mitochondrial MT-RNR1 gene (UniProt A0A0C5B5G6). The 2015 discovery paper reported that it acts mainly on skeletal muscle, inhibits the folate cycle and de novo purine synthesis, and leads to AMPK activation; in mice it prevented diet-induced obesity and insulin resistance. FDA's July 2026 review found no publicly available clinical studies of MOTS-c given to humans; one phase 2a trial (NCT07505745) started in 2026. WADA lists MOTS-c as a prohibited AMPK activator.
| Target | Action | Evidence |
|---|---|---|
| AMP-activated protein kinase (AMPK) signaling, indirect | Indirect activator | proposedSource (opens in a new tab) |
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
16 amino acids
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
pI 10.64 · Net charge at pH 7.4: 2.94
Point or use arrow keys
Henderson-Hasselbalch, EMBOSS pKa set. Calculated, not measured.
| pH | Net charge |
|---|---|
| 0 | 5.00 |
| 1 | 5.00 |
| 2 | 4.97 |
| 3 | 4.73 |
| 4 | 3.84 |
| 5 | 3.15 |
| 6 | 3.01 |
| 7 | 2.98 |
| 8 | 2.78 |
| 9 | 2.12 |
| 10 | 1.01 |
| 11 | −0.48 |
| 12 | −1.64 |
| 13 | −3.27 |
| 14 | −3.91 |
16 residues. Each residue counts in one class; F and W count as aromatic.
Loads the 3D viewer (3Dmol.js, about 150 KB) and the model file from AlphaFold DB (EMBL-EBI).
MOTS-c has 16 residues. A full-atom drawing is hard to read at this size; the sequence view is the reference.
SMILES fromPubChem CID 146675088(opens in a new tab)
CC[C@H](C)[C@@H](C(=O)N[C@@H](CC1=CC=CC=C1)C(=O)N[C@@H](CC2=CC=C(C=C2)O)C(=O)N3CCC[C@H]3C(=O)N[C@@H](CCCNC(=N)N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(=N)N)C(=O)O)NC(=O)[C@H](CC4=CC=C(C=C4)O)NC(=O)CNC(=O)[C@H](CCSC)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCC(=O)N)NC(=O)[C@H](CC5=CNC6=CC=CC=C65)NC(=O)[C@H](CCCNC(=N)N)NC(=O)[C@H](CCSC)NAn ideal alpha-helix projection. It shows where the hydrophobic residues fall if the peptide folds as a helix. It does not show that it does.
Eisenberg consensus (normalized) scale · + K, R · − D, E
Assumes an ideal α-helix: 100° per residue, 3.6 residues per turn. The arrow is the mean hydrophobic moment (Eisenberg et al. 1984) and points at the hydrophobic face.
| Position | Residue | Angle | Eisenberg consensus (normalized) |
|---|---|---|---|
| 1 | M | 0° | 0.64 |
| 2 | R | 100° | -2.53 |
| 3 | W | 200° | 0.81 |
| 4 | Q | 300° | -0.85 |
| 5 | E | 40° | -0.74 |
| 6 | M | 140° | 0.64 |
| 7 | G | 240° | 0.48 |
| 8 | Y | 340° | 0.26 |
| 9 | I | 80° | 1.38 |
| 10 | F | 180° | 1.19 |
| 11 | Y | 280° | 0.26 |
| 12 | P | 20° | 0.12 |
| 13 | R | 120° | -2.53 |
| 14 | K | 220° | -1.50 |
| 15 | L | 320° | 1.06 |
| 16 | R | 60° | -2.53 |
People first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Studies by year
176 of 280 studies have results (63%), published 2015 to 2027. Top row: every study. Bottom row: studies with results about MOTS-c, by class. The rows use different scales.
Studies279 in all, 2014 to 2027
Studies with results176 in all, 2015 to 2027
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
1 trial match. Highest phase first. Data from ClinicalTrials.gov.
1 trial · 1 ongoing
1 trial · 1 ongoing · source ClinicalTrials.gov (opens in a new tab)
Hudson Biotechn = 1202 Feb 2026 to est. 17 May 2028
Prediabetes · Insulin Resistance · Overweight/Obesity
3 more mention it but do not test it. They are not trials of MOTS-c: they only measure it (a blood level or an eligibility term) or name it in their text.
Studies on this peptide. Some have results. The others have none yet.
280 studies match. Retracted studies are left out.
Showing 17 of 280 studiesquery qry_24dc99df7535207e70716102
176 studies in all, 17 on this page
Animal study (in vivo) · mouse · 2015
Lee et al. 2015Cell metabolismcited by 584
PMID 25738459PMC4350682DOI 10.1016/j.cmet.2015.02.009PUB-25738459
In vitro (cells) · 2018
Kim et al. 2018Cell metabolismcited by 259
PMID 29983246PMC6185997DOI 10.1016/j.cmet.2018.06.008PUB-29983246
Animal study (in vivo) · mouse · 2021
Reynolds et al. 2021Nature communicationscited by 175
PMID 33473109PMC7817689DOI 10.1038/s41467-020-20790-0PUB-33473109
In vitro (cells) · 2018
Kim et al. 2018Agingcited by 122
PMID 29886458PMC6046248DOI 10.18632/aging.101463PUB-29886458
Measured the body's own MOTS-c · 2022
Peluso et al. 2022Annals of neurologycited by 113
PMID 35285072PMC9082480DOI 10.1002/ana.26350PUB-35285072
Measured the body's own MOTS-c · 2021
Goetzl et al. 2021Molecular psychiatrycited by 100
PMID 34471251PMC8872999DOI 10.1038/s41380-021-01268-xPUB-34471251
Measured the body's own MOTS-c · 2019
Ramanjaneya et al. 2019Frontiers in endocrinologycited by 91
PMID 31214116PMC6554664DOI 10.3389/fendo.2019.00331PUB-31214116
Ex vivo tissue · mouse and rat · 2018
Qin et al. 2018International journal of cardiologycited by 85
PMID 29242099DOI 10.1016/j.ijcard.2017.12.001PUB-29242099
Animal study (in vivo) · mouse · 2021
Kang et al. 2021Cell metabolismcited by 82
PMID 33535098PMC7959183DOI 10.1016/j.cmet.2021.01.003PUB-33535098
Measured the body's own MOTS-c · 2018
Du et al. 2018Pediatric diabetescited by 77
PMID 29691953DOI 10.1111/pedi.12685PUB-29691953
Animal study (in vivo) · mouse · 2016
Ming et al. 2016Biochemical and biophysical research communicationscited by 73
PMID 27237975DOI 10.1016/j.bbrc.2016.05.135PUB-27237975
Animal study (in vivo) · mouse · 2019
Lu et al. 2019Journal of molecular medicine (Berlin, Germany)cited by 71
PMID 30725119DOI 10.1007/s00109-018-01738-wPUB-30725119
In vitro (cells) · 2021
Yang et al. 2021Biochimica et biophysica acta. Molecular basis of diseasecited by 71
PMID 33722744DOI 10.1016/j.bbadis.2021.166126PUB-33722744
Animal study (in vivo) · mouse · 2017
Zhai et al. 2017Molecular immunologycited by 65
PMID 29096170DOI 10.1016/j.molimm.2017.10.017PUB-29096170
Measured the body's own MOTS-c · 2019
Liu et al. 2019American journal of physiology. Renal physiologycited by 62
PMID 31432706DOI 10.1152/ajprenal.00202.2019PUB-31432706
Animal study (in vivo) · mouse · 2019
Yan et al. 2019Pharmacological researchcited by 57
PMID 31369811DOI 10.1016/j.phrs.2019.104381PUB-31369811
Animal study (in vivo) · mouse · 2021
Kumagai et al. 2021American journal of physiology. Endocrinology and metabolismcited by 56
PMID 33554779PMC8238132DOI 10.1152/ajpendo.00275.2020PUB-33554779
These studies name MOTS-c but give no result for it (for example, the results concern another peptide in the study).
PubMed tag: Review · 2016
Lee et al. 2016Free radical biology & medicinecited by 148
PMID 27216708PMC5116416DOI 10.1016/j.freeradbiomed.2016.05.015PUB-27216708
PubMed tag: Review · 2017
Kim et al. 2017The Journal of physiologycited by 147
PMID 28574175DOI 10.1113/jp274472PUB-28574175
PubMed tag: review-article, Review · 2020
Merry et al. 2020American journal of physiology. Endocrinology and metabolismcited by 113
PMID 32776825PMC7750512DOI 10.1152/ajpendo.00249.2020PUB-32776825
PubMed tag: review-article, Review · 2022
Miller et al. 2022The Journal of clinical investigationcited by 97
PMID 35499074PMC9057581DOI 10.1172/jci158449PUB-35499074
PubMed tag: article-commentary · 2015
Fuku et al. 2015Aging cellcited by 86
PMID 26289118PMC4693465DOI 10.1111/acel.12389PUB-26289118
PubMed tag: Review · 2019
Yang et al. 2019Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapiecited by 66
PMID 31185388DOI 10.1016/j.biopha.2019.109075PUB-31185388
PubMed tag: Review · 2021
Kim et al. 2021GeroSciencecited by 64
PMID 32910336PMC8190245DOI 10.1007/s11357-020-00262-5PUB-32910336
PubMed tag: Review · 2020
Miller et al. 2020Experimental cell researchcited by 57
PMID 32387288PMC7778388DOI 10.1016/j.yexcr.2020.112056PUB-32387288
Page 1 of 4
Ozturk Öztürk DA · Neuroscience letters · 2024
Animal study (in vivo) · rat · 6 results
Bahar MR · Biologia futura · 2023
Animal study (in vivo) · rat · 7 results
Blatkiewicz M · Folia histochemica et cytobiologica · 2026
Animal study (in vivo) · rat · 15 results
Lee C · Cell metabolism · 2015
Animal study (in vivo) · mouse · 6 results
Reynolds JC · Nature communications · 2021
Animal study (in vivo) · mouse · 7 results
Kang GM · Cell metabolism · 2021
Animal study (in vivo) · mouse · 3 results
Ming W · Biochemical and biophysical research communications · 2016
Animal study (in vivo) · mouse · 4 results
Lu H · Journal of molecular medicine (Berlin, Germany) · 2019
Animal study (in vivo) · mouse · 11 results
Zhai D · Molecular immunology · 2017
Animal study (in vivo) · mouse · 10 results
Yan Z · Pharmacological research · 2019
Animal study (in vivo) · mouse · 7 results
Kumagai H · American journal of physiology. Endocrinology and metabolism · 2021
Animal study (in vivo) · mouse · 8 results
Yin Y · Pharmacological research · 2022
Animal study (in vivo) · mouse · 8 results
Kim SJ · Physiological reports · 2019
Animal study (in vivo) · mouse · 3 results
Lu H · International journal of molecular sciences · 2019
Animal study (in vivo) · 6 results
Zempo H · Aging · 2021
Animal study (in vivo) · mouse · 8 results
Wei M · Cardiorenal medicine · 2020
Animal study (in vivo) · rat · 4 results
Guo Q · Diabetologia · 2020
Animal study (in vivo) · mouse · 8 results
Yin X · European journal of pharmacology · 2020
Animal study (in vivo) · mouse · 9 results
Xinqiang Y · International immunopharmacology · 2020
Animal study (in vivo) · mouse · 17 results
Jiang J · ACS chemical neuroscience · 2021
Animal study (in vivo) · 11 results
Li Q · Biochemical and biophysical research communications · 2019
Animal study (in vivo) · mouse · 2 results
Zhong P · Journal of cellular and molecular medicine · 2022
Animal study (in vivo) · mouse · 7 results
Yuan J · Scientific reports · 2021
Animal study (in vivo) · rat · 3 results
Tang M · Scientific reports · 2023
Animal study (in vivo) · rat · 11 results
Lu P · European journal of pharmacology · 2023
Animal study (in vivo) · rat · 5 results
Zhang Y · Antioxidants (Basel, Switzerland) · 2024
Animal study (in vivo) · mouse · 10 results
Li S · Frontiers in endocrinology · 2022
Animal study (in vivo) · rat · 7 results
Lin C · Gut · 2024
Animal study (in vivo) · mouse · 11 results
Wang M · Frontiers in nutrition · 2022
Animal study (in vivo) · rat · 8 results
Jiang J · European journal of pharmacology · 2023
Animal study (in vivo) · 15 results
Jiang J · ACS chemical neuroscience · 2023
Animal study (in vivo) · mouse · 15 results
Zou R · Theranostics · 2024
Animal study (in vivo) · mouse · 5 results
Lu H · Cell reports · 2024
Animal study (in vivo) · 9 results
Xiao J · Molecular neurobiology · 2023
Animal study (in vivo) · rat · 13 results
Hyatt JK · Physiological reports · 2022
Animal study (in vivo) · mouse · 7 results
Kumagai H · American journal of physiology. Endocrinology and metabolism · 2024
Animal study (in vivo) · mouse · 10 results
Yin Y · Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
Animal study (in vivo) · 13 results
Shen Z · American journal of respiratory cell and molecular biology · 2025
Animal study (in vivo) · 10 results
Kumagai H · iScience · 2024
Animal study (in vivo) · mouse · 12 results
Ran N · EMBO molecular medicine · 2021
Animal study (in vivo) · mouse · 11 results
Wen Z · International immunopharmacology · 2024
Animal study (in vivo) · rat · 12 results
Wu N · Cardiovascular drugs and therapy · 2025
Animal study (in vivo) · mouse · 4 results
Pham T · Frontiers in physiology · 2025
Animal study (in vivo) · rat · 6 results
Li X · Redox biology · 2025
Animal study (in vivo) · rat · 8 results
Yuan J · Life sciences · 2023
Animal study (in vivo) · rat · 17 results
Kong BS · Experimental & molecular medicine · 2025
Animal study (in vivo) · mouse · 5 results
Fu Y · Biochemical and biophysical research communications · 2024
Animal study (in vivo) · rat · 2 results
Wang J · Reproductive toxicology (Elmsford, N.Y.) · 2024
Animal study (in vivo) · mouse · 2 results
Yang L · Acta biochimica et biophysica Sinica · 2024
Animal study (in vivo) · mouse · 13 results
Zhang W · International immunopharmacology · 2025
Animal study (in vivo) · mouse · 10 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA | No Drugs@FDA application (openFDA). FDA slides: neither form is a component of an FDA-approved drug; no USP/NF monograph. | 30 Oct 2026 | Not recorded |
| EU | EMA | No entry in EMA medicines data. FDA slides state MOTS-c is not recognized on the EMA website. | 30 Oct 2026 | Not recorded |
| Sport | WADA | Banned in sport (WADA S4) Named in S4.4.1 (activators of AMPK): 'mitochondrial open reading frame of the 12S rRNA-c (MOTS-c)'. | 2026 List | wada-ama.org (opens in a new tab) |
12 safety results for MOTS-c.
No safety results from studies in people
In mice with gestational diabetes, MOTS‑c reduced the death of offspring induced by gestational diabetes.
Animal study (in vivo)mouse
In HBV-infected mice, no notable toxicity of MOTS‑c was observed.
Animal study (in vivo)mouse
In mice with spared nerve injury, intrathecal MOTS‑c caused limited side effects relating to antinociceptive tolerance, in contrast to morphine.
Animal study (in vivo)mouse
In mice with spared nerve injury, intrathecal MOTS‑c caused limited gastrointestinal transit inhibition, in contrast to morphine.
Animal study (in vivo)mouse
In mice with spared nerve injury, intrathecal MOTS‑c caused limited side effects on locomotor function, in contrast to morphine.
Animal study (in vivo)mouse
In mice with spared nerve injury, intrathecal MOTS‑c caused limited side effects on motor coordination, in contrast to morphine.
Animal study (in vivo)mouse
In vivo, MOTS‑c showed no systemic toxicity.
Animal study (in vivo)
In mice, chronic administration of MOTS‑c had little effect on liver function.
Animal study (in vivo)mouse
In HBV-infected cells, no notable toxicity of MOTS‑c was observed.
In vitro (cells)
The doses that these studies used. They are not recommendations.
10 and 100 µMAnimal
10 and 100 µMAnimal
0.1 μmol/24 hAnimal
5 mg/kg once a dayAnimal
5 mg/kg once a dayAnimal
50 mg/kgAnimal
6 of 30 shown
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ mots-cEvidence summary for MOTS-c: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 8 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| Receptor activity and mechanismSkin and wound | No results | Animal: 91 results from 32 studies: 28 increase, 34 decrease, 9 no significant change, 20 not reported. Strongest design: Animal study (in vivo) | Lab: 73 results from 36 studies: 25 increase, 19 decrease, 2 no significant change, 1 mixed, 26 not reported. Strongest design: Ex vivo tissue | No results | 164 |
| Inflammation markersSkin and wound | No results | Animal: 75 results from 27 studies: 6 increase, 66 decrease, 3 not reported. Strongest design: Animal study (in vivo) | Lab: 18 results from 10 studies: 3 increase, 15 decrease. Strongest design: Ex vivo tissue | No results | 93 |
| Mitochondrial functionRespiratory | No results | Animal: 36 results from 21 studies: 20 increase, 10 decrease, 1 no significant change, 2 mixed, 3 not reported. Strongest design: Animal study (in vivo) | Lab: 51 results from 22 studies: 22 increase, 16 decrease, 7 no significant change, 6 not reported. Strongest design: Ex vivo tissue | No results | 87 |
| Heart functionCardiovascular | No results | Animal: 37 results from 15 studies: 15 increase, 18 decrease, 3 no significant change, 1 not reported. Strongest design: Animal study (in vivo) | Lab: 10 results from 3 studies: 4 increase, 6 decrease. Strongest design: Ex vivo tissue | No results | 47 |
| Muscle injury and repairMusculoskeletal | No results | Animal: 29 results from 8 studies: 7 increase, 13 decrease, 5 no significant change, 4 not reported. Strongest design: Animal study (in vivo) | Lab: 15 results from 5 studies: 7 increase, 5 decrease, 3 no significant change. Strongest design: In vitro (cells) | No results | 44 |
| Glycemic controlMusculoskeletal | No results | Animal: 19 results from 12 studies: 6 increase, 10 decrease, 3 not reported. Strongest design: Animal study (in vivo) | Lab: 13 results from 4 studies: 4 increase, 4 decrease, 3 no significant change, 2 not reported. Strongest design: Ex vivo tissue | No results | 32 |
| NeuroprotectionNervous system and cognition | No results | Animal: 21 results from 4 studies: 9 increase, 9 decrease, 3 no significant change. Strongest design: Animal study (in vivo) | Lab: 10 results from 4 studies: 2 increase, 2 decrease, 1 no significant change, 4 mixed, 1 not reported. Strongest design: Ex vivo tissue | No results | 31 |
| Bone and jointMusculoskeletal | No results | Animal: 5 results from 4 studies: 4 decrease, 1 not reported. Strongest design: Animal study (in vivo) | Lab: 15 results from 5 studies: 8 increase, 4 decrease, 3 not reported. Strongest design: In vitro (cells) | No results | 20 |
| Oxidative stressRespiratory | No results | Animal: 11 results from 4 studies: 8 increase, 3 decrease. Strongest design: Animal study (in vivo) | Lab: 4 results from 2 studies: 1 increase, 3 decrease. Strongest design: In vitro (cells) | No results | 15 |
| Liver fat and liver functionLiver | No results | Animal: 14 results from 4 studies: 2 increase, 11 decrease, 1 no significant change. Strongest design: Animal study (in vivo) | No results | No results | 14 |
| PainNervous system and cognition | No results | Animal: 13 results from 5 studies: 11 decrease, 1 no significant change, 1 not reported. Strongest design: Animal study (in vivo) | No results | No results | 13 |
| Body weightWhole body | No results | Animal: 10 results from 8 studies: 6 decrease, 4 no significant change. Strongest design: Animal study (in vivo) | No results | No results | 10 |
12 outcome groups shown of 40 · 697 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Results that measure endogenous levels of MOTS-c. The peptide was not administered. The matrix does not count them.
| Outcome group | Human | Animal | Lab | Computer model | All |
|---|---|---|---|---|---|
| Mitochondrial functionWhole body | 111 | 29 | 3 | – | 143 |
| Aging markersReproductive and sexual health | 33 | 1 | 1 | – | 35 |
| Exercise and physical functionWhole body | 21 | 4 | – | – | 25 |
| Cardiovascular eventsKidney and urinary | 23 | – | – | – | 23 |
| Endogenous peptide levelsRespiratory | 17 | – | 1 | – | 18 |
| Glycemic controlMetabolic and weight | 15 | – | 1 | – | 16 |
| Receptor activity and mechanismMusculoskeletal | 1 | 3 | 7 | – | 11 |
| Liver fat and liver functionLiver | 6 | 3 | – | – | 9 |
| Body weightMetabolic and weight | 7 | – | – | – | 7 |
| Cognition and memoryNervous system and cognition | 7 | – | – | – | 7 |
| LipidsMetabolic and weight | 7 | – | – | – | 7 |
| Inflammation markersRespiratory | 6 | – | – | – | 6 |
| Muscle injury and repairMusculoskeletal | 5 | 1 | – | – | 6 |
| Blood pressureMetabolic and weight | 5 | – | – | – | 5 |
| Heart functionCardiovascular | 5 | – | – | – | 5 |
| NeuroprotectionNervous system and cognition | 3 | – | 2 | – | 5 |
| Sex hormones and fertilityReproductive and sexual health | 5 | – | – | – | 5 |
| Immune responseImmune and inflammation | 3 | – | 1 | – | 4 |
| Antiviral activityInfection | 3 | – | – | – | 3 |
| Body compositionMetabolic and weight | 2 | – | – | – | 2 |
| Kidney functionKidney and urinary | 2 | – | – | – | 2 |
| PainNervous system and cognition | – | 2 | – | – | 2 |
| PharmacokineticsPharmacology | 1 | – | – | – | 1 |
| Tumor growthCancer | 1 | – | – | – | 1 |
| All outcome groups | 289 | 43 | 16 | – | 348 |
Trials by phase
1 registered trial, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.