Also called: Mitochondrial-derived peptide, MOTS‑C, MOTS-c / SS-31 (Mitochondrial Fatigue Stack)
MOTS-c is a tiny protein-like substance called a peptide. It is not made in the normal building blocks of the cell. Instead, it comes from the cell's tiny power plants, called mitochondria. Scientists first found it inside cells, where it seems to help the body use sugar and fat for energy.
Some people who study healthy aging and exercise are very interested in it. In lab and animal studies, MOTS-c has been linked to better blood sugar control, better use of energy, and some exercise-like effects on muscles. It appears to work by turning on a system inside cells that acts like a fuel gauge, telling the body when to save energy and when to burn it. It can even move into the cell's control center and help turn genes on and off when the body is under stress.
These findings come mostly from animals and cell studies, not from large human tests. MOTS-c is not an approved medicine. A federal advisory group has suggested it could be considered for a list that would let special pharmacies make it for individual patients, but no decision has been finalized and it is not proven to treat obesity or bone loss. Products sold online are sold for lab research only, so their purity and safety are not guaranteed. People should not use it without a doctor's care, and much more human research is still needed.
On July 23, 2026, PCAC voted 7–5–2 to recommend adding MOTS-c to the Section 503A Bulks List. The recommendation is advisory only and does not change MOTS-c's legal status; FDA rulemaking (typically 12–24 months) must conclude first. MOTS-c is not on the 503A Bulks List, remains an unapproved new drug, and cannot be lawfully compounded by 503A pharmacies pending a final FDA rule.
Benefits
The main themes across 27 research studies, in plain language.
Research points to potential benefits in exercise endurance, grip strength, and muscle capacity.
Statements regarding the purity and quality of research-grade peptides.
Research suggests MOTS-c may support bone formation and mineralization.
Studies suggest MOTS-c may modulate immune responses and reduce systemic inflammation.
Research suggests activation of pathways that help manage oxidative stress.
Evidence points to mechanisms that protect cells from oxidative stress and damage.
Studies indicate MOTS-c may help prevent diet-induced obesity and reduce fat accumulation.
Research suggests MOTS-c helps regulate glucose metabolism and improve insulin sensitivity.
Research indicates potential benefits for heart function and vascular health.
Initial studies suggest potential protective effects for neurons and brain metabolism.
Preclinical research indicates potential for extending lifespan and delaying age-related decline.
Evidence suggests MOTS-c acts as a mitochondrial signal peptide to regulate cellular energy and metabolism.
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MOTS-c is a 16-amino-acid peptide encoded by the mitochondrial genome (a mitochondrial-derived peptide). It activates the AMPK pathway, increasing skeletal-muscle glucose uptake and insulin sensitivity, and has been described as an 'exercise mimetic.' In mice it prevented age- and high-fat-diet-induced insulin resistance and diet-induced obesity. It is a research peptide, not an approved drug.
Evidence
Every claim above traces back to a source you can check — here are 7 of them.
The mitochondrial-derived peptide MOTS-c is a regulator of plasma metabolites and enhances insulin sensitivity.
MOTS-c: A promising mitochondrial-derived peptide for therapeutic exploitation
MOTS-c improves intrinsic muscle mitochondrial bioenergetic health and efficiency in a PGC-1α/AMPK-dependent manner
Mots-c | C101H152N28O22S2 | CID 146675088 - PubChem
Role of humanin, a mitochondrial-derived peptide, in cardiovascular disorders
Protective effect of MOTS-c on acute lung injury induced by lipopolysaccharide in mice
MOTS-c (human) | C101H152N28O22S2 | CID 155885767 - PubChem
Timeline
Key moments in MOTS-c’s research and regulatory timeline — sourced and dated.
News
Dated, sourced reporting that mentions MOTS-c.
A 2025 study in Experimental & Molecular Medicine by Kong et al. found that the mitochondrial-derived peptide MOTS-c declines as pancreatic islet cells age and that exogenous MOTS-c treatment can reduce this senescence. Lower circulating MOTS-c levels were observed in type 2 diabetes patients compared to healthy controls. In aged mice, MOTS-c treatment improved glucose intolerance and modulated nuclear gene expression linked to beta-cell aging. The findings position MOTS-c as a potential therapeutic target for age-related metabolic disease.
On July 23–24, 2026, the FDA's Pharmacy Compounding Advisory Committee recommended adding six of seven reviewed peptides (BPC-157, KPV, TB-500, MOTS-c, Epitalon, Semax) to the Section 503A Bulks List and rejected Emideltide/DSIP. The vote is advisory only — not a final FDA decision and not legal authorization to compound. FDA must still complete formal notice-and-comment rulemaking (typically 12–24 months) before any change in legal status.
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