Preserved supervised synthesis

MOTS-c synthesis · version 1

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Supervised synthesis

What do selected human studies report about MOTS-c?

Manually reviewed September 15, 2026 · version 1

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Three selected human reports measured naturally occurring MOTS-c during exercise studies or in patients with coronary endothelial dysfunction. None of these reports tested administering MOTS-c to people.123

Bottom line from this bounded source set

Human studies associate endogenous MOTS-c with exercise or vascular measurements. Exercise interventions and biomarker associations do not demonstrate the efficacy or safety of administered MOTS-c.123

Reviewed study record

Acute exercise and circulating peptides

Design

Participants were randomized to endurance exercise, resistance exercise or a control group, with blood and muscle measurements.1

Population

Thirty participants were assigned to three groups of ten.1

Outcomes reported

Humanin increased after endurance exercise; MOTS-c showed a trend toward an increase.1

Limitations

The intervention was exercise, not MOTS-c administration. A trend is not a demonstrated clinical benefit, and the small study measured short-term biomarkers.1

Reviewed study record

Exercise in breast cancer survivors

Design

A secondary analysis of a randomized 16-week exercise-versus-usual-care study measured circulating MOTS-c.2

Population

The analysis included 25 Hispanic and 24 non-Hispanic White breast cancer survivors.2

Outcomes reported

MOTS-c increased in the non-Hispanic White subgroup and was associated with changes in metabolic measures; a comparable increase was not reported in the Hispanic subgroup.2

Limitations

Small subgroup analyses and baseline differences limit interpretation. Associations do not establish that MOTS-c caused the metabolic changes, and no peptide was administered.2

Reviewed study record

Coronary endothelial dysfunction

Design

An observational human comparison measured endogenous MOTS-c; separate experiments exposed rodent vessels to the peptide.3

Population

Forty patients undergoing angiography for recurrent angina were classified into two groups of twenty by endothelial function.3

Outcomes reported

Circulating MOTS-c was lower in patients with endothelial dysfunction and correlated with vascular function measures.3

Limitations

The human findings are associations. Exposure experiments used rodent tissues, so they do not establish a therapeutic effect or safety in people.3

Reviewed source set

  1. PubMed · 34351816Acute endurance exercise stimulates circulating levels of mitochondrial-derived peptides in humans. ↗PubMed PMID 34351816 · EFetch XML reviewed 2026-09-15 · payload SHA-256 2e5d7f3bbb78020ebce79464f732db1cdffce50b422a5e1e417410b60e623d7e
    No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1152/japplphysiol.00706.2019. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗
  2. PubMed · 34413391Effect of aerobic and resistance exercise on the mitochondrial peptide MOTS-c in Hispanic and Non-Hispanic White breast cancer survivors. ↗PubMed PMID 34413391 · EFetch XML reviewed 2026-09-15 · payload SHA-256 b67b3b98992c733cacdb85074e3b6e599e0eae5a17c4f6f4bb3b346cf658b66c
    No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1038/s41598-021-96419-z. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗
  3. PubMed · 29242099Downregulation of circulating MOTS-c levels in patients with coronary endothelial dysfunction. ↗PubMed PMID 29242099 · EFetch XML reviewed 2026-09-15 · payload SHA-256 29a7855ea1976baa42c2f304e07517347a09046b0aaf5747e6a6775c9219f90b
    No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1016/j.ijcard.2017.12.001. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗