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Investigational / not FDA-approved

MOTS-c

Mitochondrial-derived peptide studied in metabolic signaling and aging biology.

Editorial review: August 13, 2026
What evidence says

Evidence snapshot

This drawer marks papers. It is not a plan, a dose, or a source. A paper is a bounded report. It is not a protocol. Grades name the object. They are not a safety rating.

MOTS-c is not approved. Off-label does not apply. There is no published controlled human MOTS-c intervention in this set, and none in the native MOTS-c literature this drawer uses. CB4211 is a different analogue. Do not treat it as MOTS-c. NCT07505745 is recruiting and unpublished.

Bottom line

Predominantly preclinical. Human papers here measure endogenous or circulating MOTS-c, or give MOTS-c to mice, rats, or cells. They do not show that giving MOTS-c to people does a named thing. Honest line: no controlled human MOTS-c intervention.

Papers

Preclinical

PMID 25738459 — Lee 2015

Tested: discovery work; MOTS-c in mice for metabolic homeostasis, obesity, and insulin resistance.

Does not show: a human intervention.

PMID 29983246

Tested: MOTS-c translocation and nuclear gene regulation in cells under metabolic stress.

Does not show: a human treatment effect.

PMID 34798268

Tested: MOTS-c in a mouse gestational-diabetes model. The title names GDM; the experiment is not a human GDM trial.

Does not show: MOTS-c given to pregnant people.

PMID 38206815

Tested: MOTS-c in a mouse NASH model.

Does not show: a human NASH trial.

PMID 38790718

Tested: MOTS-c in a mouse radiation-pneumonitis model.

Does not show: a human lung-injury trial.

Early human (observational only)

These papers include a human measurement of MOTS-c. They are not trials of giving MOTS-c to people. Do not write them as “MOTS-c does X in patients.”

PMID 33554779

Tested: plasma MOTS-c versus myostatin correlation in human subjects, plus MOTS-c in C2C12 myotubes and in diet-induced obese mice.

Does not show: that administering MOTS-c changes muscle mass in people.

PMID 37290680

Tested: circulating MOTS-c in people after off-pump coronary artery bypass, including those with postoperative acute lung injury; MOTS-c administration was in rats and in lung epithelial cells.

Does not show: that giving MOTS-c to surgical patients treats lung injury.

PMID 37788894

Tested: circulating MOTS-c as a biomarker across HBV-infection cohorts, plus MOTS-c experiments in HBV models (mice/cells).

Does not show: MOTS-c as an approved or controlled human HBV therapy.

PMID 39321430

Tested: MOTS-c levels in serum and tumor tissue from people with ovarian cancer (lower levels, poorer prognosis), plus exogenous MOTS-c in experimental systems.

Does not show: that treating people with MOTS-c changes cancer outcomes.

PMID 33473109 — Reynolds 2021

Tested: MOTS-c and physical decline in mice; in humans, endogenous MOTS-c rose with exercise. Not exogenous MOTS-c.

Does not show: that taking MOTS-c improves human performance.

PMID 34320351 — Kong 2021

Tested: MOTS-c in NOD mice; people with type 1 diabetes had lower serum MOTS-c (observational).

Does not show: MOTS-c treatment of type 1 diabetes in people.

What is not established

A controlled human MOTS-c intervention. Any labeled use. Identity between endogenous MOTS-c, a research analogue, and a vial. CB4211 is out of scope. NCT07505745 is not a result.

Selected sources

25738459 29983246 34798268 38206815 38790718 33554779 37290680 37788894 39321430 33473109 34320351

What people discuss

Reported experiences

Energy, exercise, metabolic health

Reported topics are not established benefits.
Watch for

Risks and unknowns

Unknown long-term effects, injection and product-quality risks

Context matters. Approval of one medicine, formulation, or use does not establish approval of products sold online or other uses. This page is educational and does not provide dosing or treatment advice.
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