MOTS-c
16-amino-acid peptide encoded by the mitochondrial genome (12S rRNA region). Activates AMPK via folate-cycle inhibition - the same master switch metformin and training adaptation hit. Notorious for a stinging injection.
MOTS-c is a 16-amino-acid peptide not encoded in the nuclear genome but in the mitochondrial one - specifically in the 12S rRNA region. That places it in the mitochondrial-derived peptide (MDP) class, signalling molecules that act between the mitochondria and the cell nucleus. Functionally: a stress signal from the energy-production machinery to the genomic-regulation layer.
The popular framing is âexercise in a bottle.â The science is subtler: MOTS-c inhibits the folate cycle, accumulating AICAR, which directly activates AMPK - the same metabolic master switch metformin and exercise hit. The mouse data is robust (Lee 2015, Reynolds 2021); human data is limited to a modified analog (CB4211, CohBar) for NAFLD, not the raw peptide.
- Stinging / burning reaction is expected and not an allergy - countermeasures are required, not optional
- Human data is limited to the CB4211 analog - don't extrapolate 1:1 to raw MOTS-c
- Active cancer is a caution (theoretical), despite the AMPK tumour-suppression profile
- Concurrent metformin: theoretical additive glucose-lowering - bloodwork is the sentinel