Review examining mitochondria-derived peptides—humanin, MOTS-c, and SHLPs—as circulating biomarkers of cardiometabolic dysfunction, covering how mitochondrial stress alters MDP production, their tissue distribution and secretion patterns, and their potential as blood-based diagnostic and prognostic markers for cardiovascular and metabolic disease. Positions MDPs as a novel biomarker class for cardiometabolic medicine. Establishes the conceptual basis for MOTS-c as a cardiometabolic biomarker—arguing that because MDPs reflect real-time mitochondrial functional status, they can provide diagnostic information about the mitochondrial dysfunction that underlies cardiovascular and metabolic disease progression before irreversible organ damage occurs.
Rochette, Luc; Rigal, Eve; Dogon, Geoffrey; Malka, Gabriel; Zeller, Marianne; Vergely, Catherine; Cottin, Yves