Review synthesizing MOTS-c's mechanisms for preventing metabolic disorders—including its disruption of the folate-methionine cycle, AICAR-AMPK activation, nuclear translocation during stress, and downstream effects on insulin resistance, obesity, muscle function, bone metabolism, immune regulation, and aging—positioning MOTS-c as a broad-spectrum mitochondrial hormone for metabolic health. Provides a mechanisms-focused metabolic overview. Establishes MOTS-c as a pleiotropic mitochondrial hormone that regulates energy homeostasis through multiple interconnected metabolic pathways—providing a mechanistic foundation for understanding how a single 16-amino acid peptide produces broad metabolic benefits relevant to the treatment of T2DM, obesity, and metabolic syndrome.
Gao, Yue; Wei, Xinran; Wei, Pingying; Lu, Huijie; Zhong, Luying; Tan, Jie; Liu, Hongbo; Liu, Zheng