Review focusing on MOTS-c's role in diabetes—both T1DM and T2DM—and aging-related diseases, covering its regulation of glucose and lipid metabolism, insulin sensitivity, and its connections to cellular aging pathways including senescence and mitochondrial dysfunction, with discussion of its therapeutic potential as a diabetes and anti-aging intervention alongside other MDPs including humanin and SHLPs. Provides a diabetes-and-aging-focused MOTS-c reference. Synthesizes the mechanistic basis for MOTS-c as a dual-purpose therapeutic in diabetes and aging—establishing how a single mitochondrial genome-encoded peptide integrates insulin sensitivity, cellular survival, and aging pathway regulation to protect against multiple age-associated metabolic diseases simultaneously.
Kong, Byung Soo; Lee, Changhan; Cho, Young Min