Review examining how mitochondrial microproteins—humanin, MOTS-c, and SHLP peptides—along with mitochondrial DNA variants modulate athletic performance and age-related diseases, covering their roles in exercise-induced metabolic adaptation, muscle function, and protection against age-associated conditions. Integrates sports genetics with the emerging MDP field. Provides sports scientists and exercise physiologists with a framework for understanding MOTS-c as a genetically influenced exercise-responsive mitochondrial signal—establishing that both inherited mtDNA variants and exercise-induced MOTS-c changes interact to determine individual metabolic fitness and age-related disease susceptibility.
Kumagai, Hiroshi; Miller, Brendan; Kim, Su-Jeong; Leelaprachakul, Naphada; Kikuchi, Naoki; Yen, Kelvin; Cohen, Pinchas