The clinical process of intentionally regulating the concentration and functional activity of the mitochondrial-derived peptide MOTS-c, a small, endogenously produced peptide encoded in the mitochondrial genome that acts as a significant systemic regulator of metabolic homeostasis. Modulation is utilized therapeutically to enhance insulin sensitivity, promote efficient muscle energy metabolism, and improve overall physical performance and endurance capacity. This represents a novel, highly targeted approach to optimizing core metabolic health.
Origin
This term is highly specific, originating from the emerging and advanced field of mitochondrial endocrinology and targeted peptide research, following the discovery of MOTS-c in 2015. ‘Modulation’ refers to the therapeutic adjustment of its levels to strategically leverage its potent systemic metabolic effects. It highlights the increasingly recognized role of the mitochondrion as a dynamic endocrine organ capable of influencing distant cellular functions.
Mechanism
MOTS-c acts primarily by translocating to the nucleus of target cells where it influences the expression of specific genes, most notably promoting insulin sensitivity in skeletal muscle cells and improving systemic glucose utilization. It plays a protective role in maintaining metabolic flexibility and shielding against diet-induced insulin resistance. Therapeutic modulation aims to increase its functional bioavailability, thereby enhancing muscle bioenergetics and systemic metabolic balance.
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