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MOTS-c attenuates mitochondrial dysfunction induces pyroptosis and cartilage degradation in osteoarthritis via an Nrf2-Dependent Mechanism.

Li K, Yang T, Chen F, et al. Free radical biology & medicine. 2025.
Weak / noneAnimal (in vivo)Mentions: MOTS-c

Editor's note

In cell experiments and a mouse osteoarthritis model, researchers report that MOTS-c improved mitochondrial dysfunction, inhibited inflammasome activation, and reduced chondrocyte pyroptosis, helping preserve cartilage extracellular matrix and limit matrix-degrading enzymes. They attribute this to the Nrf2/TXNIP/NLRP3 axis, and report that MOTS-c slowed cartilage degeneration on imaging and histology. This is a single-model preclinical study combining in-vitro and in-vivo work; it establishes plausible mechanism, not clinical benefit. These are preclinical findings; human data are needed before any conclusions about osteoarthritis in people. It extends MOTS-c's Nrf2-linked, anti-inflammatory, mitochondria-protective profile into joint tissue, consistent with the peptide's broader animal literature but not yet translatable.

Plain-language abstract

Osteoarthritis is a common joint disease where cartilage breaks down through a mix of mechanical wear, inflammation, and metabolic imbalance. Researchers tested MOTS-c, a mitochondria-derived peptide, in cartilage cells and in a mouse model. MOTS-c improved mitochondrial health, calmed an inflammation-triggering complex, and reduced a damaging form of cartilage-cell death called pyroptosis. As a result, it helped preserve the cartilage's supporting matrix and reduced enzymes that break that matrix down. The team traced the effect to a specific pathway (Nrf2/TXNIP/NLRP3). In the mice, imaging and tissue analysis showed MOTS-c slowed cartilage degeneration. Because this was done only in cells and mice, it cannot show whether MOTS-c would help people with osteoarthritis, and human studies would be needed first. The findings fit a broader pattern of MOTS-c protecting tissues by reducing inflammation and supporting mitochondria, now extended to joint cartilage.