A phase 2 liver trial where the add-on drug didn't help — and the base drug quietly did
Read the Sunday Brief →

Study wrapper · #747

MOTS-C levels ın ındividuals with and without obesity and ıts association with ınflammation, insulin resistance and endothelial dysfunction.

Ozkaya DY, Haymana C, Demirci I, et al. Archives of endocrinology and metabolism. 2025.
MixedOtherMentions: MOTS-c

Editor's note

This cross-sectional study measured serum MOTS-c in 48 adults with obesity and 37 with normal BMI, alongside markers of insulin resistance, inflammation, and endothelial function. It found no significant difference in MOTS-c between groups, but a positive correlation with insulin resistance (HOMA-IR); regression flagged age (inverse) and HOMA-IR (positive) as determinants. This is observational and cannot establish causation. It directly contradicts reports of clearly elevated (or reduced) MOTS-c in obesity, underscoring how inconsistent the human MOTS-c-obesity literature is. Publishable precisely because a well-reported null adds needed balance: MOTS-c may track insulin resistance more than adiposity itself, and no strong obesity signal emerged here. Weight it as one data point in a genuinely mixed evidence base.

Plain-language abstract

Researchers measured MOTS-c, a mitochondria-derived peptide tied to metabolism, in 85 adults, 48 with obesity and 37 of normal weight, and compared it against markers of insulin resistance, inflammation, and blood-vessel function. Unlike some earlier reports, they found no meaningful difference in blood MOTS-c between the two weight groups. However, MOTS-c did rise with insulin resistance, and further analysis suggested it decreases with age but increases with higher insulin resistance. It did not correlate with the inflammation or blood-vessel markers. Because this looked at everyone at a single point in time, it cannot show cause and effect. Notably, its "no difference by weight" result conflicts with other studies that found MOTS-c higher or lower in obesity, showing the science here is genuinely mixed. The useful message is that MOTS-c may relate more to insulin resistance and age than to body weight itself, and that findings across studies do not yet agree.