Review of MOTS-c's role in bone metabolism, covering its effects on promoting osteoblast proliferation, differentiation, and mineralization while inhibiting osteoclast formation, the exercise-mediated upregulation of MOTS-c as a bone-protective mechanism, and the potential for MOTS-c supplementation to prevent osteoporosis and promote bone healing. Synthesizes the skeletal biology of MOTS-c. Establishes MOTS-c as a bone-anabolic mitochondrial peptide—providing a mechanistic framework for exercise-mediated skeletal protection and positioning MOTS-c as a candidate osteoporosis preventive therapy that simultaneously promotes bone formation and inhibits resorption.
Yi, Xuejie; Hu, Guangxuan; Yang, Yang; Li, Jing; Jin, Junjie; Chang, Bo