Study record

Systemic MOTS-c levels are increased in adults with obesity in association with metabolic dysregulation and remain unchanged after weight loss

Yoon SH, Yuan F, Zhu X et al. · J Clin Transl Endocrinol · 2026

Human obs.Endogenous MOTS-c measuredEvidence tier B

What this study reported

Found higher circulating MOTS-c in adults with obesity than in lean adults, with BMI and HOMA-IR each independently predicting higher levels and a nonlinear relationship with HOMA-IR. Reported that adipose tissue MOTS-c expression did not differ between groups and did not correlate with circulating MOTS-c. Measured no change in circulating MOTS-c 6 months after bariatric surgery despite lower BMI in the 10 participants followed.

Limitations

Small exploratory sample with only 10 participants followed after surgery, cross-sectional group comparison, adipose tissue controls drawn from kidney donors rather than the lean comparison group, and no sex-stratified analysis reported.

Study record

Annotated fields for this study
Study modelHuman observational
Substance studiedEndogenous MOTS-c measuredNaturally occurring MOTS-c was measured; nothing was given.
Specieshuman
System studiedLean adult controls and adults with obesity scheduled for bariatric surgery; adipose tissue from lean kidney donors and participants with obesity
Populationadults with obesity scheduled for bariatric surgery and lean adult controls
DesignCross-sectional comparison with a small longitudinal post-surgical follow-up
Sample size as reported22 lean controls and 32 participants with obesity; 10 followed through bariatric surgery; adipose tissue from 6 lean kidney donors and 14 subjects with obesity
Control grouplean adult controls and lean kidney donors for adipose tissue
Route (data field only)Not reported
Endpoints measuredcirculating MOTS-c concentration; BMI; HOMA-IR; inflammatory markers; adipose tissue MOTS-c expression
Pathways measuredInsulin & glucose handling · Inflammation
Research areasMetabolic · Mitochondrial biology
Evidence tierB — Other human study
Publication typesJournal Article

Appraisal

Each dimension is recorded separately and never combined into a single score. A study can be well controlled and still tell you little about people.

Relevance to MOTS-c
Direct
Model applicability
Human
Sample size
Small
Controls
Limited
Outcome validity
Validated biomarker
Support for its own conclusion
Moderate

Provenance

  • Bibliographic fields retrieved from PubMed E-utilities efetch (title, journal, date, authors, DOI) on 2026-11-11.
  • Annotated from the published abstract.
  • Editorial review: approved (2026-11-11).
  • Classification follows the site methodology; the record describes the study, not what MOTS-c does in people.