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MOTS c

Amino

MOTS c

$37.50

In Stock

MOTS c is a clearly identified research-use reference material. Verified product specification: 10mg; 40mg; 10 mg; 40 mg. A current lot-specific Certificate of Analysis is available for quality and traceability documentation. Research Use Only. Not for human use. Not for animal use.

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1
Research use only. Products are intended strictly for qualified laboratory or in-vitro research and are not for human or veterinary use.

COAs & testing

Current and historical batch documentation

Approved testing records for this product and selected strength are shown directly on the purchase page. Results apply only to the documented sample or batch.

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Safety Data Sheet (SDS)

MOTS-c

Revision 1.0 · August 30, 2026 · Formulation-level safety, handling, storage, first-aid, and transport information.

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Historical COA

Lot FFH-MS10-01

10mg

Laboratory
ILS Laboratories LLC
Report
COA-2026--MJ1GE
Test date
2026-08-03
Issued
2026-08-03
Purity
99.83% purity
Assay
Peptide Purity (HPLC): 99.83%; Net Peptide Content: 11.5 mg; Identity (ID): Confirmed; Confirmed Fentanyl Free
Disposition
pass

Technical specifications

Compound information

Molecular, technical, storage, and laboratory-handling information for the selected variation. Unknown or unverified fields remain blank.

Molecular profile

Product
MOTS c
Strength
10mg
Product form
variable
Canonical compound
MOTS c

Storage requirements

Storage
Refrigerate after mixing, 0°C–8°C. Keep away from UV light.

Storage and handling information is for laboratory operations only. It is not dosing, administration, or medical guidance, and it does not replace a lot-specific expiration or stability document.

Peer-reviewed research

The research behind this compound

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Journal studies

Research articles and study summaries

All articles

MOTS c: MOTS-c Functionally Prevents Metabolic Disorders.

Mitochondrial-derived peptides are a family of peptides encoded by short open reading frames in the mitochondrial genome, which have regulatory effects on mitochondrial functions, gene expression, and metabolic homeostasis of the body. As a new member of the mitochondrial-derived peptide family, mitochondrial open reading frame of the 12S rRNA-c (MOTS-c) is regarding a peptide hormone that could reduce insulin resistance, prevent obesity, improve muscle function, promote bone metabolism, enhance immune regulation, and postpone aging. MOTS-c plays these physiological functions mainly through activating the AICAR-AMPK signaling pathways by disrupting the folate-methionine cycle in cells.

Read sourced summary

MOTS c: The mitochondrial-derived peptide MOTS-c relieves hyperglycemia and insulin resistance in gestational diabetes mellitus.

The most common complication during pregnancy, gestational diabetes mellitus (GDM), can cause adverse pregnancy outcomes and result in the mother and infant having a higher risk of developing type 2 diabetes after pregnancy. However, existing therapies for GDM remain scant, with the most common being lifestyle intervention and appropriate insulin treatment. MOTS-c, a mitochondrial-derived peptide, can target skeletal muscle and enhance glucose metabolism.

Read sourced summary

MOTS c: Role of MOTS-c in the regulation of bone metabolism.

MOTS-c, a mitochondrial-derived peptide (MDP), is an essential regulatory mediator of cell protection and energy metabolism and is involved in the development of specific diseases. Recent studies have revealed that MOTS-c promotes osteoblast proliferation, differentiation, and mineralization. Furthermore, it inhibits osteoclast production and mediates the regulation of bone metabolism and bone remodeling.

Read sourced summary

MOTS c: Mitochondria-derived peptide MOTS-c: effects and mechanisms related to stress, metabolism and aging.

MOTS-c is a peptide encoded by the short open reading frame of the mitochondrial 12S rRNA gene. It is significantly expressed in response to stress or exercise and translocated to the nucleus, where it regulates the expression of stress adaptation-related genes with antioxidant response elements (ARE). MOTS-c mainly acts through the Folate-AICAR-AMPK pathway, thereby influencing energy metabolism, insulin resistance, inflammatory response, exercise, aging and aging-related pathologies.

Read sourced summary

MOTS c: MOTS-c Promotes Glycolysis via AMPK-HIF-1α-PFKFB3 Pathway to Ameliorate Cardiopulmonary Bypass-induced Lung Injury.

Cardiopulmonary bypass (CPB) is essential during cardiac surgery but frequently leads to lung ischemia-reperfusion injury (LIRI), a significant contributor to postoperative complications. We investigated the protective effects of mitochondrial open reading frame of the 12S ribosomal RNA type C (MOTS-c), a mitochondrial-derived peptide, against LIRI-induced acute lung injury (ALI), emphasizing glycolytic reprogramming and ferroptosis in pulmonary microvascular endothelial cells. We hypothesized that MOTS-c exerts its protective effects by regulating glycolysis and suppressing ferroptosis via metabolic signaling pathways.

Read sourced summary

MOTS c: Mitochondrial-encoded peptide MOTS-c prevents pancreatic islet cell senescence to delay diabetes.

Mitochondria are crucial for cell survival and function, partly through peptides encoded by the mitochondrial genome. Although mitochondrial dysfunction is a hallmark of age-related diseases and senescence, the role of mitochondrial-genome-encoded peptides in pancreatic β-cell senescence during type 1 and type 2 diabetes pathogenesis is largely unexplored. Here we show that MOTS-c levels decrease with aging and senescence in pancreatic islet cells.

Read sourced summary

MOTS c: Mitochondria-encoded peptide MOTS-c participates in plasma membrane repair by facilitating the translocation of TRIM72 to membrane.

Rationale: An impairment of plasma membrane repair has been implicated in various diseases such as muscular dystrophy and ischemia/reperfusion injury. MOTS-c, a short peptide encoded by mitochondria, has been shown to pass through the plasma membrane into the bloodstream. This study determined whether this biological behavior was involved in membrane repair and its underlying mechanism.

Read sourced summary

MOTS c: MOTS-c in sepsis-induced cardiomyopathy: Mechanisms and translational potential.

Sepsis-induced cardiomyopathy (SICM) is a prevalent cardiac complication of sepsis that is characterized by inflammatory dysregulation, mitochondrial dysfunction, metabolic disturbance, and changes in the myocardial microenvironment. Mitochondrial open reading frame of the 12S rRNA type-c (MOTS-c) is a mitochondrial-derived microprotein with metabolic regulatory and stress-responsive properties. Existing studies have linked MOTS-c to AMP-activated protein kinase-related energy metabolism, antioxidant responses, inflammatory restraint, endothelial and microvascular protection, and mitochondrial quality control.

Read sourced summary

Registered clinical trials

All trials

NCT07505745 · RECRUITING

MOTS-c for Improving Insulin Sensitivity in Adults With Prediabetes and Overweight/Obesity

This Phase 2a study evaluates whether 12 weeks of treatment with investigational MOTS-c improves insulin sensitivity compared with placebo in adults with prediabetes and overweight/obesity. Participants are randomized 1:1 to MOTS-c or placebo, receive standardized lifestyle counseling, and are followed for safety through Week 16.

Registry record

NCT04027712 · UNKNOWN

Platelet Reactivity, B-amyloid, MOTS-c and Mortality of Type II Diabetics With CAD

Increased circulating b-amyloid and decreased Mitochondrial-derived peptide (MOTS-c), a peptide improving tissue insulin sensitivity, are reported in diabetes. The investigators plan to investigate the association of both biofactors with high on-clopidogrel platelet reactivity and cardiovascular mortality in type 2 diabetic patients with Coronary artery disease

Registry record

NCT07678073 · RECRUITING

Comparison of the Effects of General Anesthesia and Combined Spinal-Epidural Anesthesia on Ferroptosis, Humanin and MOTS-c Levels in Renal Transplantation

Renal transplantation is the most effective renal replacement therapy for patients with end-stage renal disease. Ischemia-reperfusion injury may adversely affect graft function and long-term outcomes. Ferroptosis has recently emerged as a potential mechanism involved in ischemia-reperfusion injury, while the mitochondrial-derived peptides humanin and MOTS-c are thought to exert protective effects against oxidative stress. However, the effects of different anesthetic techniques on these biomarkers in kidney transplant recipients have not been investigated. This prospective controlled study aims to compare the effects of sevoflurane general anesthesia (SGA) and combined spinal-epidural anesthesia (CSEA) on serum ferroptosis markers, humanin, and MOTS-c levels in adult kidney transplant recipients. Blood samples will be obtained perioperatively for biomarker analysis. The primary objective of the study is to evaluate the effects of the anesthetic technique on serum ferroptosis markers, humanin, and MOTS-c levels. Secondary objectives include evaluating early graft function and postoperative outcomes by assessing the incidence of delayed graft function, postoperative serum creatinine levels, requirement for dialysis, urine output, length of hospital stay, and the association of these outcomes with perioperative biomarker levels.

Registry record
Educational summaries describe published research cautiously and do not make diagnostic, treatment, dosing, cure, or human-use claims. Human, animal, in-vitro, computational, and review evidence are identified separately. Registered trials are not the same as published results. Last reviewed: 2026-09-11T06:00:50.751+00:00.

Original sources

Sources, journals & trials

Third-party sources are linked for independent review. A citation does not imply endorsement of this store or product.

1. other · unknown

PubChem compound record for MOTS c

National Center for Biotechnology Information · PubChem

Structured public compound identifiers and computed chemical properties. Product-specific stability, purity, lot results, and shelf life are not inferred from this record.

Why linked: Official PubChem identity record returned for the resolved component MOTS c.

public compound database

2. pubmed · unknown

MOTS-c Functionally Prevents Metabolic Disorders.

Yue Gao, Xinran Wei, Pingying Wei, Huijie Lu, Luying Zhong, Jie Tan, Hongbo Liu, Zheng Liu · Metabolites · 2023

Mitochondrial-derived peptides are a family of peptides encoded by short open reading frames in the mitochondrial genome, which have regulatory effects on mitochondrial functions, gene expression, and metabolic homeostasis of the body. As a new member of the mitochondrial-derived peptide family, mitochondrial open reading frame of the 12S rRNA-c (MOTS-c) is regarding a peptide hormone that could reduce insulin resistance, prevent obesity, improve muscle function, promote bone metabolism, enhance immune regulation, and postpone aging. MOTS-c plays these physiological functions mainly through activating the AICAR-AMPK signaling pathways by disrupting the folate-methionine cycle in cells. Recent studies have shown that the above hormonal effect can be achieved through MOTS-c regulating the expression of genes such as GLUT4, STAT3, and IL-10. However, there is a lack of articles summarizing

Why linked: The title contains the resolved identity “MOTS c”.

3. pubmed · animal

The mitochondrial-derived peptide MOTS-c relieves hyperglycemia and insulin resistance in gestational diabetes mellitus.

Yadong Yin, Yihui Pan, Jin He, Hong Zhong, Yangyang Wu, Chenbo Ji, Lan Liu, Xianwei Cui · Pharmacological research · 2022

The most common complication during pregnancy, gestational diabetes mellitus (GDM), can cause adverse pregnancy outcomes and result in the mother and infant having a higher risk of developing type 2 diabetes after pregnancy. However, existing therapies for GDM remain scant, with the most common being lifestyle intervention and appropriate insulin treatment. MOTS-c, a mitochondrial-derived peptide, can target skeletal muscle and enhance glucose metabolism. Here, we demonstrate that MOTS-c can be an effective treatment for GDM. A GDM mouse model was established by short term high-fat diet combined with low-dose streptozotocin (STZ) treatment while MOTS-c was administrated daily during pregnancy. GDM symptoms such as blood glucose and insulin levels, glucose and insulin tolerance, as well as reproductive outcomes were investigated. MOTS-c significantly alleviated hyperglycemia, improved ins

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.1016/j.phrs.2021.105987PMID 34798268Journal Article, Research Support, Non-U.S. Gov't

4. pubmed · animal

Role of MOTS-c in the regulation of bone metabolism.

Xuejie Yi, Guangxuan Hu, Yang Yang, Jing Li, Junjie Jin, Bo Chang · Frontiers in physiology · 2023

MOTS-c, a mitochondrial-derived peptide (MDP), is an essential regulatory mediator of cell protection and energy metabolism and is involved in the development of specific diseases. Recent studies have revealed that MOTS-c promotes osteoblast proliferation, differentiation, and mineralization. Furthermore, it inhibits osteoclast production and mediates the regulation of bone metabolism and bone remodeling. Exercise effectively upregulates the expression of MOTS-c, but the specific mechanism of MOTS-c regulation in bone by exercise remains unclear. Therefore, this article reviewed the distribution and function of MOTS-c in the tissue, discussed the latest research developments in the regulation of osteoblasts and osteoclasts, and proposed potential molecular mechanisms for the effect of exercise on the regulation of bone metabolism. This review provides a theoretical reference for establis

Why linked: The title contains the resolved identity “MOTS c”.

5. pubmed · unknown

Mitochondria-derived peptide MOTS-c: effects and mechanisms related to stress, metabolism and aging.

Wei Wan, Lieliang Zhang, Yue Lin, Xiuqing Rao, Xifeng Wang, Fuzhou Hua, Jun Ying · Journal of translational medicine · 2023

MOTS-c is a peptide encoded by the short open reading frame of the mitochondrial 12S rRNA gene. It is significantly expressed in response to stress or exercise and translocated to the nucleus, where it regulates the expression of stress adaptation-related genes with antioxidant response elements (ARE). MOTS-c mainly acts through the Folate-AICAR-AMPK pathway, thereby influencing energy metabolism, insulin resistance, inflammatory response, exercise, aging and aging-related pathologies. Because of the potential role of MOTS-c in maintaining energy and stress homeostasis to promote healthy aging, especially in view of the increasing aging of the global population, it is highly pertinent to summarize the relevant studies. This review summarizes the retrograde signaling of MOTS-c toward the nucleus, the regulation of energy metabolism, stress homeostasis, and aging-related pathological proce

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.1186/s12967-023-03885-2PMID 36670507PMCID PMC9854231Journal Article, Review, Research Support, Non-U.S. Gov't

6. pubmed · human

MOTS-c Promotes Glycolysis via AMPK-HIF-1α-PFKFB3 Pathway to Ameliorate Cardiopulmonary Bypass-induced Lung Injury.

Zihao Shen, Peng Lu, Wanjun Jin, Ziang Wen, Yuanpu Qi, Xiangyu Li, Mingyu Chu, Xin Yao, Minchao Wu, Ao Wang, Xiao Zhang, Wei Wang, Meijuan Song, Xiaowei Wang · American journal of respiratory cell and molecular biology · 2025

Cardiopulmonary bypass (CPB) is essential during cardiac surgery but frequently leads to lung ischemia-reperfusion injury (LIRI), a significant contributor to postoperative complications. We investigated the protective effects of mitochondrial open reading frame of the 12S ribosomal RNA type C (MOTS-c), a mitochondrial-derived peptide, against LIRI-induced acute lung injury (ALI), emphasizing glycolytic reprogramming and ferroptosis in pulmonary microvascular endothelial cells. We hypothesized that MOTS-c exerts its protective effects by regulating glycolysis and suppressing ferroptosis via metabolic signaling pathways. We conducted a prospective, controlled trial involving 107 patients undergoing CPB, evaluating plasma concentrations of MOTS-c and inflammatory markers. MOTS-c concentrations were significantly reduced in patients with ALI. In vivo and in vitro experiments demonstrat

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.1165/rcmb.2024-0533OCPMID 40035775Journal Article, Research Support, Non-U.S. Gov't

7. pubmed · human

Mitochondrial-encoded peptide MOTS-c prevents pancreatic islet cell senescence to delay diabetes.

Byung Soo Kong, Hyunsuk Lee, Sehi L'Yi, Serin Hong, Young Min Cho · Experimental & molecular medicine · 2025

Mitochondria are crucial for cell survival and function, partly through peptides encoded by the mitochondrial genome. Although mitochondrial dysfunction is a hallmark of age-related diseases and senescence, the role of mitochondrial-genome-encoded peptides in pancreatic β-cell senescence during type 1 and type 2 diabetes pathogenesis is largely unexplored. Here we show that MOTS-c levels decrease with aging and senescence in pancreatic islet cells. Treating aged C57BL/6 mouse pancreatic islets with MOTS-c reduced pancreatic islet senescence by modulating nuclear gene expression and metabolites involved in β-cell senescence. MOTS-c treatment improved pancreatic islet senescence and glucose intolerance in S961-treated C57BL/6 and in nonobese diabetic mice. In humans, circulating MOTS-c levels are lower in type 2 diabetes patients compared with healthy controls. Our findings sug

Why linked: The title contains the resolved identity “MOTS c”.

8. pubmed · human

Mitochondria-encoded peptide MOTS-c participates in plasma membrane repair by facilitating the translocation of TRIM72 to membrane.

Hong Jia, Lyu-Chen Zhou, Yong-Feng Chen, Wei Zhang, Wei Qi, Peng Wang, Xiao Huang, Jian-Wei Guo, Wai-Fang Hou, Ran-Ran Zhang, Jing-Jun Zhou, Da-Wei Zhang · Theranostics · 2024

Rationale: An impairment of plasma membrane repair has been implicated in various diseases such as muscular dystrophy and ischemia/reperfusion injury. MOTS-c, a short peptide encoded by mitochondria, has been shown to pass through the plasma membrane into the bloodstream. This study determined whether this biological behavior was involved in membrane repair and its underlying mechanism. Methods and Results: In human participants, the level of MOTS-c was positively correlated with the abundance of mitochondria, and the membrane repair molecule TRIM72. In contrast to high-intensity eccentric exercise, moderate-intensity exercise improved sarcolemma integrity and physical performance, accompanied by an increase of mitochondria beneath the damaged sarcolemma and secretion of MOTS-c. Furthermore, moderate-intensity exercise increased the interaction between MOTS-c and TRIM72, and MOTS-c facil

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.7150/thno.100321PMID 39267782PMCID PMC11388074Journal Article, Research Support, Non-U.S. Gov't

9. pubmed · animal

MOTS-c in sepsis-induced cardiomyopathy: Mechanisms and translational potential.

Zeze Zhao, Wei Chen, Xiaoqian Zheng, Zhengguang Geng, Ninan Dai, Han Zhang, Bao Fu, Xiaoyun Fu · European journal of pharmacology · 2026

Sepsis-induced cardiomyopathy (SICM) is a prevalent cardiac complication of sepsis that is characterized by inflammatory dysregulation, mitochondrial dysfunction, metabolic disturbance, and changes in the myocardial microenvironment. Mitochondrial open reading frame of the 12S rRNA type-c (MOTS-c) is a mitochondrial-derived microprotein with metabolic regulatory and stress-responsive properties. Existing studies have linked MOTS-c to AMP-activated protein kinase-related energy metabolism, antioxidant responses, inflammatory restraint, endothelial and microvascular protection, and mitochondrial quality control. These processes are relevant to SICM; however, there is limited direct SICM-specific evidence for MOTS-c, and several proposed mechanisms, such as stress-responsive nuclear signaling, have been established primarily in non-SICM settings. This review summarizes the biological charac

Why linked: The title contains the resolved identity “MOTS c”.

10. pubmed · human

Mitochondrial-Derived Peptide MOTS-c Suppresses Ovarian Cancer Progression by Attenuating USP7-Mediated LARS1 Deubiquitination.

Yadong Yin, Yujie Li, Boyi Ma, Chenlu Ren, Shuhua Zhao, Jia Li, Yun Gong, Hong Yang, Jibin Li · Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024

Mitochondrial-nuclear communication plays a vital role in maintaining cellular homeostasis. MOTS-c, a short peptide derived from the 12S rRNA of mitochondrial DNA, has been suggested as a retrograde mitochondrial signal. Although recent clinical studies have suggested a possible link between MOTS-c and human cancer, the role of MOTS-c in tumorigenesis has yet to be investigated. Here, MOTS-c levels are found to be reduced in both serum and tumor tissues from ovarian cancer (OC) patients, which are associated with poor patients' prognosis. Exogenous MOTS-c inhibits the proliferation, migration and invasion of OC cells, and induces cell cycle arrest and apoptosis. Mechanistically, MOTS-c interacts with LARS1 and promotes its ubiquitination and proteasomal degradation. In addition, USP7 was identified as a deubiquitinase of LARS1, and MOTS-c can attenuates USP7-mediated LARS1 deubiquitinati

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.1002/advs.202405620PMID 39321430PMCID PMC11578304Journal Article, Research Support, Non-U.S. Gov't

11. pubmed · unknown

MOTS-c: A promising mitochondrial-derived peptide for therapeutic exploitation.

Yuejun Zheng, Zilin Wei, Tianhui Wang · Frontiers in endocrinology · 2023

Mitochondrial ORF of the 12S rRNA Type-C (MOTS-c) is a mitochondrial-derived peptide composed of 16 amino acids encoded by the 12S rRNA region of the mitochondrial genome. The MOTS-c protein is transferred to the nucleus during metabolic stress and directs the expression of nuclear genes to promote cell balance. Different tissues co-expressed the protein with mitochondria, and plasma also contained the protein, but its level decreased with age. In addition, MOTS-c has been shown to improve glucose metabolism in skeletal muscle, which indicates its benefits for diseases such as diabetes, obesity, and aging. Nevertheless, MOTS-c has been used less frequently in disease treatment, and no effective method of applying MOTS-c in the clinic has been developed. Throughout this paper, we discussed the discovery and physiological function of mitochondrial-derived polypeptide MOTS-c, and the applic

Why linked: The title contains the resolved identity “MOTS c”.

DOI 10.3389/fendo.2023.1120533PMID 36761202PMCID PMC9905433Journal Article, Review, Research Support, Non-U.S. Gov't

12. pubmed · human

MOTS-c repairs myocardial damage by inhibiting the CCN1/ERK1/2/EGR1 pathway in diabetic rats.

Manda Wang, Gangqiang Wang, Xiaoli Pang, Jiacheng Ma, Jinghan Yuan, Yanrong Pan, Yu Fu, Ismail Laher, Shunchang Li · Frontiers in nutrition · 2023

Cardiac structure remodeling and dysfunction are common complications of diabetes, often leading to serious cardiovascular events. MOTS-c, a mitochondria-derived peptide, regulates metabolic homeostasis by accelerating glucose uptake and improving insulin sensitivity. Plasma levels of MOTS-c are decreased in patients with diabetes. MOTS-c can improve vascular endothelial function, making it a novel therapeutic target for the cardiovascular complications of diabetes. We investigated the effects of MOTS-c on cardiac structure and function and analyzed transcriptomic characteristics in diabetic rats. Our results indicate that treatment with MOTS-c for 8-week repaired myocardial mitochondrial damage and preserved cardiac systolic and diastolic function. Transcriptomic analysis revealed that MOTS-c altered 47 disease causing genes. Functional enrichment analysis indicated MOTS-c attenuated di

Why linked: The title contains the resolved identity “MOTS c”.

NCT07505745 · RECRUITING

MOTS-c for Improving Insulin Sensitivity in Adults With Prediabetes and Overweight/Obesity

Hudson Biotech · INTERVENTIONAL · PHASE2

This Phase 2a study evaluates whether 12 weeks of treatment with investigational MOTS-c improves insulin sensitivity compared with placebo in adults with prediabetes and overweight/obesity. Participants are randomized 1:1 to MOTS-c or placebo, receive standardized lifestyle counseling, and are followed for safety through Week 16.

NCT04027712 · UNKNOWN

Platelet Reactivity, B-amyloid, MOTS-c and Mortality of Type II Diabetics With CAD

University of Athens · OBSERVATIONAL

Increased circulating b-amyloid and decreased Mitochondrial-derived peptide (MOTS-c), a peptide improving tissue insulin sensitivity, are reported in diabetes. The investigators plan to investigate the association of both biofactors with high on-clopidogrel platelet reactivity and cardiovascular mortality in type 2 diabetic patients with Coronary artery disease

NCT07678073 · RECRUITING

Comparison of the Effects of General Anesthesia and Combined Spinal-Epidural Anesthesia on Ferroptosis, Humanin and MOTS-c Levels in Renal Transplantation

University of Gaziantep · INTERVENTIONAL · NA

Renal transplantation is the most effective renal replacement therapy for patients with end-stage renal disease. Ischemia-reperfusion injury may adversely affect graft function and long-term outcomes. Ferroptosis has recently emerged as a potential mechanism involved in ischemia-reperfusion injury, while the mitochondrial-derived peptides humanin and MOTS-c are thought to exert protective effects against oxidative stress. However, the effects of different anesthetic techniques on these biomarkers in kidney transplant recipients have not been investigated. This prospective controlled study aims to compare the effects of sevoflurane general anesthesia (SGA) and combined spinal-epidural anesthesia (CSEA) on serum ferroptosis markers, humanin, and MOTS-c levels in adult kidney transplant recipients. Blood samples will be obtained perioperatively for biomarker analysis. The primary objective of the study is to evaluate the effects of the anesthetic technique on serum ferroptosis markers, humanin, and MOTS-c levels. Secondary objectives include evaluating early graft function and postoperative outcomes by assessing the incidence of delayed graft function, postoperative serum creatinine levels, requirement for dialysis, urine output, length of hospital stay, and the association of these outcomes with perioperative biomarker levels.

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