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There are counteracted muscle wasting, significantly corrected deranged muscle proliferation as well as myogenesis, counteracted increase of the proinflammatory cytokines such as IL-6 and TNF-, looking at muscle metabolism relevant to cancer cachexia as well as the changes in the expression of FoxO3a, p-AKT, p-mTOR, and P-GSK-3 (Kang et al., 2018)

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A 2018 Cell Metabolism follow-up found that under metabolic stress, MOTS-c actually moves into the nucleus and helps regulate gene expression there, tying it into stress-response pathways (PMID 29983246) [4]

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