Evidence map›Paper›PMID 42126770›Full record

ArticleInternational urology and nephrology2026

MOTS-c is associated with oxidative stress and arterial stiffness in peritoneal dialysis patients: a pilot study.

Michela Musolino, Athanasios Roumeliotis, Stefanos Roumeliotis, Mariateresa Zicarelli, Federico Ruosi, Marta Greco, Roberta Misiti, Daniela Patrizia Foti, Vasiliki Sgouropoulou, Gordana Kocic and 8 more

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Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Michela MusolinoDepartment of Health Sciences, Magna-Graecia University of Catanzaro, Catanzaro, Italy.
Athanasios Roumeliotis *Second Department of Nephrology, School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece.
Stefanos Roumeliotis *Second Department of Nephrology, School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece. st_roumeliotis@hotmail.com.
Mariateresa ZicarelliDepartment of Health Sciences, Magna-Graecia University of Catanzaro, Catanzaro, Italy.
Federico RuosiDepartment of Health Sciences, Magna-Graecia University of Catanzaro, Catanzaro, Italy.
Marta GrecoDepartment of Health Sciences, Magna-Graecia University of Catanzaro, Catanzaro, Italy.
Roberta MisitiClinical Pathology Lab, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Daniela Patrizia FotiClinical Pathology Lab, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Vasiliki SgouropoulouSecond Department of Nephrology, School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece.
Gordana KocicFaculty of Medicine, University of Nis, Niš, Serbia.
Andrej VeljkovicFaculty of Medicine, University of Nis, Niš, Serbia.
Ioannis E NeofytouSecond Department of Nephrology, School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece.
Ioannis AlekosDepartment of Nephrology, University Hospital of Ioannina, 45500, Ioannina, Greece.
Efthymios PapasDepartment of Nephrology, University Hospital of Ioannina, 45500, Ioannina, Greece.
Anila DuniDepartment of Nephrology, University Hospital of Ioannina, 45500, Ioannina, Greece.
Davide BolignanoDepartment of Medical and Surgical Sciences, Magna-Graecia University of Catanzaro, Catanzaro, Italy.
Evangelia DounousiDepartment of Nephrology, University Hospital of Ioannina, 45500, Ioannina, Greece.
Vassilios LiakopoulosSecond Department of Nephrology, School of Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1 St. Kyriakidi Street, 54636, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOxidative stress (OS) and endothelial dysfunction are major drivers of cardiovascular disease (CVD) in peritoneal dialysis (PD). MOTS-c, a mitochondria-derived peptide, is emerging as a key regulator of skeletal muscle health, metabolic homeostasis, and vascular function, yet its role in the uremic environment remains unexplored. We investigated the relationship between MOTS-c levels, OS markers, and vascular stiffness in PD patients.

methodsThis pilot, clinical study included 32 stable PD patients (mean age 60.7 ± 1.2 years, 62.5% male). MOTS-c levels were quantified in serum (sMOTS-c), urine (uMOTS-c), and peritoneal dialysate (dMOTS-c). Systemic oxidative status was assessed via plasma Advanced Oxidation Protein Products (AOPPs). Vascular function was evaluated by carotid-femoral Pulse Wave Velocity (PWV), and left ventricular systolic function was assessed echocardiographically.

resultsUrinary MOTS-c (uMOTS-c) levels were inversely correlated with serum AOPPs (R = - 0.592, p = 0.012) and a positive association with PWV (R = 0.708, p = 0.001) and left ventricular systolic function (R = 0.440, p = 0.04). Conversely, dialysate MOTS-c (dMOTS-c) were strongly and inversely correlated with PWV (R = - 0.717, p = 0.019) as well as systolic and diastolic blood pressure (R = -0.5, p < 0.01).

conclusionΗigher urinary MOTS-c was linked to lower systemic oxidative stress, suggesting a potential protective role, and associated with greater arterial stiffness, potentially reflecting a compensatory response to vascular injury. In contrast, higher peritoneal MOTS-c levels were associated with an improved vascular profile. These findings suggest a novel 'Mitochondrial-Vascular Axis' in uremia, highlighting MOTS-c as a potential biomarker.

Indexed as

Mitochondrial ProteinsOxidative StressPeritoneal DialysisVascular StiffnessAgedBiomarkersFemaleHumansKidney Failure, ChronicMaleMiddle AgedPilot ProjectsPulse Wave AnalysisBiomarkersMitochondrial ProteinsAOPPsMOTS-cOxidative stressPeritoneal dialysisPulse wave velocity

Identifiers

PMID42126770

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