Urolithin A
Mechanism, regulatory status, and an honest, tiered evidence map.
What it is
Class: Gut-microbiome metabolite; mitophagy activator
Also known as: Mitopure (a branded urolithin A ingredient), UA
Relationship to mitochondrial health: Urolithin A is a metabolite that some people's gut bacteria produce from dietary ellagitannins (pomegranate, walnuts, berries). It is studied as a mitophagy inducer — promoting the selective clearance of damaged mitochondria — with downstream effects reported on muscle mitochondrial biomarkers and function.
Regulatory status
Sold as a dietary ingredient (Mitopure) with a US FDA GRAS notification for food use; not an approved drug and not approved for any anti-aging, longevity, or healthspan indication. GRAS food status is a safety/food-use pathway, NOT evidence of an aging benefit.
Mechanism
Induces mitophagy (clearance of damaged mitochondria) and is reported to shift a mitochondrial gene-expression signature; human trials measure muscle strength/endurance and mitochondrial or immune biomarkers. See Mitophagy (PINK1 / Parkin).
Evidence — Human (randomized, placebo-controlled) verify: source publication identified; see evidence and limitations
| Species / population | Study populations differ: sedentary older adults (Andreux 2019); overweight adults aged 40–64 (Singh 2022); adults aged 65–90 (Liu 2022); 50 generally healthy adults aged 45–70 in a 28-day immune-biomarker trial (Denk 2025). |
| Exposure, route, schedule | Oral urolithin A (commonly 500-1000 mg/day) for weeks to months. |
| Comparator / duration | Placebo-controlled, randomized in the pivotal trials. |
| Endpoint / numeric result | Singh 2022 did not meet the primary peak-power endpoint; secondary hamstring strength improved, while exercise/walking changes were not significant versus placebo. Liu 2022 did not meet the primary walking/ATP endpoints; secondary muscle endurance improved at 2 months but not versus placebo at 4 months. Andreux 2019 reported short-term tolerability/gene-expression findings; Denk 2025 reported 28-day immune biomarkers. |
| What it did NOT establish | No healthy-aging lifespan or hard clinical outcome. Functional/biomarker gains do not establish extended human lifespan or disease prevention. |
Evidence — Animal / invertebrate verify: source publication identified; see evidence and limitations
| Species / population | C. elegans and rodents (Ryu 2016). |
| Exposure, route, schedule | Dietary urolithin A. |
| Comparator / duration | Vehicle/untreated controls. |
| Endpoint / numeric result | Induced mitophagy, prolonged lifespan in C. elegans, and improved muscle function in rodents. |
| What it did NOT establish | Invertebrate lifespan and rodent muscle gains do not transfer to a human lifespan claim. |
Negative or null findings
- The primary peak-power endpoint in Singh 2022 was not significant; within-group exercise/walking improvements must not be described as significant placebo-controlled effects.
- The primary walking and ATP endpoints in Liu 2022 were not significant; muscle-endurance differences versus placebo were significant at 2 months, not 4 months.
- These included trials do not establish a healthy-human lifespan or disease-prevention benefit.
The form used in the trials
A product-fact block, not a recommendation. It records the form the trials used and what they administered. MitoiX does not rank products, name a best one, suggest a dose, or claim an effect.
| Amount used in the trials | Oral urolithin A (commonly 500-1000 mg/day) for weeks to months. |
| Trial population | Study populations differ: sedentary older adults (Andreux 2019); overweight adults aged 40–64 (Singh 2022); adults aged 65–90 (Liu 2022); 50 generally healthy adults aged 45–70 in a 28-day immune-biomarker trial (Denk 2025). |
| Regulatory status | Sold as a dietary ingredient (Mitopure) with a US FDA GRAS notification for food use; not an approved drug and not approved for any anti-aging, longevity, or healthspan indication. GRAS food status is a safety/food-use pathway, NOT evidence of an aging benefit. |
| Brand studied | Mitopure |
| Compound | urolithin A (Amazentis material) |
| Dose studied | 500-1000 mg/day in the human trials |
| Study record | singh-2022-muscle |
Singh 2022 identifies oral Urolithin A (Mitopure; Amazentis SA) in its trial design and key-resources table. This is a brand-scoped retailer search, not confirmation of the identity, formulation or quality of every search result.
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Studies on this page
- Urolithin A first-in-human: safety and a mitochondrial gene signature (Andreux et al., 2019)
- Urolithin A: secondary muscle-strength improvement, primary peak-power endpoint not met (Singh et al., 2022)
- Urolithin A and muscle endurance in older adults, 65-90 (Liu et al., 2022)
- Urolithin A and immune-cell biomarkers in healthy adults aged 45–70 (Denk et al., 2025)
- Urolithin A induces mitophagy and prolongs lifespan in C. elegans and improves rodent muscle (Ryu et al., 2016)