Western tradition · Mitophagy activator

Urolithin A 尿石素 A

A gut-derived metabolite that triggers mitophagy — with human trials on muscle and mitochondrial function.

32ClinicalTrials.gov matched
28PubMed RCT records
7Meta-analysis records
12+PubMed records
Urolithin AKey active compound

Data definition. Matched records include all indexed medical endpoints for this intervention — not only longevity. Longevity-relevant records are screened separately and cited in the evidence summary below. Counts are matched-record volumes, not de-duplicated trials and not efficacy claims.

Origin & tradition

Not traditional: urolithin A is produced by gut bacteria from ellagitannins (pomegranate, walnuts) and only some people make it.

Why longevity buyers care

Key active: Urolithin A (gut-microbial metabolite).

Urolithin A induces mitophagy (recycling of damaged mitochondria); randomized human trials report improved muscle endurance and mitochondrial gene expression in older adults.

Effect summary

Studied health outcomes

Editorial summary — This table is curated by hand from published research consensus, not automatically calculated from our trial database. Grades reflect our interpretation of the literature. Treat as a starting point, not a definitive verdict. See the Evidence panel below for the underlying trial and paper counts sourced directly from ClinicalTrials.gov and PubMed.
Health outcomeEffectMagnitudeGrade
Mitophagy markers / mitochondrial functionIncreasesModerateB
Muscle endurance (handgrip, leg strength)IncreasesModerateB
VO2 maxIncreasesMinorC
Inflammation markersDecreasesMinorC

Grade: A = robust RCTs · B = several RCTs / meta-analysis · C = limited or mixed RCTs · D = observational or early data

Dosage guidance

How Urolithin A is typically used

Typical dose
500–1,000 mg/day
Form
capsule (Mitopure by Timeline is the clinical-grade form)
Timing
any time, with or without food

Urolithin A is produced by gut bacteria from ellagitannins (pomegranate, walnuts, raspberries). ~40% of people lack the gut bacteria to produce it — direct supplementation bypasses this. Most human data comes from Timeline's Mitopure trials.

Informational only — not a prescription or personalised medical advice. Consult a qualified clinician before starting any supplement or medication.

Evidence summary

What the research actually says

76Evidence confidence
Human RCT evidence28 randomized controlled trials · 7 meta-analyses / systematic reviews

Human RCTs (muscle, mitochondria); clear mechanism

Urolithin A induces mitophagy (recycling of damaged mitochondria); randomized human trials report improved muscle endurance and mitochondrial gene expression in older adults.

32registered clinical trials reference this intervention
    Key active: Urolithin A (gut-microbial metabolite).

    According to PubMed and ClinicalTrials.gov: trial counts from ClinicalTrials.gov, peer-reviewed literature from PubMed. Counts auto-refresh weekly; last checked 2026-07-19. They include trials across many endpoints, not only longevity.

    Informational only — not medical advice, a treatment claim, or a substitute for a qualified clinician. Evidence strength varies; we show mixed and null results on purpose.

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