Researched and Written by Keith Bishop, Clinical Nutritionist, Cancer Coach, Retired Pharmacist, and Founder of Prevail Over Cancer
In the evolving landscape of integrative oncology and precision nutrition, few compounds have sparked as much interest as Urolithin A (UA)—a gut-derived metabolite with compelling anticancer, anti-inflammatory, and mitochondrial-enhancing properties. Let’s unpack what it is, how it’s made, and how to harness its full potential.
What Is Urolithin A and Where Does It Come From?
Urolithin A is not found directly in food. Instead, it’s a postbiotic—a compound produced by your gut microbiota when they metabolize ellagitannins, polyphenols found in:
Once consumed, ellagitannins are hydrolyzed into ellagic acid, which is then transformed into UA by specific gut bacteria.[1]
🧪 How the Body Makes Urolithin A
Not everyone can produce UA efficiently. The conversion depends on your gut microbiome composition, particularly the presence of bacteria like Gordonibacter urolithinfaciens. Researchers have identified three metabotypes:
This variability explains why some individuals benefit more from dietary ellagitannins than others.[2] Some people may need to take Urolithin A supplements to experience the benefits.
Anticancer Benefits of Urolithin A
Urolithins are emerging as a new class of anticancer compounds that can mediate their cancer-preventive activities through cell cycle arrest (stops dividing cells), aromatase inhibition, induction of apoptosis (cancer cell death), tumor suppression, promotion of autophagy (cellular cleanup), senescence, transcriptional regulation of oncogenes, and growth factor receptors.[3]
UA exhibits multiple anticancer mechanisms:
Cancers Evaluated with Urolithin A
Other Health Benefits of Urolithin A
Beyond oncology, UA supports:
Benefit |
Mechanism |
Reference |
🧠 Neuroprotection |
Reduces oxidative stress, may slow neurodegeneration |
|
❤️ Cardiovascular Health |
Improves endothelial function, lowers cholesterol |
Same as above |
🔋 Mitochondrial Health |
Stimulates mitophagy, enhances ATP production |
|
🏃 Muscle Endurance |
Improves 6-minute walk test, boosts strength |
Same as above |
How to Help Your Body Make More Urolithin A
If you’re a non-producer (UM-0), dietary strategies alone may not suffice. Here’s how to optimize UA production:
Best Urolithin A Supplement Source and How to Take It
Clinical trials have used 500–1000 mg/day of Urolithin A to achieve mitochondrial and anti-inflammatory benefits.
Recommended Urolithin A Supplement:
🛒 Explore Codeage Liposomal Urolithin A
How to Take Urolithin A:
Urolithin A Final Thoughts
Urolithin A exemplifies the power of microbiome-derived therapeutics—a bridge between nutrition, gut health, and cellular resilience. Whether you're optimizing cancer recovery protocols or enhancing longevity, UA deserves a place in your toolkit.
Urolithin A Reference Sources
[1] Trapali M. Urolithins–gut Microbial Metabolites with Potential Health Benefits. The Open Medicinal Chemistry Journal. 2025;19(1). Accessed September 7, 2025. https://openmedicinalchemistryjournal.com/VOLUME/19/ELOCATOR/e18741045375825/FULLTEXT
[2] García-Villalba, R., Giménez-Bastida, J. A., Cortés-Martín, A., Ávila-Gálvez, M. Á., Tomás-Barberán, F. A., Selma, M. V., Espín, J. C., & González-Sarrías, A. (2022). Urolithins: A Comprehensive Update on their Metabolism, Bioactivity, and Associated Gut Microbiota. Molecular Nutrition & Food Research, 66(21), 2101019. https://doi.org/10.1002/mnfr.202101019
[3] A., S., Abdulrahman, A. O., Zamzami, M. A., & Khan, M. I. (2021). Urolithins: The Gut Based Polyphenol Metabolites of Ellagitannins in Cancer Prevention, a Review. Frontiers in Nutrition, 8, 647582. https://doi.org/10.3389/fnut.2021.647582
[4] Rogovskii, V., Murugin, V. V., Vorobyev, N., Popov, S., Sturov, N., Krasheninnikov, A., Morozov, A., & Prokhorova, M. (2025). Urolithin A increases the natural killer activity of PBMCs in patients with prostate cancer. Frontiers in Pharmacology, 15, 1503317. https://doi.org/10.3389/fphar.2024.1503317
[5] Karumuru V, Dhasmana A, Mamidi N, Chauhan SC, Yallapu MM. Unveiling the potential of Urolithin A in Cancer Therapy: Mechanistic Insights to Future Perspectives of Nanomedicine. Nanotheranostics. 2025;9(2):121-143. doi: https://doi.org/10.7150/ntno.110966
[6] Tech X. Anti-cancer effect and its mechanism of urolithin A: research progress | Articles | Chinese Journal of Pharmacoepidemiology. Whuznhmedj.com. Published 2023. Accessed September 7, 2025. https://ywlxbx.whuznhmedj.com/en/journal/30.html
[7] Tech X. Anti-cancer effect and its mechanism of urolithin A: research progress | Articles | Chinese Journal of Pharmacoepidemiology. Whuznhmedj.com. Published 2023. Accessed September 7, 2025. https://ywlxbx.whuznhmedj.com/en/journal/30.html
[8] A., S., Abdulrahman, A. O., Zamzami, M. A., & Khan, M. I. (2021). Urolithins: The Gut Based Polyphenol Metabolites of Ellagitannins in Cancer Prevention, a Review. Frontiers in Nutrition, 8, 647582. https://doi.org/10.3389/fnut.2021.647582
[9] Tech X. Anti-cancer effect and its mechanism of urolithin A: research progress | Articles | Chinese Journal of Pharmacoepidemiology. Whuznhmedj.com. Published 2023. Accessed September 7, 2025. https://ywlxbx.whuznhmedj.com/en/journal/30.html
[10] Tech X. Anti-cancer effect and its mechanism of urolithin A: research progress | Articles | Chinese Journal of Pharmacoepidemiology. Whuznhmedj.com. Published 2023. Accessed September 7, 2025. https://ywlxbx.whuznhmedj.com/en/journal/30.html
[11] Rodríguez-García, A., Ancos-Pintado, R., García-Vicente, R. et al. Microbiota-derived urolithin A in monoclonal gammopathies and multiple myeloma therapy. Microbiome 13, 56 (2025). https://doi.org/10.1186/s40168-025-02045-6
[12] Tech X. Anti-cancer effect and its mechanism of urolithin A: research progress | Articles | Chinese Journal of Pharmacoepidemiology. Whuznhmedj.com. Published 2023. Accessed September 7, 2025. https://ywlxbx.whuznhmedj.com/en/journal/30.html