Reference List

1. Ryu D, et al. Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents. Nature Medicine. 2016;22:879-888. DOI: 10.1038/nm.4132.  Open paper/source

2. Andreux PA, et al. The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans. Nature Metabolism. 2019;1:595-603. DOI: 10.1038/s42255-019-0073-4.  Open paper/source

3. Singh A, et al. Direct supplementation with Urolithin A overcomes limitations of dietary exposure and gut microbiome variability in healthy adults to achieve consistent levels across the population. European Journal of Clinical Nutrition. 2022;76:297-308. DOI: 10.1038/s41430-021-00950-1.  Open paper/source

4. Liu S, et al. Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial. JAMA Network Open. 2022;5:e2144279. DOI: 10.1001/jamanetworkopen.2021.44279.  Open paper/source

5. Singh A, et al. Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults. Cell Reports Medicine. 2022;3:100633. DOI: 10.1016/j.xcrm.2022.100633.  Open paper/source

6. Kuerec AH, et al. Targeting aging with urolithin A in humans: A systematic review. Ageing Research Reviews. 2024;100:102406. DOI: 10.1016/j.arr.2024.102406.  Open paper/source

7. Denk D, et al. Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial. Nature Aging. 2025;5:2309-2322. DOI: 10.1038/s43587-025-00996-x. Author correction published 2026; DOI: 10.1038/s43587-025-01060-4.  Open paper/source

8. Zhao H, et al. Assessment of Urolithin A effects on muscle endurance, strength, inflammation, oxidative stress, and protein metabolism in male athletes with resistance training: an 8-week randomized, double-blind, placebo-controlled study. Journal of the International Society of Sports Nutrition. 2024;21:2419388. DOI: 10.1080/15502783.2024.2419388.  Open paper/source

9. Whitfield J, et al. Evaluating the Impact of Urolithin A Supplementation on Running Performance, Recovery, and Mitochondrial Biomarkers in Highly Trained Male Distance Runners. Sports Medicine. 2025;55:3183-3200. DOI: 10.1007/s40279-025-02292-5.  Open paper/source

10. D’Amico D, et al. Topical application of Urolithin A slows intrinsic skin aging and protects from UVB-mediated photodamage: Findings from Randomized Clinical Trials. medRxiv preprint. 2023. DOI: 10.1101/2023.06.16.23291378. Preprint: not peer reviewed as at 21st July 2026.  Open paper/source

11. Heilman J, et al. Safety assessment of Urolithin A, a metabolite produced by the human gut microbiota upon dietary intake of plant derived ellagitannins and ellagic acid. Food and Chemical Toxicology. 2017;108:289-297. DOI: 10.1016/j.fct.2017.07.050.  Open paper/source

12. US Food and Drug Administration. Agency Response Letter, GRAS Notice No. GRN 000791: Urolithin A. 20 December 2018. FDA response: no questions regarding the notifier’s GRAS conclusion for specified food uses. This letter does not approve health claims.  Open paper/source

13. UK Food Standards Agency. Register of regulated product applications: Urolithin A, RP1777. Status shown as in progress at the review date.  Open paper/source

14. Advisory Committee on Novel Foods and Processes. 173rd meeting materials and minutes: Urolithin A RP1777. The committee identified information gaps and requested further information.  Open paper/source

15. Department of Health and Social Care. Great Britain nutrition and health claims register. Updated 19 May 2026. Only authorised claims in the register may be used in Great Britain.  Open paper/source

16. Food Standards Agency. Regulated products application guidance. Regulated products requiring authorisation must complete risk analysis and receive market authorisation before sale.  Open paper/source

17. UK Government. Food labelling and packaging: nutrition, health claims and supplement labelling.  Open paper/source

18. UK Government. Regulation 1223/2009 and the Cosmetic Products Enforcement Regulations 2013: Great Britain guidance.  Open paper/source

19. Medicines and Healthcare products Regulatory Agency. A guide to what is a medicinal product, Guidance Note 8. 2026 edition.  Open paper/source

20. European Commission. Application for the approval of Urolithin A as a novel food, application summary 2018/0538, Amazentis SA.  Open paper/source

21. European Commission. Union list of authorised novel foods. Urolithin A did not appear in the searchable Union-list page reviewed on 21 July 2026; the Commission separately lists the 2018 application. Open paper/source