Tier 4 — mechanistic

Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents

Ryu D, Mouchiroud L, Andreux PA, Katsyuba E, Moullan N, Nicolet-Dit-Félix AA, Williams EG, Jha P, Lo Sasso G, Huzard D, Aebischer P, Sandi C, Rinsch C, Auwerx J
Nature Medicine 2016 22(8):879-888

Bibliography

PubMed
PMID 27400265
Funding
Supported by EPFL and Swiss National Science Foundation grants. Amazentis SA, co-founded by several authors, is the company later formed to commercialise urolithin A based on these findings.
Competing interests
Authors Andreux and Rinsch are affiliated with Amazentis SA, the company formed to commercialise urolithin A based on these findings.

Study snapshot

DesignPreclinical mechanistic study: in vitro mitophagy assays, C. elegans lifespan/healthspan assays, and rodent (mouse and rat) exercise-capacity studies
ModelC. elegans, aged mice, young rats, cultured myoblasts
SampleNot applicable — preclinical animal/cell study
InterventionOral/dietary urolithin A administration in C. elegans and rodent models
DurationChronic feeding studies (lifespan-duration in C. elegans; multi-week feeding in rodents)
EndpointsMitophagy induction (in vitro and in vivo); C. elegans lifespan and healthspan (mobility, pharyngeal pumping); Rodent exercise capacity/muscle function

What the study showed, in plain terms

This is the founding study establishing urolithin A as a compound that triggers mitophagy, the clearance of damaged mitochondria. In worms it extended lifespan and preserved mobility with age. In aged mice and young rats it improved muscle exercise capacity. This is animal and cell research, not a human trial, but it is the mechanistic basis for the later human urolithin A trials.

Key findings

Urolithin A induced mitophagy in vitro and in vivo, extended lifespan and preserved mobility and pharyngeal pumping in C. elegans with age, and improved exercise capacity in two mouse models of age-related muscle decline as well as in young rats.

What this study can and cannot tell us

All findings are preclinical (nematode and rodent models); no human data. Animal dosing does not directly translate to a human supplemental dose. Two authors are affiliated with the company later formed to commercialise urolithin A.

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