Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/1/2025

Urolithin A and Cardiovascular Health

Introduction to Urolithin A's Cardiovascular Effects

  • Urolithin A modulates autophagy and has shown anti-aging properties, inducing mitophagy in cell cultures, increasing longevity in nematodes, and preventing age-related muscle impairment in mouse models 1, 2
  • In healthy, sedentary elderly individuals, Urolithin A administration produces changes in muscle mitochondrial gene expression suggestive of improved mitochondrial and cellular health 1, 2

Clinical Considerations for Urolithin A Use

  • For patients with established cardiovascular disease, Urolithin A should not replace guideline-directed medical therapy including antiplatelet agents, statins, ACE inhibitors, and revascularization when indicated 3

REFERENCES

3

Management of Peripheral Arterial Disease [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025