Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges

With the global trend of population aging becoming increasingly pronounced, the incidence of central nervous system (CNS) disorders continues to rise, posing a significant challenge to public health systems worldwide. Currently, many CNS disorders lack effective treatments, prompting researchers to...

Full description

Saved in:
Bibliographic Details
Main Authors: Qiang Zhang, Wan Zhang, Xinya Yuan, Xiaohong Peng, Guangyuan Hu
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/7/1553
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849239622519881728
author Qiang Zhang
Wan Zhang
Xinya Yuan
Xiaohong Peng
Guangyuan Hu
author_facet Qiang Zhang
Wan Zhang
Xinya Yuan
Xiaohong Peng
Guangyuan Hu
author_sort Qiang Zhang
collection DOAJ
description With the global trend of population aging becoming increasingly pronounced, the incidence of central nervous system (CNS) disorders continues to rise, posing a significant challenge to public health systems worldwide. Currently, many CNS disorders lack effective treatments, prompting researchers to investigate the therapeutic potential of natural compounds. Urolithin A (UA), a gut microbiota-derived metabolite of ellagitannins and ellagic acid, can cross the blood–brain barrier and exhibits a favorable safety profile. This review summarizes the biosynthesis, pharmacokinetic profile, and key biological effects of UA, including its promotion of mitophagy and mitochondrial homeostasis, as well as its anti-inflammatory, antioxidant, anti-senescence, and anti-apoptotic properties. We comprehensively summarize the preclinical evidence demonstrating UA’s therapeutic potential in CNS disorders, such as Alzheimer’s disease, Parkinson’s disease, and stroke. Recent clinical trials involving UA are presented, followed by a thorough analysis of the challenges associated with translating UA-based interventions into clinical practice for CNS disorders. This work aims to support the development of UA-based therapies to improve patient outcomes and address the growing global burden of CNS disorders.
format Article
id doaj-art-e7ccf89b952b4884bc984c4c8f6e41a6
institution Kabale University
issn 2227-9059
language English
publishDate 2025-06-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj-art-e7ccf89b952b4884bc984c4c8f6e41a62025-08-20T04:00:54ZengMDPI AGBiomedicines2227-90592025-06-01137155310.3390/biomedicines13071553Urolithin A in Central Nervous System Disorders: Therapeutic Applications and ChallengesQiang Zhang0Wan Zhang1Xinya Yuan2Xiaohong Peng3Guangyuan Hu4Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, ChinaWith the global trend of population aging becoming increasingly pronounced, the incidence of central nervous system (CNS) disorders continues to rise, posing a significant challenge to public health systems worldwide. Currently, many CNS disorders lack effective treatments, prompting researchers to investigate the therapeutic potential of natural compounds. Urolithin A (UA), a gut microbiota-derived metabolite of ellagitannins and ellagic acid, can cross the blood–brain barrier and exhibits a favorable safety profile. This review summarizes the biosynthesis, pharmacokinetic profile, and key biological effects of UA, including its promotion of mitophagy and mitochondrial homeostasis, as well as its anti-inflammatory, antioxidant, anti-senescence, and anti-apoptotic properties. We comprehensively summarize the preclinical evidence demonstrating UA’s therapeutic potential in CNS disorders, such as Alzheimer’s disease, Parkinson’s disease, and stroke. Recent clinical trials involving UA are presented, followed by a thorough analysis of the challenges associated with translating UA-based interventions into clinical practice for CNS disorders. This work aims to support the development of UA-based therapies to improve patient outcomes and address the growing global burden of CNS disorders.https://www.mdpi.com/2227-9059/13/7/1553urolithin Acentral nervous system disordersneuroprotectionmitochondria
spellingShingle Qiang Zhang
Wan Zhang
Xinya Yuan
Xiaohong Peng
Guangyuan Hu
Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
Biomedicines
urolithin A
central nervous system disorders
neuroprotection
mitochondria
title Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
title_full Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
title_fullStr Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
title_full_unstemmed Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
title_short Urolithin A in Central Nervous System Disorders: Therapeutic Applications and Challenges
title_sort urolithin a in central nervous system disorders therapeutic applications and challenges
topic urolithin A
central nervous system disorders
neuroprotection
mitochondria
url https://www.mdpi.com/2227-9059/13/7/1553
work_keys_str_mv AT qiangzhang urolithinaincentralnervoussystemdisorderstherapeuticapplicationsandchallenges
AT wanzhang urolithinaincentralnervoussystemdisorderstherapeuticapplicationsandchallenges
AT xinyayuan urolithinaincentralnervoussystemdisorderstherapeuticapplicationsandchallenges
AT xiaohongpeng urolithinaincentralnervoussystemdisorderstherapeuticapplicationsandchallenges
AT guangyuanhu urolithinaincentralnervoussystemdisorderstherapeuticapplicationsandchallenges