Compound Monograph
Ursolic acid
Ursolic acid — a pentacyclic triterpene acid found in hawthorn, bearberry, gotu kola and elder, best characterised in these herbs for its contribution to hawthorn's coronary-dilating and heart-strengthening (inotropic) activity.
Classification
Ursolic acid is a pentacyclic triterpene (ursane) acid, part of the terpenoids class. The largest class of plant compounds, built from five-carbon isoprene units — the essential-oil aromatics, resins, bitter principles, saponins, and plant sterols.
Where Does It Come From? (13)
Ursolic acid is a naturally occurring pentacyclic triterpene (ursane) acid, found in Hawthorn, Bearberry, Gotu kola and 10 other sources. It is well tolerated orally (low toxicity).
Research & Evidence
Ursolic acid is a pentacyclic triterpene acid that turns up in the leaves and other parts of several medicinal plants. In the source-herb monographs in this database its best-characterised role is cardiovascular, where it is named as one of the active triterpene acids of hawthorn:
- Coronary artery dilation — hawthorn’s ability to widen the coronary arteries has been attributed to its crataegolic acid and ursolic acid content, together with various flavonoids (such as vitexin-2”-O-rhamnoside, luteolin-7-glucoside, hyperoside, rutin and vitexin) and the oligomeric procyanidins 1Reference 1Comparative study of the cardiovascular activity of shoots, leaves and flowers of Crataegus oxyacantha: 2.
- Positive inotropy (heart-strengthening) — the positively inotropic action of hawthorn — improving the force of cardiac contraction — was likewise found in an early study to be due to the crataegolic acid, ursolic acid and vitexin-2”-O-rhamnoside content 1Reference 1Comparative study of the cardiovascular activity of shoots, leaves and flowers of Crataegus oxyacantha: 2. In hawthorn’s leaves and flowers, ursolic acid is one of the triterpene acids present at up to about 0.6% 2Reference 2Medical Herbalism: The Science and Practice of Herbal Medicine.
Beyond hawthorn, ursolic acid is reported as a contributing constituent in other herbs:
- In bearberry, ursolic acid is listed among the triterpenes (with β-amyrin) that support the herb’s antibacterial activity, alongside arbutin, tannins and flavonoids 3Reference 3ReviewAlternative and Complementary Therapies, 21(4), 180–181. doi:10.1089/act.2015.29013.uvaView study →.
- In gotu kola, ursolic acid appears among the triterpene saponosides that make up much of that herb’s phytochemistry 4,5Reference 4Centella asiatica (L.) Urban: From Traditional Medicine to Modern Medicine with Neuroprotective PotentialView study →Reference 5Principles and Practice of Phytotherapy.
- Elder also contains ursolic acid among its triterpenoids, though the source page does not tie a specific activity to it.
A general caution from the hawthorn page is worth carrying over to any discussion of isolated triterpenes: several studies using single isolated hawthorn constituents showed little or no activity compared with the whole-herb extract, which consistently produced broad cardiovascular effects 2Reference 2Medical Herbalism: The Science and Practice of Herbal Medicine. In other words, ursolic acid appears to act as part of a constituent matrix rather than as a stand-alone drug. The references below are the studies cited on the source-herb pages that genuinely pertain to ursolic acid.
Toxicity & Safety
Ursolic acid is flagged here as low-toxicity. It occurs naturally in many edible and medicinal plants — including the waxy skins of fruits — and the herbs that supply it in this database are themselves well tolerated: hawthorn has no reported long-term adverse effects in the therapeutic range and is considered suitable for long-term cardiovascular use, and gotu kola is regarded as generally safe and even used as a food in several countries. The cautions for these herbs relate to the whole plant and its other constituents (for example hawthorn’s potential to enhance the action of cardiac-glycoside drugs) rather than to ursolic acid specifically.
References
- Occhiuto, F., Circosta, C., Costa, R., Briguglio, F., & Tommasini, A. (1986). Comparative study of the cardiovascular activity of shoots, leaves and flowers of Crataegus oxyacantha: 2. Action of extracts and isolated pure active principles on the isolated rabbit heart. Plantes Médicinales et Phytothérapie, 20, 52–63.
- Hoffmann, D. (2003). Medical Herbalism: The Science and Practice of Herbal Medicine. Rochester, VT: Healing Arts Press.
- Uva Ursi (Arctostaphylos uva-ursi): A Review of Clinical Therapeutics by the American Herbal Pharmacopeia. (2015). Alternative and Complementary Therapies, 21(4), 180–181. doi:10.1089/act.2015.29013.uva
- Ilkay Erdogan Orhan. (2012). Centella asiatica (L.) Urban: From Traditional Medicine to Modern Medicine with Neuroprotective Potential. Evidence-Based Complementary and Alternative Medicine. doi:10.1155/2012/946259
- Bone K, Mills S. (2013). Principles and Practice of Phytotherapy. Elsevier Health, China.