cis-Urocanic acid (cis-UCA), also known as (Z)-imidazole-4-acrylic acid, is a chemical compound produced by ultraviolet (UV) irradiation of trans-urocanic acid, a metabolite naturally formed in the body from the amino acid histidine.

cis-Urocanic acid is suspected of involvement in the development of skin cancer. It acts as an immunosuppressant through action as an agonist of the serotonin 5-HT2A receptor, which it binds to with relatively high affinity (Kd = 4.6nM), and blocking this receptor has been shown to reduce cis-UCA mediated photocarcinogenesis. However the immunomodulatory effects of cis-UCA are complex and also involve other pathways, and at low levels it shows anti-inflammatory actions and may be protective against UV damage in the cornea and retina.

Measuring cis-UCA has been proposed as a sensitive method to detect sub-erythemal response to UVB, and thus a means to assess the UVR protection of suncreams.

See also Serotonin 5-HT2A receptor agonist List of miscellaneous 5-HT2A receptor agonists

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