Star fruit (Averrhoa carambola L.): From traditional uses to pharmacological activities

Averrhoa carambola L. (Oxalidaceae), commonly known as star fruit bears a great significance in traditional medicine. Traditionally, A. carambola was used in ailments such as arthralgia, chronic headache, boils and pyodermas, colds, cough, epistaxis, spermatorrhea, fever, food poisoning, gastroenteritis, malaria, malarial splenomegaly, oliguria, postpartum edema, sore throat, subcalorism and traumatic injury. Pharmacological investigations on A. carambola have demonstrated anti-inflammatory, antimicrobial, antifungal, antitumor and anti-ulcer activities. In addition, the plant possesses hypocholesterolemic, hypoglycemic, hypotensive, nephrotoxic, neurotoxic, negative inotropic and chronotropic effects. Phytochemical investigations have shown the presence of saponins, tannins, alkaloids and flavonoids. This review is an effort to update the pharmacological activities and clinical studies on A. carambola.