NutriDex

The Supplement Research Compendium

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Santol

Sandoricum koetjape

Tart tropical fruit rich in limonoids

Preliminary evidence 🍎Fruits
Evidence tier
Preliminary
Research weight
Citations
8 verified / 8
Classification
Fruits
What the evidence says. Early or small human trials; promising but not yet conclusive.

Nutrition per serving 1 medium (100 g edible flesh)

100gSERVING
  • Water 83.9 g84%
  • Sugars 9.5 g10%
  • Fibre 1.1 g1%
  • Other carbs 3.1 g3%
  • Protein 0.7 g1%
  • Fat 1 g1%
What's in one serving, by weight — average composition (USDA).
Potassium7%Vitamin C16%Fiber4%Calcium1%Iron7%Phosphorus2%
One serving as % of the adult daily requirement (FDA Daily Values). The bold outer ring = 100% of a day's needs.
59 kcal0.7 g protein1.1 g fiber1 g fat
NutrientPer serving% daily value
Potassium328 mg7%
Vitamin C14 mg16%
Fiber1.1 g4%
Calcium11 mg1%
Iron1.2 mg7%
Phosphorus20 mg2%
Total sugars9.5 g19%
Ash0.7 g0%

Composition data: USDA FoodData Central ↗

What is Santol?

Santol (Sandoricum koetjape) is a fruit used for antioxidant / free-radical scavenging (in vitro). NutriDex grades the human evidence as Preliminary. Santol (cotton fruit) is a Southeast Asian Meliaceae fruit eaten fresh, candied, or in preserves; the edible aril is low in calories and a useful source of potassium with modest vitamin C. Essentially all published bioactivity research is preclinical — in vitro assays, isolated-compound chemistry, and a handful of animal models — rather than human trials, so health claims remain hypotheses. The most-studied molecule is koetjapic acid, a seco-A-ring triterpene from the stem bark that induces apoptosis in colon-cancer cell lines and, as its water-soluble salt potassium koetjapate, inhibits tumor growth in mouse xenografts. Fruit-peel (exocarp) extracts rich in proanthocyanidins are antioxidant and antibacterial in vitro, and leaf cycloartane triterpenoids inhibit alpha-glucosidase more potently than acarbose in test tubes, while stem triterpenes blunt TPA-induced inflammation in mice. No randomized controlled trials in people exist for any of these endpoints; most active compounds come from bark or leaf rather than the edible flesh, and effective doses are far above what eating the fruit provides. Santol is best regarded as a nutritious tropical fruit with intriguing but unproven medicinal potential.

Purported Benefits

Antioxidant / free-radical scavenging (in vitro)
Anti-inflammatory activity (preclinical)
Antimicrobial / antibacterial effects (in vitro)
Anticancer signaling (preclinical, bark-derived compounds)
Alpha-glucosidase inhibition relevant to blood sugar (in vitro, leaf compounds)
Source of dietary potassium and modest vitamin C

Dosing & Compounds

Typical Dose
1 medium fruit (~100 g edible flesh); traditional use is as fresh fruit, candied, or preserved. No medicinal dose is established for humans.
Active Compounds
Seco-A-ring oleanane triterpenes (koetjapic acid, sentulic acid, katonic acid)Limonoids (sandoripins, sanjecumins, sandrapins)Cycloartane-type triterpenoids (leaf)Polyphenols / phenolic acids (gallic, ellagic)Proanthocyanidins (condensed tannins)FlavonoidsSaponinsPotassium and vitamin C

Safety & Cautions

The hard seeds are indigestible and have caused intestinal obstruction, perforation, and abscesses when swallowed — repeatedly documented in surgical case reports from the Philippines (including cases as recent as 2023) — so spit them out. Bark and root preparations are not the same as the edible flesh and can be toxic; medicinal extracts are unstandardized. A 2025 lab study found high-dose santol flesh extract impaired climbing and adult emergence in fruit flies, underscoring that concentrated extracts are not equivalent to eating the fruit. Diabetics on acarbose or other glucose-lowering drugs should note theoretical additive effects from large extract doses. As with any high-potassium food, people with advanced kidney disease should moderate intake. No human safety or drug-interaction trials have been conducted. Educational only — always check with your doctor or pharmacist before combining Santol with any medicine.

Key Studies

Narrative review Armaghan/Khan 2024 ✓ Full text
Review of koetjapic acid documents anticancer mechanisms via downregulation of Wnt, HIF-1alpha, MAP/ERK/JNK, NF-kB, JAK/STAT, Akt/mTOR and C-MYC pathways; notes its mechanism is not fully explored and evidence remains preclinical.
Scoping review Bailly 2022 ✓ PubMed
Scoping review: ~30 bioactive products identified across Sandoricum koetjape; koetjapic acid is the principal triterpene, with anti-inflammatory, antimetastatic and antiangiogenic effects; evidence is preclinical only.
In vitro + animal Jafari 2024 ✓ PubMed
Potassium koetjapate (a solubility-improved salt of koetjapic acid) inhibited colon-cancer cell migration at 2.5-5 uM and produced dose-dependent tumor-growth inhibition in nude-mouse colon-cancer xenografts (25-100 mg/kg), approaching capecitabine.
In vitro Suttiarporn 2024 ✓ Source
Leaf cycloartane-type triterpenoids (two new + ten known) inhibited alpha-glucosidase with IC50 2.17-49.2 uM, stronger than acarbose (IC50 100.6 uM). J Nat Med 2024;78(3):655-663.
Lab + animal Aphichartphankawee 2025 ✓ Source
Santol flesh was low in calories and deficient in vitamins B1, B2 and C but a rich potassium source (156-188 mg/100 g); high-dose flesh extract (100 mg/mL) reduced Drosophila climbing speed and lowered adult emergence to 53%.
In vitro Mesen-Mora 2019 ✓ Source
Santol fruit exocarp fractions rich in proanthocyanidins showed strong DPPH antioxidant activity and inhibited S. aureus (73%) and Bacillus spp. (42%) in vitro.
In vitro Nassar 2012 ✓ PubMed
Koetjapic acid induced apoptosis in HCT 116 colorectal carcinoma cells via extrinsic/intrinsic caspase activation, mitochondrial membrane depolarization, nuclear condensation and DNA fragmentation.
Animal Rasadah 2004 ✓ PubMed
Bioassay-guided fractionation of stem extract yielded 3-oxo-12-oleanen-29-oic acid with anti-inflammatory activity almost equivalent to indomethacin in the TPA-induced mouse ear-edema model.

Common questions about Santol

What is Santol used for?

Santol is most often taken for Antioxidant / free-radical scavenging (in vitro), Anti-inflammatory activity (preclinical), Antimicrobial / antibacterial effects (in vitro), Anticancer signaling (preclinical, bark-derived compounds). Tart tropical fruit rich in limonoids

Does Santol work — what does the evidence say?

Preliminary evidence. Early or small human trials; promising but not yet conclusive. Santol (cotton fruit) is a Southeast Asian Meliaceae fruit eaten fresh, candied, or in preserves; the edible aril is low in calories and a useful source of potassium with modest vitamin C. Essentially all published bioactivity research is preclinical — in vitro assays, isolated-compound chemistry, and a handful of animal models — rather than human trials, so health claims remain hypotheses. The most-studied molecule is koetjapic acid, a seco-A-ring triterpene from the stem bark that induces apoptosis in colon-cancer cell lines and, as its water-soluble salt potassium koetjapate, inhibits tumor growth in mouse xenografts. Fruit-peel (exocarp) extracts rich in proanthocyanidins are antioxidant and antibacterial in vitro, and leaf cycloartane triterpenoids inhibit alpha-glucosidase more potently than acarbose in test tubes, while stem triterpenes blunt TPA-induced inflammation in mice. No randomized controlled trials in people exist for any of these endpoints; most active compounds come from bark or leaf rather than the edible flesh, and effective doses are far above what eating the fruit provides. Santol is best regarded as a nutritious tropical fruit with intriguing but unproven medicinal potential.

What is the typical dose of Santol?

1 medium fruit (~100 g edible flesh); traditional use is as fresh fruit, candied, or preserved. No medicinal dose is established for humans.

Is Santol safe? Any cautions or side effects?

The hard seeds are indigestible and have caused intestinal obstruction, perforation, and abscesses when swallowed — repeatedly documented in surgical case reports from the Philippines (including cases as recent as 2023) — so spit them out. Bark and root preparations are not the same as the edible flesh and can be toxic; medicinal extracts are unstandardized. A 2025 lab study found high-dose santol flesh extract impaired climbing and adult emergence in fruit flies, underscoring that concentrated extracts are not equivalent to eating the fruit. Diabetics on acarbose or other glucose-lowering drugs should note theoretical additive effects from large extract doses. As with any high-potassium food, people with advanced kidney disease should moderate intake. No human safety or drug-interaction trials have been conducted.

How many studies support Santol?

NutriDex cites 8 sources for Santol, graded "Preliminary".

Cite this page
APA

Peh, D. (2026). Santol (Sandoricum koetjape): Benefits, Dosage, Side Effects & Evidence. NutriDex — The Supplement Research Compendium. Retrieved 26 Jun 2026, from https://nutridex.info/s/santol

BibTeX
@misc{nutridex_santol,
  author       = {Peh, Daryl},
  title        = {Santol (Sandoricum koetjape): Benefits, Dosage, Side Effects \& Evidence},
  year         = {2026},
  howpublished = {NutriDex --- The Supplement Research Compendium},
  url          = {https://nutridex.info/s/santol},
  note         = {Reviewed by Dr Daryl Peh, MBBS Singapore, MMed FM. Accessed 2026-06-26}
}

For medical claims, citing the underlying primary studies linked above is preferred. NutriDex is an educational reference, not medical advice.

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