Mycotoxins: Research on Trichothecenes, Aflatoxin, Ochratoxin & More

360 papers · Curated by Lauren Lowenstein, The Biotoxin Lady

When people hear "toxic mold," what they usually mean is mycotoxins.

Mycotoxins are chemical compounds some molds make, essentially their defense system. Indoors, they ride on spores and tiny fragments, settle into dust, and get breathed in. Some of the best studied:

  • Trichothecenes (including satratoxins) from Stachybotrys and related molds
  • Aflatoxins, mostly from Aspergillus species
  • Ochratoxin A, from Aspergillus and Penicillium
  • Gliotoxin, linked to Aspergillus fumigatus

This hub holds about 360 peer-reviewed papers on mycotoxins and human health: how they're produced in water-damaged buildings, how they affect immune, neurological and inflammatory pathways, and how researchers measure them.

Here's the nuance I want you to have: mycotoxins are one part of the biotoxin picture, not the whole thing. A water-damaged building also contains bacteria, endotoxins, actinobacteria and more, and in CIRS it's the body's inflammatory response to all of it that keeps people stuck. That's why the Shoemaker approach centers on objective biomarkers and DNA-based environmental testing, not one toxin.

Want to know where to begin? My Where do I start? guide walks you through screening, labs and testing your home.

Educational only, not medical advice.

— Lauren Lowenstein, The Biotoxin Lady · Last reviewed October 19, 2026

Key facts

  • Mycotoxins are secondary metabolites made by certain molds. Not every mold makes them, and production depends on species and conditions.
  • Major classes in the research include trichothecenes, aflatoxins, ochratoxin A and gliotoxin.
  • Indoors, mycotoxins can travel on spores and small fragments and collect in settled dust.
  • In CIRS, mycotoxins are one of several biotoxin triggers in water-damaged buildings.

Key research papers

  1. The biocontaminants and complexity of damp indoor spaces: more than what meets the eyes

    Thrasher J et al. · Toxicology and Industrial Health · 2009

  2. Molds and Mycotoxins in Indoor Environments — A Survey in Water-Damaged Buildings

    Bloom E et al. · Journal of Occupational and Environmental Hygiene · 2009

  3. Microbiologicals for deactivating mycotoxins

    Schatzmayr G et al. · Molecular Nutrition & Food Research · 2006

  4. Biological detoxification of fungal toxins and its use in plant breeding, feed and food production

    Karlovsky P · Natural Toxins · 1997

  5. Antigenotoxic studies of different substances to reduce the DNA damage induced by aflatoxin B(1) and ochratoxin A

    Madrigal-Santillan E et al. · Toxins · 2010

  6. Prevalence of Aspergillus-Derived Mycotoxins (Ochratoxin, Aflatoxin, and Gliotoxin) and Their Distribution in the Urinalysis of ME/CFS Patients

    Ting Yu Wu et al. · International Journal of Environmental Research and Public Health · 2022

  7. Mycotoxins in crude building materials from water-damaged buildings

    Tuomi T et al. · Applied and Environmental Microbiology · 2000

  8. Exposure to Mycotoxins and Its Importance in Public Health

    Dulce D. Cordero-Mendoza et al. · European Journal of Nutrition & Food Safety · 2023

  9. Detection of Mycotoxins in Patients with Chronic Fatigue Syndrome

    Joseph Brewer et al. · Toxins · 2013

  10. Strategies to prevent mycotoxin contamination of food and animal feed: a review

    Kabak B et al. · Critical Reviews in Food Science and Nutrition · 2006

  11. A water-damaged home and health of occupants: a case study

    Thrasher J et al. · Journal of Environmental and Public Health · 2012

  12. Trichothecene mycotoxins activate inflammatory response in human macrophages

    Kankkunen P et al. · The Journal of Immunology · 2009

  13. Trichothecene mycotoxins in aerosolized conidia of Stachybotrys atra

    Sorenson WG et al. · Applied and Environmental Microbiology · 1987

  14. Modulation of lipopolysaccharide-induced proinflammatory cytokine production by satratoxins and other macrocyclic trichothecenes in the murine macrophage

    Chung YJ et al. · Journal of Toxicology and Environmental Health · 2003

  15. Mass Spectrometry-Based Strategy for Direct Detection and Quantification of Some Mycotoxins Produced by Stachybotrys and Aspergillus spp. in Indoor Environments

    Bloom E et al. · Applied and Environmental Microbiology · 2007

  16. Can low level exposure to ochratoxin-A cause parkinsonism?

    Sava V et al. · Journal of the Neurological Sciences · 2006

  17. Detection of AirborneStachybotrys chartarumMacrocyclic Trichothecene Mycotoxins on Particulates Smaller than Conidia

    Brasel TL et al. · Applied and Environmental Microbiology · 2005

  18. Mycotoxin-degradation profile of Rhodococcus strains

    Cserháti M et al. · International Journal of Food Microbiology · 2013

  19. Production of Satratoxin G and H Is Tightly Linked to Sporulation in Stachybotrys chartarum

    Katharina Tribelhorn et al. · Toxins · 2022

  20. Effects of mycotoxins on cytokine production and proliferation in EL-4 thymoma cells

    Marin ML et al. · Journal of Toxicology and Environmental Health · 1996

  21. Ochratoxigenic fungi associated with green coffee beans (Coffea arabica L.) in conventional and organic cultivation in Brazil

    de Fatima Rezende E et al. · Brazilian Journal of Microbiology · 2013

  22. The Efficacy of a Novel Water-Soluble Anti-Mycotoxin Solution in Improving Broiler Chicken Performance Under Mycotoxin Challenge

    Sayantani Sihi et al. · Toxins · 2025

  23. Food‐Origin Mycotoxin‐Induced Neurotoxicity: Intend to Break the Rules of Neuroglia Cells

    Xingyao Pei et al. · Oxidative Medicine and Cellular Longevity · 2021

  24. Mycotoxins and mycotoxigenic fungi in spices and mixed spices: a review

    N. Syamilah et al. · Food Research · 2022

  25. Modulation of intestinal functions following mycotoxin ingestion: meta-analysis of published experiments in animals

    Grenier B et al. · Toxins · 2013

  26. Risk from inhaled mycotoxins in indoor office and residential environments

    Kelman BJ et al. · International Journal of Toxicology · 2004

  27. Microbial detoxification of mycotoxins

    McCormick SP · Journal of Chemical Ecology · 2013

  28. Effects of Intranasal Exposure to Spores of Stachybotrys atra in Mice

    Nikulin M et al. · Toxicological Sciences · 1997

  29. Metabolic profiling as a powerful tool for the analysis of cellular alterations caused by 20 mycotoxins in HepG2 cells

    Andrea Gerdemann et al. · Archives of Toxicology · 2022

  30. Exposure to Mycotoxins: Neurological Disorders and Psychiatric Manifestations

    Mojtaba Ehsanifar et al. · OBM Neurobiology · 2026

  31. Satratoxin G from the Black Mold Stachybotrys chartarum Evokes Olfactory Sensory Neuron Loss and Inflammation in the Murine Noseand Brain

    Islam Z et al. · Environmental Health Perspectives · 2006

  32. Localization of Satratoxin-G in Stachybotrys chartarum Spores and Spore-Impacted Mouse Lung Using Immunocytochemistry

    Gregory L et al. · Toxicologic Pathology · 2004

  33. Surface binding of toxins and heavy metals by probiotics

    Zoghi A et al. · Mini-Reviews in Medicinal Chemistry · 2014

  34. ToxigenicFusariumspp. as Determinants of Trichothecene Mycotoxins in Settled Grain Dust

    Halstensen AS et al. · Journal of Occupational and Environmental Hygiene · 2006

  35. Mycotoxin Adducts on Human Serum Albumin: Biomarkers of Exposure to Stachybotrys chartarum

    Yike I et al. · Environmental Health Perspectives · 2006

  36. Aflatoxin and ochratoxin A contamination of retail foods and intake of these mycotoxins in Japan. Food Addit Contam Part A Chem Anal Control Expo Risk Assess

    Kumagai S et al. · 2008

  37. Efficacy of a commercial mycotoxins binder in alleviating effects of ochratoxin A, fumonisin B1, moniliformin and zearalenone in adult mink

    Bursian SJ et al. · Veterinary and human toxicology · 2004

  38. Fusarial toxins: secondary metabolites of Fusarium fungi

    Nesic K et al. · Reviews of Environmental Contamination and Toxicology · 2014

  39. Detection of trichothecene mycotoxins in sera from individuals exposed to Stachybotrys chartarum in indoor environments

    Brasel TL et al. · Archives of Environmental Health An International Journal · 2004

  40. Trichothecene mycotoxins in the dust of ventilation systems in office buildings

    Smoragiewucz W et al. · International Archives of Occupational and Environmental Health · 1993

  41. Detection of AirborneStachybotrys chartarumMacrocyclic Trichothecene Mycotoxins in the Indoor Environment

    Brasel T et al. · Applied and Environmental Microbiology · 2005

  42. Aflatoxins in food: Prevalence, health effects, and emerging trends in its mitigation—An updated review

    Biji Balan et al. · Food Safety and Health · 2024

  43. Aspergillus parasiticus SU-1 genome sequence, predicted chromosome structure, and comparative gene expression under aflatoxin-inducing conditions: evidence that differential expression contributes to species phenotype

    Linz J et al. · Eukaryotic Cell · 2014

  44. Quantification of Trichothecene-Producing Fusarium Species in Harvested Grain by Competitive PCR To Determine Efficacies of Fungicides against Fusarium Head Blight of Winter Wheat

    Edwards SG et al. · Applied and Environmental Microbiology · 2001

  45. Real-time PCR detection of toxigenic Fusarium in airborne and settled grain dust and associations with trichothecene mycotoxins

    Halstensen AS et al. · Journal of Environmental Monitoring · 2006

  46. Stachybotrys chartarum (chartarum = atra = alternans) and other problems caused by allergenic fungi

    Chapman J · Allergy and asthma proceedings · 2003

  47. A Chemically Defined Medium That Supports Mycotoxin Production by Stachybotrys chartarum Enabled Analysis of the Impact of Nitrogen and Carbon Sources on the Biosynthesis of Macrocyclic Trichothecenes and Stachybotrylactam

    Katharina Tribelhorn et al. · Applied and Environmental Microbiology · 2023

  48. In vitro effects of trichothecenes on human dendritic cells

    Hymery N. Sibiril Y et al. · Toxicology in Vitro · 2006

  49. The role of fungal proteinases in pathophysiology of Stachybotrys chartarum

    Yike I et al. · Mycopathologia · 2007

  50. In vitro genotoxicity of mycotoxins ochratoxin A and fumonisin B1 could be prevented by sodium copper chlorophyllin – Implication to their genotoxic mechanism

    Domijan AM et al. · Food Chemistry · 2015

  51. Stachybotrys chartarum, Trichothecene Mycotoxins, and Damp Building–Related Illness: New Insights into a Public Health Enigma

    Pestka J et al. · Toxicological Sciences · 2008

  52. From the gut to the brain: journey and pathophysiological effects of the food-associated trichothecene mycotoxin deoxynivalenol

    Maresca M · Toxins · 2012

  53. Dietary strategies to counteract the effects of mycotoxins: a review

    Galvano F et al. · Journal of Food Protection · 2001

  54. Neurotoxicity and inflammation in the nasal airways of mice exposed to the macrocyclic trichothecene mycotoxins roridin A: kinetics and potentiation by bacterial lipopolysaccharide co-exposure. ToxSci Advance Access May 2004

    Islam Z et al. · Toxicological Sciences · 2004

  55. Intranasal instillation of aflatoxin B(1) in rats: bioactivation in the nasal mucosa and neuronal transport to the olfactory bulb

    Peter Larsson · Toxicological Sciences · 2000

  56. Notes from the field: Use of unvalidated urine mycotoxin tests for the clinical diagnosis of illness--United States, 2014.

    Melody Kawamoto et al. · MMWR. Morbidity and mortality weekly report · 2015

  57. Aflatoxins in feeds: Issues and concerns with safe food production

    S. Thakur et al. · Indian Journal of Animal Health · 2022

  58. Study of mycotoxin prevalence in the wheat supply chain in Tunisia and their reduction by bio-products in vivo

    Amina Aloui · HAL (Le Centre pour la Communication Scientifique Directe) · 2023

  59. Relationship of Trichothecene Structure to Cox-2 Induction in the Macrophage: Selective Action of Type B (8-Keto) Trichothecenes

    Moon Y et al. · Journal of Toxicology and Environmental Health · 2003

  60. Mycotoxin problem in Africa: current status, implications to food safety and health and possible management strategies

    Wagacha JM et al. · International Journal of Food Microbiology · 2008

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