Evaluation of Fusarium Mycotoxins and Fungal Metabolites in Seized Cannabis in Arizona and California, 2023–2024
College of Health Solutions, Arizona State University, Phoenix, Arizona
School of Mathematical and Natural Sciences, Arizona State University, Glendale, Arizona
Address correspondence to Maxwell C.K. Leung. Email: mckleung@asu.eduArticle notes
Conclusions and opinions are those of the individual authors and do not necessarily reflect the policies or views of EHP Publishing or the National Institute of Environmental Health Sciences.
Introduction
Thirty-eight states and Washington, D.C., have legalized the medical or recreational use of cannabis.1 However, illicit markets in the United States—including unlicensed production (i.e., black-market cannabis) within a legalized state and products that failed compliance testing in the gray market—accounted for in comparison with the legal market in 2022.2 The contaminant exposure from illicit cannabis is largely unknown. Fungal contaminants and mycotoxins are a common group of contaminants in cannabis,3 accounting for several reported incidents of contaminated cannabis outbreaks and have been linked to opportunistic infection and vomiting.3,4 Here, we conducted a selective screen of 23 mycotoxins and fungal metabolites based on prevalence and toxicity—including aflatoxin, deoxynivalenol (i.e., vomitoxin), fumonisin, ochratoxin, zearalenone, and T-2 toxins—in illicit cannabis seized by law enforcement in Arizona and California.
Methods
Sampling of Illicit Dried Cannabis Flower
Illicit dried cannabis flower was collected by the High Intensity Drug Trafficking Areas (HIDTA) Task Force of the Maricopa County Sheriff’s Office (MCSO) in Arizona and the US Postal Inspection Service (USPIS) for research purposes from 21 November 2023 to 4 June 2024. Seventy-nine samples were collected in 37 seizures by the HIDTA Task Force in Arizona. In each seizure, cannabis of different sources (e.g., different strains) were marked as different batches by law enforcement officers. One dried flower bud was randomly pulled from each batch and stored in a scintillation vial on desiccant at for up to a month. In addition, the USPIS conducted 24 inspections and collected 39 samples in the same time period in California and Arizona, for a total of 118 samples. The samples were analyzed for mycotoxins and fungal metabolites with the permission of the MCSO and the USPIS. According to the HIDTA Task Force’s investigation, 90% of the seized black-market cannabis and marijuana in Arizona in recent years came from California originally (M. Shay, personal communication).
Results
Seized Cannabis Samples and Illicit Grow Environments
Seventy-nine samples were collected in 37 seizures by the HIDTA Task Force in Arizona. A few grow operations were also discovered at the locations of seizures (Figure 1). High moisture and water damage were observed in the indoor environment at these locations (M. Shay, personal communication). None of these locations were properly designed or managed for plant production (K. Sweat, personal communication). In addition, the USPIS conducted 24 inspections and seized 39 samples in the same time period in California and Arizona. Most of these samples were shipped from a California location to either another California location or metro Phoenix.
Discussion
Fusarium spp. were reported to cause Fusarium head blight in industrial hemp (i.e., low-tetrahydrocannabinol Cannabis sativa) in the United States.9 Yet, no countries, nor any state in the United States, currently require testing for presence of Fusarium spp. or their mycotoxins in cannabis.4 Only one sample contained one of the five regulated mycotoxins (i.e., aflatoxin , , , and ; and ochratoxin A). The low levels of contamination with Aspergillus mycotoxins were consistent with our earlier study that found only one positive sample in 9,414 legal samples tested in California.4 Although there is currently no toxicity information for Fusarium mycotoxins in inhaled cannabis, a recent FDA study demonstrated that vaping devices were not powerful enough to kill microbes in the heating process,10 highlighting the potential exposure of fungal contaminants. In addition, Fusarium trichothecene mycotoxins—including fusarenon-X, diacetoxyscirpenol, deoxynivalenol, and neosolaniol—shared similar poisoning symptoms that include vomiting.11 Cannabis use is linked to increased emergency department visits and cannabis hyperemesis,12,13 which appears to have symptoms similar to those of trichothecene poisoning. Further studies are needed to investigate the scale of Fusarium contamination in cannabis and its potential health risk to cannabis consumers.
Acknowledgments
The authors would like to thank the MCSO and the USPIS for their assistance in this research, as well as Kimberly Gwinn, Julie Brunkhorst, Matthew Shay, and Ken Sweat for their constructive comments on this manuscript.