Trichothecenes compromise the blood brain barrier, innate immune system, inflammatory pathways, nervous and endocrine systems, and make micro glia overly sensitive. They also impact the gut in several ways: compromising tight junctions, and compromise nutrient absorption.

The mycotoxin Citrinin affects all the main organs, including the bone marrow, liver, kidney, and mitochondrial respiratory chain. Citrinin and Gliotoxin both inhibit IL-10. IL-10 can block TNFA and IL-6, both important inflammatory pathways. Citrinin was significantly associated with neutrophilia, squamous cell carcinoma, Fanconi anemia, leukemia, hepatoblastoma, and fatty liver diseases.