Using a test called DNA barcoding, a kind of genetic fingerprinting that
has also been used to help uncover labeling fraud in the commercial
seafood industry, Canadian researchers tested 44 bottles of popular
supplements sold by 12 companies. They found that many were not what
they claimed to be, and that pills labeled as popular herbs were often
diluted — or replaced entirely — by cheap fillers like soybean, wheat
and rice.
Consumer advocates and scientists say the research provides more
evidence that the herbal supplement industry is riddled with
questionable practices. Industry representatives argue that any problems
are not widespread.
For the study, the researchers selected popular medicinal herbs, and
then randomly bought different brands of those products from stores and
outlets in Canada and the United States. To avoid singling out any
company, they did not disclose any product names.
Among their findings were bottles of echinacea supplements, used by
millions of Americans to prevent and treat colds, that contained ground
up bitter weed, Parthenium hysterophorus, an invasive plant found in
India and Australia that has been linked to rashes, nausea and flatulence.
Two bottles labeled as St. John’s wort, which studies have shown may treat mild depression,
contained none of the medicinal herb. Instead, the pills in one bottle
were made of nothing but rice, and another bottle contained only
Alexandrian senna, an Egyptian yellow shrub that is a powerful laxative.
Gingko biloba supplements, promoted as memory enhancers, were mixed
with fillers and black walnut, a potentially deadly hazard for people
with nut allergies.
Of 44 herbal supplements tested, one-third showed outright substitution,
meaning there was no trace of the plant advertised on the bottle — only
another plant in its place.
Many were adulterated with ingredients not listed on the label, like rice, soybean and wheat, which are used as fillers.
In some cases, these fillers were the only plant detected in the bottle —
a health concern for people with allergies or those seeking gluten-free
products, said the study’s lead author, Steven G. Newmaster, a biology professor and botanical director of the Biodiversity Institute of Ontario at the University of Guelph.
The findings, published in the journal BMC Medicine,
follow a number of smaller studies conducted in recent years that have
suggested a sizable percentage of herbal products are not what they
purport to be. But because the latest findings are backed by DNA
testing, they offer perhaps the most credible evidence to date of
adulteration, contamination and mislabeling in the medicinal supplement
industry, a rapidly growing area of alternative medicine that includes an estimated 29,000 herbal products and substances sold throughout North America.
“This suggests that the problems are widespread and that quality control
for many companies, whether through ignorance, incompetence or
dishonesty, is unacceptable,” said David Schardt, a senior nutritionist
at the Center for Science in the Public Interest, an advocacy group. “Given these results, it’s hard to recommend any herbal supplements to consumers.”
Representatives of the supplement industry said that while mislabeling
of supplements was a legitimate concern, they did not believe it reached
the extent suggested by the new research.
Stefan Gafner, the chief science officer at the American Botanical Council,
a nonprofit group that promotes the use of herbal supplements, said the
study was flawed, in part because the bar-coding technology it used
could not always identify herbs that have been purified and highly
processed.
“Over all, I would agree that quality control is an issue in the herbal
industry,” Dr. Gafner said. “But I think that what’s represented here is
overblown. I don’t think it’s as bad as it looks according to this
study.”
The Food and Drug Administration
has used bar-coding technology to warn and in some cases prosecute
sellers of seafood found to be “misbranded.” The DNA technique has also
been used in studies of herbal teas, which showed that a significant percentage contain herbs and ingredients that are not listed on their labels.
But policing the supplement industry is a special challenge. The F.D.A.
requires that companies test the products they sell to make sure that
they are safe. But the system essentially operates on the honor code.
Unlike prescription drugs, supplements are generally considered safe
until proved otherwise.
Under a 1994 law, they can be sold and marketed with little regulatory
oversight, and they are pulled from shelves generally only after
complaints of serious injury. The F.D.A. audits a small number of
companies, but even industry representatives say more oversight is
needed.
“The regulations are very appropriate and rigorous,” said Duffy MacKay of the Council for Responsible Nutrition,
a supplement industry trade group. “But we need a strong regulator
enforcing the full force of the law. F.D.A. resources are limited, and
therefore enforcement has not historically been as rigorous as it could
be.”
Shelly Burgess, a spokeswoman for the F.D.A., said that companies were
required to adhere to a set of good manufacturing practices designed to
prevent adulteration, but that many were ignoring the rules.
“Unfortunately, we are seeing a very high percentage — approximately 70
percent — of firms’ noncompliance,” she said, “and we are very active in
taking enforcement actions against such violations.”
DNA bar coding was developed about a decade ago at the University of
Guelph. Instead of sequencing entire genomes, scientists realized that
they could examine genes from a standardized region of every genome to
identify species of plants and animals. These short sequences can be
quickly analyzed — much like the bar codes on the items at a supermarket
— and compared with others in an electronic database. An electronic
reference library at Guelph, called the International Barcode of Life
Project, contains over 2.6 million bar code records for almost 200,000
species of plants and animals.
The testing technique is not foolproof. It can identify the substances
in a supplement, but it cannot determine their potency. And because the
technology relies on the detection of DNA, it may not be able to
identify concentrated chemical extracts that do not contain genetic
material, or products in which the material has been destroyed by heat
and processing.
But Dr. Newmaster emphasized that only powders and pills were used in
the new research, not extracts. In addition, the DNA testing nearly
always detected some plant material in the samples — just not always the
plant or herb named on the label.
Some of the adulteration problems may be inadvertent.
Cross-contamination can occur in fields where different plants are grown
side by side and picked at the same time, or in factories where the
herbs are packaged. Dr. Gafner of the American Botanical Council said
that rice, starch and other compounds were sometimes added during
processing to keep powdered herbs from clumping, just as kernels of rice
are added to salt shakers.
But that does not explain many of the DNA results. For instance, the
study found that one product advertised as black cohosh — a North
American plant and popular remedy for hot flashes and other menopause symptoms — actually contained a related Asian plant, Actaea asiatica, that can be toxic to humans.
Those findings mirror a similar study of black cohosh supplements
conducted at Stony Brook University medical center last year. Dr. David
A. Baker, a professor of obstetrics, gynecology and reproductive
medicine, bought 36 black cohosh supplements from online and chain
stores. Bar coding tests showed that a quarter of them were not black
cohosh, but instead contained an ornamental plant from China.
Dr. Baker called the state of supplement regulation “the Wild West,” and
said most consumers had no idea how few safeguards were in place. “If
you had a child who was sick and three out of 10 penicillin pills were
fake, everybody would be up in arms,” Dr. Baker said. “But it’s O.K. to
buy a supplement where three out of 10 pills are fake. I don’t
understand it. Why does this industry get away with that?”