A significant body of research, mostly from rodent models and in vitro studies, has linked titanium dioxide with health risks related to the gut, including intestinal inflammation, alterations to the gut microbiota, and more. It is classified by the International Agency for Research on Cancer (IARC) in Group 2B, as possibly carcinogenic to humans.

This article reviews the uses, benefits, and safety of titanium dioxide.

In a study published in the journal Food and Chemical Toxicology in 2016, researchers investigated whether titanium dioxide exposure led to an increase in colorectal tumor creation in mice by using a colitis associated cancer model. By measuring tumor progression markers, the researchers found that mice given titanium dioxide experienced enhanced tumor formation in the distal colon.  There was also a decrease of cells that act as a protective barrier in the colon. The researchers wrote: “These results suggest that E171 could worsen pre-existent intestinal diseases.”

A 2023 study published in the journal Particle and Fibre Toxicology set out to examine the impact of titanium dioxide nanoparticles in mice “on the course and prognosis of ulcerative colitis,” by creating an ulcerative colitis disease model. Researchers found that the titanium dioxide nanoparticles significantly increased the severity of colitis. They also “decreased the body weight, increased the disease activity index and colonic mucosa damage index scores, shortened the colonic length, increased the inflammatory infiltration in the colon.” Researchers concluded: “Oral intake of TiO2 nanoparticles could affect the course of acute colitis in exacerbating the development of ulcerative colitis, prolonging the ulcerative colitis course and inhibiting ulcerative colitis recovery.”

For the First Quarter of 2022

Food containing titanium dioxide that is lawfully placed on the EU market before 7 August 2022 may remain on the market until its date of minimum durability or its ‘use-by’ date has passed. Food produced or placed on the market after 7 August 2022 cannot contain titanium dioxide. The ban on the use of titanium dioxide is effective in each EU Member State, and in Northern Ireland. Some third countries, such as the United Kingdom (excluding Northern Ireland), continue to permit the use of titanium dioxide.

The effects of TiO₂ NPs in plants

In addition to controlling the reaction conditions, it is also important to carefully monitor the precipitation process to ensure that the desired precipitation percentage is achieved. This can be done through various analytical techniques, such as X-ray diffraction, scanning electron microscopy, and energy-dispersive X-ray spectroscopy, which can provide valuable insights into the particle size distribution, crystallinity, and purity of the titanium dioxide product.