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In a 2017 study published in Scientific Reports, researchers exposed rats to human-relevant levels of E171 to examine the effects of intestinal inflammation and carcinogenesis. They saw that “a 100-day E171 treatment promoted colon microinflammation and initiated preneoplastic lesions while also fostering the growth of aberrant crypt foci in a chemically induced carcinogenesis model.” They continued: “Stimulation of immune cells isolated from Peyer’s Patches [which are clusters of lymphoid follicles found in the intestine] showed a decrease in Thelper (Th)-1 IFN-γ secretion, while splenic Th1/Th17 inflammatory responses sharply increased,” researchers wrote. “A 100-day titanium dioxide treatment promoted colon microinflammation and initiated preneoplastic lesions.” The scientists concluded: “These data should be considered for risk assessments of the susceptibility to Th17-driven autoimmune diseases and to colorectal cancer in humans exposed to TiO2 from dietary sources.”

In 2021, the European Food Safety Authority concluded that titanium dioxide is no longer safe in foods due to the same concerns over nanoparticles. As a result, titanium dioxide is now banned as a food additive in the EU. Although studies have shown that the absorption of ingested titanium dioxide is low, evidence suggests that titanium dioxide nanoparticles can accumulate in the body over time. Health Canada deemed it safe in 2022 but noted concerns. Unlike their European counterparts, Canadian officials did not consider studies performed with titanium dioxide nanoparticles alone. 

Zinc oxide. Zinc oxide is a popular cross-linking agent for rubber and for various resins. It is essential in the formulation of solvent-borne polychloroprene adhesives. Furthermore, zinc oxide is a good UV stabilizer, has biocidal activity and has a relatively high refractive index (2.0) which makes it an efficient white pigment. Some typical properties are: density 5.6 g/cm³; particle size 0.036-3 μm; oil absorption 10–20 g/100 g; specific surface area 10–45 m²/g. Zinc oxide is produced by reaction of the metal in the vapour state with oxygen. Zinc oxide is nonporous and is quite pure. Thus, the high surface area of some grades is due to the small particle size of zinc oxide. Some grades, especially for use in the rubber industry, are surface modified by deposition of 0.2-0.4% of stearic acid, propionic acid, or light oil [47].

To be added to food, this additive must achieve 99% purity. However, this leaves room for small amounts of potential contaminants like lead, arsenic, or mercury (1Trusted Source).

The evidence also suggests that the toxicity of TiO₂ particles may be reduced when eaten as part of the diet. This is because proteins and other molecules in a person's diet can bind to the TiO₂ particles. This binding alters the physical and chemical properties of the particles, which influences how they interact with cells, tissues and organs.