Other scientists, however, have called into question the experimental designs of such studies, citing inconsistent results specifically in studies used to test DNA damage.

Overall, the precipitation of titanium dioxide is a complex process that requires careful control of various factors to achieve the desired product properties. By optimizing the precipitation percentage and carefully monitoring the precipitation process, manufacturers can produce high-quality titanium dioxide that meets the stringent requirements of their customers in the paints, coatings, plastics, and cosmetics industries.

After oral ingestion, the absorption of titanium dioxide particles is low, however they can accumulate in the body, Maged Younes, chair of the European Food Safety Authority's expert Panel on Food Additives and Flavourings, said in a May 2021 statement.

Safety

In recent years, titanium dioxide (TiO2) has gained immense popularity across various industries due to its excellent properties, such as high opacity, brightness, and ultraviolet light absorption. As a result, the demand for titanium dioxide has increased significantly, prompting a surge in the number of manufacturers hoping to capitalize on this booming market. While quality remains a priority, cost-effectiveness has emerged as a crucial factor for consumers, leading to a growing interest in cheap titanium dioxide manufacturers.

Coronavirus-related shutdowns in the first half of the quarter prompted forcible measures at several small-scale ilmenite factories in China and India, subsequently exacerbating the Titanium supply problem. The chemical's tight supply condition was extended until the end of the quarter, as few participants were heard holding cargoes in expectation of an exceptional surge in its seasonal demand.

Currently, titanium dioxide as a food additive is classified as GRAS, or “generally recognized as safe.” 

Below are selected applications of photocatalytic pollutant decomposition processes on titanium oxide:
1. Self-cleaning surfaces: for the production of glass for spotlights, traffic lights, car mirrors, window panes, for road paints, for covering sound-absorbing screens and tunnel walls.
2. Air cleaning and odor removal: filters that are used in enclosed spaces (e.g. public toilets) or filters for air-conditioning equipment.
3. Water treatment: groundwater treatment installations, water purification installations in the intakes of drinking water from rivers.
4. Self-disinfecting materials: towels, linings, clothing, equipment in hospitals, wall surfaces of operating rooms.
5. Removal of lesions: anti-cancer therapy.

It adds a bright white color to coffee creamers, baked goods, chewing gums, hard-shell candies, puddings, frostings, dressings, and sauces. But the nanoparticles found in “food-grade” titanium dioxide may accumulate in the body and cause DNA damage—which is one way chemicals cause cancer and other health problems. 

The most significant uncertainty identified by the EU experts was the concern that TiO₂ particles may have genotoxic effects. Genotoxicity refers to the ability of a chemical to directly damage genetic material within a cell (DNA), which may lead to cancer in certain situations. Although the experts did not conclude that TiO₂ particles in E171 are genotoxic, they could not rule out the concern that they might be.

This constant high rate of ROS production leads rapidly to extreme macromolecular oxidation, here it is observed in the AOPP and MDA detected after 3 h in samples treated with bare P25TiO₂NPs (Fig. 6, Fig. 7). Macromolecular oxidation includes, among others, both protein and lipid oxidation. The ROS causes protein oxidation by direct reaction or indirect reactions with secondary by-products of oxidative stress. Protein fragmentation or cross-linkages could be produced after the oxidation of amino acid side chains and protein backbones. These and later dityrosine-containing protein products formed during excessive production of oxidants are known as advanced oxidation protein products (AOPP). They absorb at 340 nm and are used to estimate the damage to structural cell amino acids. Lipid oxidation is detected by the conjugation of oxidized polyunsaturated lipids with thiobarbituric acid, forming a molecule that absorbs light at 532 nm. Polyunsaturated lipids are oxidized as a result of a free-radical-mediated chain of reactions. The most exposed targets are usually membrane lipids. The macromolecular damage could represent a deadly danger if it is too extensive, and this might be the case. Moreover, it could be observed that cellular damage continues further and becomes irrevocable after 6 h and MDA could not be detected. This may be due to the fact that the lipids were completely degraded and cells were no longer viable. Lipids from the cell membrane are the most prone to oxidation. In fact, lipid peroxidation biomarkers are used to screen the oxidative body balance [51]. At the same time, AOPP values are up to 30 times higher for bare nanoparticles in comparison to the functionalized ones.