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To avoid exposure to titanium dioxide, follow these recommendations:

Research has shown that, when ingested as a food additive, titanium dioxide and its nanoparticles can impact, alter, and/or damage important protective bacteria in the gut, along with the metabolic pathways of gut bacteria.

TiO₂ NPs appeared to be more toxic to nematode Caenorhabditis elegans than submicron-sized TiO_2.  At a concentration of 1 mg/l, 7 nm particles affected its fertility and survival rate and were more toxic than 20 nm anatase particles. Similarly, Hu et al. showed that rutile particles (10–20 nm), at concentrations above 1 g/kg soil, can be bio-accumulated in earthworms, where they induce oxidative stress, inhibit the activity of cellulase and induce DNA and mitochondrial damage.

Titanium IV oxide is also used in the pharmaceutical industry. It is often used as a coating for medications to improve their stability and appearance. Titanium dioxide helps to protect medications from degradation caused by light, moisture, and other environmental factors. It is commonly used in tablets, capsules, and other oral dosage forms to improve their shelf life and effectiveness.

Application:

Titanium dioxide has similar uses in non-food products. It is used in sunscreen as effective protection against UVA/UVB rays from the sun, which creates a physical barrier between the sun’s rays and the skin. It’s also used to whiten paint, paper, plastic, ink, rubber, and cosmetics.

A study published in the Journal of Agricultural and Food Chemistry in 2019 sought to examine the effects of titanium dioxide on intestinal inflammation. Researchers did this by feeding rats titanium dioxide nanoparticles and found that, after the course of two to three months, the animals had lower body weights and induced intestinal inflammation. The researchers also found the nanoparticles altered gut microbiota composition and aggravated chronic colitis. The rats also experienced reduced populations of CD4+T cells (which are cells that help organize immune responses by prompting other immune cells to fight infection), regulatory T cells, and white blood cells in mesenteric lymph nodes. The researchers wrote: “Dietary TiO2 nanoparticles could interfere with the balance of the immune system and dynamic of gut microbiome, which may result in low-grade intestinal inflammation and aggravated immunological response to external stimulus, thus introducing potential health risk.”

The presence of so many lithopone factories in China has also led to advancements in production technology and quality control. Chinese manufacturers have invested heavily in research and development to improve the performance of their lithopone products, leading to higher quality and more consistent products on the market. This has helped to cement China's reputation as a leading producer of lithopone on the global stage.

Fig. 7. Lipid peroxidation measured on samples of MSSA with: A) 0.2 mg/mL P25TiO₂NPs; B) 0.02 mg/mL P25TiO₂NPs; C) 0.2 mg/mL VitaminB2@P25TiO₂NPs; D) VitaminB2@P25TiO₂NPs 0.02 mg/mL after 3 h of irradiation (red) and 6 h (blue). MDA could not be detected after 6 h of irradiation in a sample with P25TiO₂NPs. Error bars are too small to be seen in graphic and p < 0.05 between C-D and A-B.