This study & others have lead France to ban Titanium Dioxide as a Food Additive.

Although the evidence for general toxic effects was not conclusive, on the basis of the new data and strengthened methods we could not rule out a concern for genotoxicity and consequently we could not establish a safe level for daily intake of the food additive, commented Matthew Wright, member of the EFSA's Food Additives and Flavourings Panel in a press statement.

Titanium dioxide is predominantly used as a pigment in products such as paints, coatings, plastics, food, cosmetics, and paper. The ability of TiO2 to scatter light and provide a white color makes it an essential ingredient in achieving high-quality finishes in these applications. However, the production of titanium dioxide can be complex and costly, given that it involves raw materials such as ilmenite and rutile, as well as advanced processing technologies. Manufacturers are continuously striving to optimize costs without compromising quality, making the search for affordable suppliers a top priority for many businesses.

Lithopone B301, Lithopone B311 powder is widely used in coatings, printing ink, rubber, plastic industry, etc.

French researchers studied how and where E171 nanoparticles enter the bloodstream, first studying the route through pigs and then in vitro with human buccal cells, for a 2023 study published in the journal Nanotoxicology. The research showed that the nanoparticles absorbed quickly through the mouth and then into the bloodstream, before damaging DNA and hindering cell regeneration.

Food safety experts in the European Union (EU) have recently updated their safety assessment of TiO₂ as a food additive. In Europe, TiO₂ is referred to as E171, in accordance with European labelling requirements for food additives. The EU expert panel took into account toxicity studies of TiO₂ nanoparticles, which to this point had not been considered relevant to the safety assessment of TiO₂ as a food additive.