All food businesses currently using titanium dioxide as a food additive have a legal responsibility to comply with the requirements of Regulation (EU) 2022/63, banning the use of titanium dioxide. The FSAI encourages food businesses to source suitable alternatives to titanium dioxide and start the process of reformulation now to ensure compliance in advance of the ban coming into force on 7 August 2022.

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.”

Genotoxicity and cytotoxicity 

Lithopone is added to plastic resin systems to enhance UV protection of the final plastic products that includes outdoor plastics and automotive plastics. It is used as a white pigment for plastics such as polyolefin, vinyl resin, ABS resin, polystyrene, polycarbonate, nylon, and polyoxymethylene (POM). It ensures that UV rays do not penetrate and damage the product and its appearance.  

Of the products that include the additive in their labels, Thea Bourianne, senior manager at data consultant Label Insights, told Food Navigator USA in May 2021 that more than 11,000 products in the company's database of U.S. food and beverage products listed titanium dioxide as an ingredient. Non-chocolate candy led those numbers at 32%. Cupcakes and snack cakes made up 14%, followed by cookies at 8%, coated pretzels and trail mix at 7%, baking decorations at 6%, gum and mints at 4% and ice cream at 2%.

The vitaminC@P25TiO₂NPs, on the other side, did not have any effect on cell protection against ROS. This might be due to the fact that vitamin C, a well-known scavenger of ROS, could behave as prooxidant and even promote ROS and lipid peroxidation [39]. It was recently described that at small concentrations of vitamin C, the prooxidant effects dominate; while in large concentrations the antioxidant ones predominate [40]. The effect also depends on the cell state and the interaction of vitamin C with light. In this case, ascorbic acid may act as an antenna to harvest visible light when conjugated to P25TiO₂NPs. Indeed, it was previously found that this combination (in some ratios) could have an improved photocatalytic activity, possibly due to a red shift in its light absorbance [41]. Further studies on vitaminC@P25TiO₂NPs were not conducted, because of the poor antioxidant capacity [42].

Overall, the Food Directorate's comprehensive review of the available science of TiO₂ as a food additive showed: