The production of Chinese anatase titanium dioxide involves a series of complex chemical processes, including hydrolysis and calcination of titanium precursors. These processes result in the formation of nanoscale particles of anatase titanium dioxide, which exhibit enhanced properties such as increased surface area and improved reactivity. The size and morphology of these nanoparticles can be controlled during the synthesis process, allowing for the production of tailored materials with specific properties for different applications.

In a 2022 study published in the Journal of Hazardous Materials, scientists wanted to examine the effects of titanium dioxide as a food additive on atherosclerosis in mice. (Atherosclerosis refers to a hardening of the arteries.) Researchers fed mice 40 mg/kg of the food additive every day for 4 months, and found that it not only altered gut microbiota but also led to a significantly increased atherosclerotic lesion area, especially in animals that consumed a high-choline western diet (HCD).

In a study published in the journal Food and Chemical Toxicology in 2016, researchers investigated whether titanium dioxide exposure led to an increase in colorectal tumor creation in mice by using a colitis associated cancer model. By measuring tumor progression markers, the researchers found that mice given titanium dioxide experienced enhanced tumor formation in the distal colon.  There was also a decrease of cells that act as a protective barrier in the colon. The researchers wrote: “These results suggest that E171 could worsen pre-existent intestinal diseases.”