On absorption of UV light, photo-generated titanium dioxide particles create singlet oxygen, superoxide anions (O2-) and hydroxyl radicals (OH-) that are potent free radicals (1,2). Irradiated particles of titanium dioxide can induce oxidative damage to DNA (2) which can lead to the development of mutant cells and skin cancers (3,4,5,6) and lipid peroxidation of essential functions on the cell membrane (7).

Titanium dioxide has also been classified as a possible human carcinogen by the International Agency for Research on Cancer, which has caused concern about its use in food products. This classification, however, is currently based on limited evidence from animal studies that involved the inhalation of titanium dioxide particles that increased the risk of lung cancer.

A European ban of titanium dioxide in food took effect in 2022, but it is still legal for use in food in the U.S.