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.”

“Unlike some other chemicals used in food, titanium dioxide has no nutritive, preservative, or food safety function—its use is purely cosmetic,” said CSPI principal scientist for additives and supplements, Thomas Galligan. “The prospect of titanium dioxide nanoparticles damaging DNA is concerning enough for us to recommend consumers avoid foods that have it.” 

The properties of lithopone are very suitable for use in the production of coatings. Because the ingredients of lithopone are zinc sulfide and barium sulfate, and the more zinc sulfide content, the stronger its covering power. This indicates a paint product with strong white covering power. It is different from water in that it reacts with acid but does not react with alkali. It has a wide range of uses. Because its structural properties are similar to titanium dioxide and its price is relatively cheap, it can also be used as a substitute for some titanium dioxide. Lithopone can be used for coloring paints, inks, pigments, rubber, paper, leather, enamel, etc.