In food, titanium dioxide is often used as an artificial color additive. Tasha Stoiber, senior scientist at the consumer health nonprofit Environmental Working Group, says titanium dioxide can generally be thought of as a paint primer – it often goes on a hard-shelled candy like Skittles before the color is added to give it a uniform shine.

In a study published in the journal Toxicology, researchers examined the effects of exposing human colon cancer cell line (HTC116) titanium dioxide food additives in vitro. “In the absence of cytotoxicity, E171 was accumulated in the cells after 24 hours of exposure, increasing granularity and reactive oxygen species, inducing alterations in the molecular pattern of nucleic acids and lipids, and causing nuclei enlargement, DNA damage and tubulin depolymerization,” the scientists wrote. Researchers removed the additive from the culture, then examined the results 48 hours later. They found, “The removal of E171 was unable to revert the alterations found after 24 h of exposure in colon cells. In conclusion, exposure to E171 causes alterations that cannot be reverted after 48 h if E171 is removed from colon cells.”

As a result, tariffs for titanium products are remaining similar to the ones in 2016, which will not cause bigger price fluctuations and keep a stable market.

After oral ingestion, the absorption of titanium dioxide particles is low, however they can accumulate in the body, Maged Younes, chair of the European Food Safety Authority's expert Panel on Food Additives and Flavourings, said in a May 2021 statement.