Since then, there has been a few animal studies suggesting titanium dioxide is connected to cancer. A 2017 study in Scientific Reports, for instance, found that rats with titanium dioxide in their diet had impaired immune systems, which could contribute to autoimmune diseases and colorectal cancer.

Nanotoxicology “focuses on determining the adverse effects of nanomaterials on human health and the environment.”

Matthew Wright, chair of the authority's working group on titanium dioxide, noted that the evidence for general toxic effects was not conclusive, but that the panel couldn't rule out genotoxicity entirely. There were also some current data limitations and the assessment could not establish a safe level for daily intake of the food additive, he stated.

It is suitable as an alternative to titanium dioxide when higher acid resistance is required, such as in adhesive joints and sealants. 

Moreover, lithopone suppliers are expanding their product lines to offer variations of the pigment that meet specific market needs. Some suppliers provide specialized grades of lithopone that are tailored for particular applications, such as high gloss paints or specialty coatings. By offering these tailored solutions, suppliers can help paint manufacturers enhance the performance characteristics of their products, thus gaining a competitive edge in the market.