Mexican researchers sought to evaluate the effects of E171 across a span of conditions in mice, including its influence on behavior, along with the effects on the colon and liver. The research, published in 2020 in the journal Food and Chemical Toxicology, showed that E171 promoted anxiety and induced adenomas, or noncancerous tumors, in the colon. They also found that E171 heightened goblet cells hypertrophy and hyperplasia, which is typically seen in asthma patients and triggered by smoking or external pollutants and toxins. They also noted mucins overexpression in the mice, which can be linked to cancer cell formation. 

It is a white crystalline powder, which is a mixture of zinc sulfide and barium sulfate. The more zinc sulfide it contains, the stronger the hiding power and the higher the quality. The density of lithopone is 4.136~4.34/cm3 and it is insoluble in water. It easily decomposes when exposed to acid to produce hydrogen sulfide gas, but does not work when exposed to hydrogen sulfide and alkaline solutions.