According to the EFSA's Expert Panel on Food Additives and Flavorings 2021 opinion regarding titanium dioxide, it could not rule out a concern for genotoxicity from ingestion of the material based on a perceived gap in data on this risk, which serves as the basis for current ban, said a March report on the decision.

Lithopone, an alternative to titanium dioxide

Freshwater algae show low-to-moderate susceptibility to TiO₂ exposure, with more pronounced toxic effects in the presence of UV irradiation. It has also been shown that nano-sized TiO₂ is significantly more toxic to algae Pseudokirchneriella sub-capitata than submicron-sized TiO₂. Hund-Rinke and Simon  reported that UV irradiated 25 nm TiO₂ NPs are more toxic to green freshwater algae Desmodesmus subspicatus than UV irradiated 50 nm particles, which is in agreement with Hartmann et al. UV irradiated TiO₂ NPs also inactivated other algae species such as Anabaena, Microcystis, Melsoira and Chroococcus. It was demonstrated that smaller particles have a greater potential to penetrate the cell interior than submicron-sized particles and larger aggregates. Studies have shown that the amount of TiO₂ adsorbed on algal cells can be up to 2.3 times their own weight.

From a stability standpoint, lithopone, a fusion of zinc sulfide and artificially precipitated barite, is non-toxic and exhibits resilience to mild lyes and acids. However, it is incompatible with colors containing copper. Despite its strong covering power in oil, lithopone’s drying capabilities are notably limited, posing potential issues for artists. Notably, early experimentation with lithopone-based grounds instead of zinc white resulted in undesirable darkening, although this blackness receded upon drying. This unpredictable behavior has sparked debate among scientific communities, emphasizing the need for further exploration and understanding of this pigment.