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. 

If you want to avoid titanium dioxide, Stoiber and Faber urge consumers to try and avoid processed foods as best as you can.

Titanium dioxide is a naturally-occurring mineral found in the earth’s crust. Because of its white color, opaqueness, and ability to refract light, the ingredient is often used as a pigment, brightener, and opacifier, which is an ingredient that makes a formulation more opaque. Titanium dioxide is also a UV filter and so is an effective active ingredient in sunscreens. It’s often used in cosmetic loose and pressed powders, especially “mineral powder” cosmetics, in addition to other cosmetics, lotions, toothpaste, and soap.

Titanium dioxide particles help light scatter and reflect, Kelly Johnson-Arbor, MD, a medical toxicology physician at the National Capital Poison Center, told Health. Because of that, we often use it as a whitening agent.