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The safety of food-grade titanium dioxide, or E171, lies in its ultrafine particle size. These particles are too small to be absorbed by the human body, passing through the digestive system without causing harm. Extensive research has been conducted to confirm this, with studies showing no evidence of genotoxicity or carcinogenicity. However, recent concerns about potential effects from nano-sized particles have led to ongoing evaluations However, recent concerns about potential effects from nano-sized particles have led to ongoing evaluations However, recent concerns about potential effects from nano-sized particles have led to ongoing evaluations However, recent concerns about potential effects from nano-sized particles have led to ongoing evaluationsfood safe titanium dioxide.

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In an early study Jani et al. administred rutile TiO2 (500 nm) as a 0.1 ml of 2.5 % w/v suspension (12.5 mg/kg BW) to female Sprague Dawley rats, by oral gavage daily for 10 days and detected presence of particles in all the major gut associated lymphoid tissue as well as in distant organs such as the liver, spleen, lung and peritoneal tissue, but not in heart and kidney. The distribution and toxicity of nano- (25 nm, 80 nm) and submicron-sized (155 nm) TiO2 particles were evaluated in mice administered a large, single, oral dosing (5 g/kg BW) by gavage. In the animals that were sacrificed two weeks later, ICP-MS analysis showed that the particles were retained mainly in liver, spleen, kidney, and lung tissues, indicating that they can be transported to other tissues and organs after uptake by the gastrointestinal tract. Interestingly, although an extremely high dose was administrated, no acute toxicity was observed. In groups exposed to 80 nm and 155 nm particles, histopathological changes were observed in the liver, kidney and in the brain. The biochemical serum parameters also indicated liver, kidney and cardiovascular damage and were higher in mice treated with nano-sized (25 or 80 nm) TiO2 compared to submicron-sized (155 nm) TiO2. However, the main weaknesses of this study are the use of extremely high single dose and insufficient characterisation of the particles.

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In conclusion, NIOSH's work on titanium dioxide underscores the importance of balancing the benefits of this versatile material with the need for occupational safety and health. By conducting research, setting exposure limits, and promoting best practices, NIOSH ensures that the use of TiO2 in industries remains safe and sustainable. As technology advances and new applications emerge, NIOSH's role in protecting worker health in relation to TiO2 will continue to be vital.

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