In a 2022 study published in the Journal of Hazardous Materials, scientists wanted to examine the effects of titanium dioxide as a food additive on atherosclerosis in mice. (Atherosclerosis refers to a hardening of the arteries.) Researchers fed mice 40 mg/kg of the food additive every day for 4 months, and found that it not only altered gut microbiota but also led to a significantly increased atherosclerotic lesion area, especially in animals that consumed a high-choline western diet (HCD).

Titanium dioxide can form several different shapes, which have different properties. Some shapes can be converted to nanomaterials. Micronized TiO2 (also called “nano” or “nanoparticles”) was introduced in the early 1990s.Nanotechnology and micronization both refer to the practice of creating very small particles sizes of a given material. “Nanoparticles” usually refers to particles smaller than 100 nanometers; a nanometer is 1/1 billionth of a meter. At these small sizes, and at low concentrations, titanium dioxide appears transparent, allowing for effective sunscreens that do not appear white.

The main concern with nanoparticles is that they are so tiny that they are absorbed into the skin more than we want them (ideally sunscreen should remain on the surface of the skin). Once absorbed they might form unwanted complexes with proteins and they might promote the formation of evil free radicals. But do not panic, these are concerns under investigation. A 2009 review article about the safety of nanoparticles summarizes this, to date, in-vivo and in-vitro studies have not demonstrated percutaneous penetration of nanosized particles in titanium dioxide and zinc oxide sunscreens. The English translation is, so far it looks like sunscreens with nanoparticles do stay on the surface of the skin where they should be.  

When asked about the recent Skittles lawsuit, the FDA said the agency does not comment on pending litigation.