CSPI says it might reconsider its rating if specifications for food-grade titanium dioxide in the U.S. are updated to ensure nanoparticles are minimized, and new studies are conducted to assess its capacity to cause cancer or other health problems. 

We know that there are a lot of suspended organisms and colloidal impurities in natural water. The forms of suspended solids are different. Some large particles of suspended solids can settle under their own gravity. The other is colloidal particles, which is an important reason for the turbidity of water. Colloidal particles can not be removed by natural settlement, because colloidal particles in water are mainly clay with negative electricity The Brownian motion of colloidal particles and the hydration on the surface of colloidal particles make colloidal particles have dispersion stability. Among them, electrostatic repulsion has the greatest influence. If coagulant is added to water, it can provide a large number of positive ions and accelerate the coagulation and precipitation of colloid. Compressing the diffusion layer of micelles makes the potential change into an unstable factor, which is also conducive to the adsorption and condensation of micelles. The water molecules in the hydrated film have fixed contact with the colloidal particles and have high elastic viscosity. It is necessary to overcome the special resistance to expel these water molecules. This resistance hinders the direct contact of the colloidal particles. The existence of some hydrated films depends on the electric double layer state. If coagulant is added to reduce the zeta potential, the hydration may be weakened. The polymer materials formed after coagulant hydrolysis (the polymer materials directly added into water generally have chain structure) play an adsorption bridging role between the colloidal particles. Even if the zeta potential does not decrease or does not decrease much, the colloidal particles can not contact each other and can be adsorbed through the polymer chain Colloidal particles can also form flocs.

In a 2019 study published in the journal Nanotoxicology, researchers recreated the first phase of digestion in mice and fed them titanium dioxide, then examined whether accumulation occurred in the organs. Researchers wrote: “Significant accumulation of titanium was observed in the liver and intestine of E171-fed mice; in the latter a threefold increase in the number of TiO2 particles was also measured. Titanium accumulation in the liver was associated with necroinflammatory foci containing tissue monocytes/macrophages. Three days after the last dose, increased superoxide production and inflammation were observed in the stomach and intestine. Overall, [this] indicates that the risk for human health associated with dietary exposure to E171 needs to be carefully considered.”