Various titanium-rich minerals, including ilmenite and rutile, can serve as starting materials for the production of highly purified Titanium Dioxide. The predominant method employed in Titanium Dioxide production is the chloride process. In this process, the mineral, along with coke and chlorine, undergoes a reaction within a fluidized bed, resulting in the formation of primarily titanium tetrachloride and carbon dioxide. Subsequently, the titanium tetrachloride undergoes purification and conversion to Titanium Dioxide. Another method involves treating ilmenite with sulfuric acid to manufacture the chemical.

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In a study published in 2022 in the journal Particle and Fibre Technology, researchers examined the impact of maternal exposure to titanium dioxide nanoparticles in newborn offspring mice. They found that “a chronic exposure to TiO2 NPs during pregnancy alters the respiratory activity of offspring, characterized by an abnormally elevated rate of breathing.” Breathing was also shown to be “significantly and abnormally accelerated,” and the ability for neural circuitry to effectively adjust breathing rates was impaired. The researchers concluded: “Our findings thus demonstrate that a maternal exposure to TiO2 NPs during pregnancy affects the normal development and operation of the respiratory centers in progeny.”

After conducting a review of all the relevant available scientific evidence, EFSA concluded that a concern for genotoxicity of TiO₂ particles cannot be ruled out. Based on this concern, EFSA’s experts no longer consider titanium dioxide safe when used as a food additive. This means that an Acceptable Daily Intake (ADI ) cannot be established for E171.

There’s also concern that exposure to the mineral over time, even in small amounts, can build up in the body, particularly in the kidneys, spleen and liver. Although most of the mineral is excreted in feces, there is evidence that a small percentage may remain in bodily organs.