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In a review published in 2022 in the journal Archives of Toxicology, researchers found that the ingestion of E171 is a “a definite health risk for consumers and their progeny.” After reviewing dozens of in vivo, ex vivo and in vitro studies on the toxicity of E171, the researchers wrote that two facts must be noted: “First, reprotoxicity studies show that animals of both sexes are impacted by the toxicity of these nanoparticles, underlining the importance of conducting in vivo studies using both male and female animals. Second, human exposure begins in utero via maternal-fetal transfer and continues after birth by breastfeeding. Children are then chronically re-exposed due to their food preferences. To be relevant to the human in vivo situation, experimental studies should therefore consider nanoparticle exposure with respect to the age or life period of the studied population.”

Lithopone’s historical significance is further accentuated by the advancements and modifications that followed its inception. The 1874 patent by J.B. Orr, for instance, ushered in a new white pigment—Orr’s Zinc White. This innovation was attained by co-precipitating zinc sulfate and barium sulfide, followed by a calcination process. Further refinements marked the subsequent decades, the most notable being the enhancement of lightfastness achieved in the 1920s by introducing small amounts of cobalt salts before calcination.