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Food safety experts in the European Union (EU) have recently updated their safety assessment of TiO₂ as a food additive. In Europe, TiO₂ is referred to as E171, in accordance with European labelling requirements for food additives. The EU expert panel took into account toxicity studies of TiO₂ nanoparticles, which to this point had not been considered relevant to the safety assessment of TiO₂ as a food additive.  

Separately, concerns have been raised about titanium dioxide impacting one's genetic code. This can be traced to a 2009 study which found that titanium dioxide nanoparticles caused DNA damage and genetic instability in mice. A 2022 study published in Food and Chemical Toxicology also raised concerns about the DNA-damaging effects of titanium dioxide as a food additive. The study noted that results evidenced a DNA-damaging effect, and added that there may also be impacts to chromosomal integrity, an indicator of cancer risk.