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In the same year (2019), the Netherlands Food and Consumer Product Safety Authority (NVWA) also delivered an opinion on possible health effects of food additive titanium dioxide, which highlighted the importance of examining immunotoxicological effects in addition to potential reprotoxicological effects.

Numerous studies have linked titanium dioxide to genotoxicity and cytotoxicity. Genotoxicity refers to a chemical’s potential to cause DNA damage, which can, in turn, lead to cancer. Cytotoxicity is a general term that refers to a characteristic of being harmful to cells.  

It is a white crystalline powder, which is a mixture of zinc sulfide and barium sulfate. The more zinc sulfide it contains, the stronger the hiding power and the higher the quality. The density of lithopone is 4.136~4.34/cm3 and it is insoluble in water. It easily decomposes when exposed to acid to produce hydrogen sulfide gas, but does not work when exposed to hydrogen sulfide and alkaline solutions.