“…Food-grade titanium dioxide (TiO 2 ) labeled as E171 in the European Union has been consumed by humans for more than 50 years (Joint Food and Agriculture Organization of the United Nations and the World Health Organization in 2013) but the TiO 2 toxicity caused by inhalation has highlighted the attention regarding possible adverse effects by other routes of exposure, including oral intake. E171 is a food additive used for whitening and brightening in foodstuffs, dried vegetables, soups, vitamins, chocolates, snacks, chewing gums and solid candies (Kim et al, 2018;Peters et al, 2014;Rompelberg et al, 2016;Weir, Westerhoff, Fabricius, Hristovski, & von Goetz, 2012), generic and name-brand medicines (Faust, Doudrick, Yang, Capco, & Westerhoff, 2016), among others. E171 can be used at quantum satis in the European Union, which means that there is no established limit of E171 added to achieve the quality of the food product, while in the USA, the Food and Drug Administration (FDA) permits 1% E171 as maximum in the food (Lehto et al, 2017).…”