{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:30:22Z","timestamp":1790080222117,"version":"4.0.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Toxicol Ind Health"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    Titanium dioxide (TiO\n                    <jats:sub>2<\/jats:sub>\n                    ) is a white powder used in toothpaste, pharmaceuticals, sunscreen, food additives, cosmetics, paints, decontaminants, and photocatalysts. It is produced and used in the workplace in fine and ultrafine particle sizes. International organizations set occupational exposure limits for fine and ultrafine TiO\n                    <jats:sub>2<\/jats:sub>\n                    particles. TiO\n                    <jats:sub>2<\/jats:sub>\n                    has not been confirmed to have carcinogenicity in humans, with available assessment data being limited and inconclusive owing to nonspecific effects observed from TiO\n                    <jats:sub>2<\/jats:sub>\n                    inhalation. The purpose of this toxicological alert is to encourage new studies to determine whether TiO\n                    <jats:sub>2<\/jats:sub>\n                    is a human carcinogen. TiO\n                    <jats:sub>2<\/jats:sub>\n                    \u2019s classification as a possible carcinogen was based on laboratory experiments that produced TiO\n                    <jats:sub>2<\/jats:sub>\n                    particles with 30\u201360\u00a0nm diameters. These studies assessed the potential risk of exposure to TiO\n                    <jats:sub>2<\/jats:sub>\n                    nanoparticles, which have diverse and atypical characteristics compared to those found in workplace settings. To date, there are no studies with sufficient data on the duration of pulmonary exposure to TiO\n                    <jats:sub>2<\/jats:sub>\n                    nanoparticles with significantly relevant workplace associations. Extrapolating results from rodent studies with limited parameter controls do not provide an adequate (translational) assessment of the toxicity of TiO\n                    <jats:sub>2<\/jats:sub>\n                    nanoparticles on the human respiratory system.\n                  <\/jats:p>","DOI":"10.1177\/07482337251343397","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T05:25:24Z","timestamp":1747805124000},"page":"409-413","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Is TiO\n                    <sub>2<\/sub>\n                    carcinogenic? A toxicological alert"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-1044","authenticated-orcid":false,"given":"Nadielle Silva","family":"Bidu","sequence":"first","affiliation":[{"name":"Pharmacy Postgraduate Program, Faculty of Pharmacy, Federal University of Bahia\/UFBA, Salvador, Brazil"},{"name":"Faculty of Pharmacy, Clinical Toxicology Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Bahia\/UFBA, Salvador, Brazil"},{"name":"Faculdade Atenas, School of Medicine, Valen\u00e7a, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Roberto de Veloso","family":"Reis","sequence":"additional","affiliation":[{"name":"UFBA Polytechnic School, Polytechnic School Extension Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2119-437X","authenticated-orcid":false,"given":"Ricardo David","family":"Couto","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Clinical Toxicology Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Bahia\/UFBA, Salvador, Brazil"},{"name":"Zarns Faculty of Medicine, Medicine FTC, Salvador, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-2978","authenticated-orcid":false,"given":"Bruno Jose Dum\u00eat","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Clinical Toxicology Laboratory, Department of Clinical and Toxicological Analysis, Federal University of Bahia\/UFBA, Salvador, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Documentation of the Threshold Limit Values for Chemical Substances","author":"ACGIH","year":"2023","unstructured":"ACGIH (2023) Titanium dioxide. 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(2000) Blood levels of titanium before and after oral administration of titanium dioxide. Pharmazie 55: 140.","journal-title":"Pharmazie"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:CACO.0000036188.23970.22"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02786820701694355"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijheh.2023.114212"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17435390.2016.1238113"},{"key":"e_1_3_3_10_1","volume-title":"Carbon Black, Titanium Dioxide, and Talc","author":"IARC","year":"2010","unstructured":"IARC (2010) Carbon Black, Titanium Dioxide, and Talc. Lyon: IARC."},{"key":"e_1_3_3_11_1","unstructured":"ILO and WHO (2021) Titanium dioxide. 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