Onco-Dermatology Department, CHU Nantes, CRCINA, University Nantes, Nantes, France.
Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Eur Acad Dermatol Venereol. 2019 Nov;33 Suppl 7:34-46. doi: 10.1111/jdv.15943.
Titanium dioxide (TiO ) is widely used in a variety of products including cosmetics. TiO in its nanoparticle form (nano-TiO ) is now the only form used as an ultraviolet (UV) filter in sunscreens, but also in some day creams, foundations and lip balms. While its efficacy as a UV filter is proven in the prevention of skin cancers and sunburns, some concerns have been raised about its safety. Indeed, considering its small size, nano-TiO is suspected to penetrate dermal, respiratory or gastrointestinal barriers, disseminate in the body and therefore constitute a potential risk to the consumer. At the skin level, most studies performed in humans or animals showed that nano-TiO did not penetrate beyond the outer layers of stratum corneum to viable cells and did not reach the general circulation, either in healthy or in compromised skin. The Scientific Committee on Consumer Safety (SCCS) considers nano-TiO as a non-sensitizer and as mild- or non-irritant to skin and concludes in no evidence of carcinogenicity (supported by the European Chemicals Agency), mutagenicity or reproductive toxicity after dermal exposure to nano-TiO . According to the SCCS, nano-TiO from sunscreens does not present any health risk when applied on the skin at a concentration up to 25%. However, the SCCS does not recommend the use of nano-TiO in formulations that may lead to exposure of the consumer's lungs by inhalation (sprayable products and powders). Indeed, even if human data are sparse and inconsistent, lung inflammation was reported in animals. In 2016, the EU Cosmetic Regulation made nano-TiO as an authorized UV filter, except in products that could lead to exposure of the lungs. After oral exposure, nano-TiO absorption and toxicity are limited. The incidental oral exposure to nano-TiO contained in lip balms is thus not expected to induce adverse health effects.
二氧化钛(TiO )广泛应用于多种产品,包括化妆品。其纳米颗粒形式(纳米-TiO )是目前唯一用作防晒霜中紫外线(UV)过滤器的形式,但也用于一些日霜、粉底和唇膏。虽然其作为 UV 过滤器的功效已被证明可预防皮肤癌和晒伤,但人们对其安全性提出了一些担忧。事实上,考虑到其尺寸较小,纳米-TiO 被怀疑会穿透皮肤、呼吸或胃肠道屏障,在体内传播,因此对消费者构成潜在风险。在皮肤水平上,大多数在人类或动物中进行的研究表明,纳米-TiO 不会穿透角质层外层到达有活力的细胞,也不会进入体循环,无论是在健康皮肤还是受损皮肤中。消费者安全科学委员会(SCCS)认为纳米-TiO 是非致敏物,对皮肤温和或无刺激性,并得出结论,在皮肤接触纳米-TiO 后没有致癌性(得到欧洲化学品管理局的支持)、致突变性或生殖毒性的证据。根据 SCCS 的说法,在防晒霜中使用浓度高达 25%的纳米-TiO 时,不会对皮肤造成任何健康风险。然而,SCCS 不建议在可能通过吸入(喷雾产品和粉末)使消费者肺部暴露的配方中使用纳米-TiO 。事实上,即使人类数据稀少且不一致,动物也报告了肺部炎症。2016 年,欧盟化妆品法规将纳米-TiO 作为一种授权的 UV 过滤器,但在可能导致肺部暴露的产品中除外。经口服暴露后,纳米-TiO 的吸收和毒性有限。因此,唇膏中所含的纳米-TiO 的偶然口服暴露预计不会引起不良健康影响。