Review Article

Toxicological Effects of Titanium Dioxide Nanoparticles: A Review of In Vivo Studies

Table 3

In vivo studies that investigated the adverse effects of TiO2 NPs on dermal system.

Dermal and mucosal system
ReferencesCrystal phase composition (particle size in nm)Type of exposureType and number of animals/subjectsResults

Tan et al., 1996 [112]Sunscreen containing 8% microfine TiO2Cutaneous application: 2 times/day for 2–6 wks.13 male and female volunteer patientsTiO2 absorption: levels of Ti in dermis were higher in treated patients compared to controls, but not significantly.

Lademann et al., 1999 [113]W/O emulsion UV-Titan M 160Cutaneous application: 2 mg/cm2 on the volar forearm, 5 times on the first 3 days, and once on the 4th.Human volunteersTiO2 absorption: mostly located in the upper st. corneum.

Pflücker et al., 2001 [107]W/O emulsion T805 coated with trimethyl octylsilane TiO2 (20)
W/O emulsion Eusolex T-2000 TiO2 coated with Al2O3 and SiO2 (10–15)
W/O emulsion Tioveil AQ TiO2 coated with Al and SiO2 (100)
Cutaneous application: 4 mg/cm2 on forearm skin for 6 hr.Human volunteerTiO2 absorption: TiO2 solely localized on the outermost surface of the st. corneum, not in the deeper subcutaneous layers.

Schulz et al., 2002 [108]See Pflücker et al., 2001 [107]TiO2 absorption: located on the outermost surface of the st. corneum and not in the deeper subcutaneous layers.

Menzel et al., 2004 [105]Sunscreen containing TiO2 (length: 45–150; width: 17–35)Cutaneous application: on the back pig skin for 8–48 hr.PigsTiO2 absorption: TiO2 penetrated through intercellular spaces of the st. corneum into the st. granulosum.

Kertész et al., 2005 [106]Hydrophobic emulsion TiO2 NPs.Cutaneous application: on human foreskin grafts for 1–48 hr.Human grafts transplanted into SCID miceTiO2 absorption: corneocyte layers of the st. corneum.

Mavon et al., 2007 [109]Emulsion with 3% T805 Degussa TiO2 coated with trimethyl octylsilane (20)Cutaneous application: 2 mg/cm2 on upper arms.3 human volunteersTiO2 absorption: 93% of the TiO2 applied was recovered in the st. corneum.

Kiss et al., 2008 [110]Hydrophobic emulsion containing micronized TiO2.Cutaneous application: 2 mg/cm2 on human foreskin grafts for 24 hr.Human grafts transplanted into SCID miceTiO 2 absorption: outermost layers of the st. corneum.

Yanagisawa et al., 2009 [114]Rutile TiO2 (15, 50, 100)Intradermal injections: of 20 μg TiO2 with or without mite allergen on the ears.11 male C/NgaTndCrj (NC/Nga) mice per groupAtopic dermatitis: allergen + TiO2 enhanced ear thickening.
Inflammatory action: allergen + TiO2 increased EOSs, IL-4, MCs and decreased IFN-γ; TiO2 increased IL-13.

Wu et al., 2009 [115]Anatase TiO2 ( 5 ± 1 , 1 0 ± 1 )
Rutile TiO2 ( 2 5 ± 5 , 6 0 ± 1 0 )
P25 Degussa TiO2 (~21)
TiO2 (0.3–0.5 μm)
Cutaneous application: 24 mg TiO2 formulations on the pig ear for 30 days and on the mouse interscapular skin for 60 consecutive days.3 male reared pigs per group 6 hairless mice (BALB/c/nu/nu) per groupTiO2 absorption in pigs: TiO2 detected in the st. corneum, granulosum, prickle and basal cell layer, not in the dermis;
TiO2 absorption in mice: increased MDA, reduced HYP content, and excessive keratinisation in skin.

Sadrieh et al., 2010 [104]P25 Degussa TiO2 (30–50)
Rutile TiO2 coated with aluminium hydroxide/dimethicone copolymer (diameter: 20–30, length: 50–150)
Submicron TiO2 (300–500)
Cutaneous application: 2 mg cream/cm2 skin for 4 times/day, 5 days/week, 4 weeks of.3 female Yucatan minipigs per groupTiO2 absorption: TiO2 detected in the upper st. corneum and follicular lumen, with few particles observed in dermal layers as a contamination results.

Adachi et al., 2010 [111]W/O emulsion containing anatase TiO2 ( 2 6 . 4 ± 9 . 5 )Cutaneous application: 4 mg/cm2 TiO2 on dorsal skin.Male hairless Wistar Yagi ratsTiO2 absorption: TiO2 detected in the horny layer of the interfollicular epidermis.

Moon et al., 2011 [116]TiO2 (<25; <100)Intraperitoneal injections: once a day for 28 consecutive days before subcutaneous implantation with B16F10 melanoma cells.MiceTumor growth: increased

Furukawa et al., 2011 [117]Coated TiO2 (long axis: 50–100; short axis: 10–20)Cutaneous application: 5–20 mg TiO2 in the postinitiation phase in a skin carcinogenesis model.10–20 CD1 (ICR) female mice per groupCarcinogenicity: no increased development of skin nodules

EOS, eosinophil; HYP, hydroxyproline; IL-, interleukin; IFN-γ, interferon- γ; MC, mast cell; MDA, malondialdehyde; TiO2 NPs, titanium dioxide nanoparticles.