Some four million tons of titanium dioxide particles are produced worldwide, thus human exposure to them is almost certain during a lifetime.

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The impact of exposure to titanium dioxide nanoparticles on the ability of organisms to resist bacterial infection raise serious concerns.
"We discovered an almost ‘perfect storm’ generated by titanium dioxide nanoparticles against the immune system when they are not impacted by UV light," said Miriam Rafailovich, PhD, Distinguished Professor in the Department of Materials Science and Engineering (MSE) within the College of Engineering & Applied Sciences at Stony Brook University and a co-author on the paper. "This should raise a red flag regarding exposure risks related to products that include titanium dioxide in the absence of UV light."
The researchers, headed by Dr. Tatsiana Mironava of the Department of Materials Science and Engineering, exposed some HeLa cells, a human cell line used in research, to titanium dioxide. Together with Yan Xu of MSE and Dr. Stephen Walker, a microbiologist in the Stony Brook School of Dental Medicine, they then exposed the cells to Staphylococcus aureus, a pathogen that causes a diverse range of human infections worldwide. They found that the titanium dioxide-exposed cells had 250 percent to 350 percent more bacteria per cell than HeLa cells not exposed to the nanoparticles. Additionally, bacterial-killing macrophages exposed to titanium dioxide ingested 40 percent fewer bacteria compared to other cells, further increasing the risk of infection.
The authors concluded that these factors, in combination, "raise serious concerns regarding the impact of exposure to titanium dioxide nanoparticles on the ability of organisms to resist bacterial infection." Co-investigators for the research include: Stony Brook University faculty from MSE, and the Departments of Physiology & Biophysics, and Oral Biology & Pathology; faculty from Lehigh University, University of California, Los Angeles, undergraduate interns from Stern College for Women; and high school students from the Garcia Research Program at Stony Brook University. The research was supported, in part, by the National Science Foundation.
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