“…9,11,12 The nanomaterial has also been evidenced to cause DNA strand breaks, chromosomal damage, and gene mutation, and can induce epigenetic modifications. 8,10,[12][13][14] At higher concentrations, TiO 2 nanoparticles cause reproductive toxicity in both females and males, [15][16][17] and induce oxidative stress that leads to cell damage, inflammation, and adverse immune responses. 9,11,12,17 Systematic review and metaanalysis have demonstrated that TiO 2 nanoparticles disrupt the mammalian cell cycle in vitro, 18 and disturb glucose and lipid homeostasis in mice and rats.…”