Occurrence and distribution of antibiotics, antibiotic resistance genes in the urban rivers in Beijing, China

Detection of Extended-Spectrum β-Lactamases (ESBL) Producing Enterobacteriaceae from Fish Trapped in the Lagoon Area of Bizerte, Tunisia

Extended-spectrum β-lactamase and their molecular mechanism in Enterobacteriaceae were analyzed in 126 fish samples of 9 various wild species, living in the lagoon of Bizerte in Tunisia. Fifty-nine (59) Gram-negative strains were isolated and identified as Escherichia coli (n = 24), Klebsiella pneumonia (n = 21), Citrobacter freundii (n = 8), and Shigella boydii (n = 6). Forty-seven ESBL producers were identified using the synergic test. β-Lactamase genes detected were bla_CTX-M-1 (E. coli/15; K. pneumonia/8; C. freundii/1; Sh. boydii/1), bla_CTX-M-1+ bla_OXA-1 (E. coli/4; K. pneumonia/3), bla_CTX-M-1+ bla_TEM-1-a (K. pneumonia/2), bla_CTX-M-15+ bla_TEM-1-a (K. pneumonia/1; Sh. boydii/1), bla_CTX-M-15+ bla_OXA-1 (K. pneumonia/1), bla_CTX-M-15 (E. coli/3; K. pneumonia/1; Sh. boydii/3), and bla_CTX-M-9 (C. freundii/3). Most strains (84.7%) showed a multiresistant phenotype. qnrA and qnrB genes were identified in six E. coli and in ten E. coli+one K. pneumonia isolates, respectively. The resistance to tetracycline and sulfonamide was conferred by the tet and sul genes. Characterization of phylogenic groups in E. coli isolates revealed phylogroups D (n = 20 strains), B2 (n = 2), and A (n = 2). The studied virulence factor showed prevalence of fimA genes in 9 E. coli isolates (37.5%). Similarly, no strain revealed the three other virulence factors tested (eae, aer, and cnf1). Our findings confirmed that the lagoons of Bizerte may be a reservoir of multidrug resistance/ESBL-producing Enterobacteriaceae. This could lead to indisputable impacts on human and animal health, through the food chain.

Linking bacterial community shifts with changes in the dissolved organic matter pool in a eutrophic lake

Aquatic bacterial communities play crucial roles in the circulation of nutrients in watershed ecosystems. However, the interaction between bacterial communities and chromophoric dissolved organic matter (CDOM) in freshwater ecosystems has not been studied in depth. In our study, we examined the constitution and interactions of CDOM with the bacterial community in Lake Chaohu and its inflow rivers under the influence of different exogenous pollutants. The results revealed that the bacterial community diversity in the inflow rivers was significantly lower than that in the lake sites. Clustering of different types of polluted inflow rivers integrated with the most abundant genera observed in specific areas indicated that environmentally guided species selection had a large impact on the composition of aquatic bacterial communities. Moreover, our study suggests that communities in lake environments may be more susceptible to interference through a variety of physiologies or via functional redundancy, allowing them to preserve their community structure. Through linear discriminant analysis effect size (Lefse) methods, we revealed that some taxa (from phylum to genus) were consistently enriched in the lake sites. Based on correlation network analysis results, the supersession niches of bacterial community members related to different CDOM in the biogeochemical process was determined. This study provides an ecological basis for the control of external pollution and the protection of the water environment in watershed ecosystems.

Occurrence, distribution, and source track of antibiotics and antibiotic resistance genes in the main rivers of Chongqing city, Southwest China

In this study, the occurrence of 14 antibiotics, four corresponding antibiotic resistance genes (ARGs) and two microbial source tracker (MST) indicators were analyzed in two rivers of Chongqing city, southwest China. The results showed that 13 antibiotics were detected in all 12 sites and their detection frequencies were much higher in September, but concentrations were lower than that in March. Of them, erythromycin (ETM) and ofloxacin (OFL) were the predominant antibiotics in both seasons. The remarkably higher concentration of antibiotics in sediments of these rivers than those in other rivers were found. Environmental risk assessment found that four antibiotics posed high risk toward some sensitive algae. For ARGs, their relative abundances were higher in waters than those in sediments, higher in March than in September. Correlation analysis showed that antibiotics were not the exclusive selective pressure of ARGs; many environmental factors like dry matter contents on a mass basis, organic matter, total organic carbon, dissolved organic carbon, temperature, oxidation reduction potential and nitrite could affect the occurrence of ARGs. MST indicators analysis demonstrated that this river basin was largely polluted by human and pig feces, and human feces might be one main source of the four ARGs and five antibiotics.

Contamination profile of antibiotic resistance genes in ground water in comparison with surface water

Dissemination of antibiotic resistance genes (ARGs) in the water environment has become an increasing concern. There have been many reports on ARGs in surface water, but little is known about ARGs in groundwater. In this study, we investigated the profiles and abundance of ARGs in groundwater in comparison with those in surface water of Maozhou River using high-throughput quantitative PCR (HT-qPCR). Totally 127 ARGs and 10 MGEs were detected by HT-qPCR, and among them the sulfonamides, multidrug and aminoglycosides resistance genes were the dominant ARG types. According to the results of HT-qPCR, 18 frequently detected ARGs conferring resistance to 6 classes of antibiotics and 3 MGEs were further quantified by qPCR in the wet season and dry season. The absolute abundance ranged from 1.23 × 10⁵ to 8.89 × 10⁶ copies/mL in wet season and from 8.50 × 10² to 2.65 × 10⁶ copies/mL in the dry season, with sul1 and sul2 being the most abundant ARGs. The absolute abundance of ARGs and MGEs has no significant difference between the wet season and dry season while the diversity of ARGs in the dry season was higher than that in the wet season (p < 0.05). Totally 141 and 150 ARGs were detected in the water and sediments of Maozhou River, respectively. A total of 116 ARGs were shared among the groundwater, river water, and sediment, which accounted for 67.1% of all detected genes. Redundancy analysis further demonstrated that the environmental factors contributed 70.7% of the total ARG variations. The findings of large shared ARGs, abundant Total Coliforms and large wastewater burden in the groundwater provide a clear evidence that anthropogenic activities had a significant impact on groundwater.

Prevalence and pollution characteristics of antibiotic resistant genes in one high anthropogenically-impacted river

The objectives of this study were to comprehensively investigate the occurrence, distribution, and mobility of antibiotic resistant genes (ARGs) in the biofilm, water, and sediment from a section of the Weihe-river, in the northern Henan province, China. The abundances of nine ARGs belonging to four commonly used antibiotic classes (tetracyclines, sulfonamides, fluoroquinolones, and multidrug) and class 1 integron-integrase gene (intI1) were quantified. Sulfonamides gene (sulI) accounted for the highest percentage of detected ARGs in most sampling sites, including in water, biofilm, and sediment. Among the resistance genes, IntI1 and sul1 were significantly correlated (r>0.800, p<0.01) with a fecal coliform (FC) detected in the biofilm, and there was also a significantly positive correlation between the abundances of 16SrRNA and intI1 in the biofilms. Compared with the sediment and water samples, the biofilms contained sufficient nutrients to promote bacterial reproduction. Under sufficient total nitrogen and phosphorus concentrations, the horizontal gene transfer due to intI1 plays a key role in the formation and migration of ARGs within biofilms.

Urbanization drives riverine bacterial antibiotic resistome more than taxonomic community at watershed scale

Although the occurrence and distribution of antibiotic resistance genes (ARGs) in various aquatic ecosystems are well explored, understanding of the ecological processes and mechanisms governing the composition and dynamics of bacterial ARGs still remains limited across space and time. Here, we used high-throughput approaches to detect spatial patterns of bacterial ARGs and operational taxonomic units (OTUs) in an urbanizing subtropical watershed, Xiamen, southeast China over a five-year period. At watershed scale, the OTU profiles were undergoing a directional change, but the ARG profiles showed a high stability or stochastic change over time. Compared with the upstream and midstream, the richness, absolute abundance, normalized abundance and diversity of ARGs were significantly higher in the downstream waters. Our results revealed a clear rural-urban disparity in ARG and OTU profiles which were mainly governed by deterministic and stochastic assembly processes, respectively. With the increase of urban building area along the river, the ecological processes of ARG profiles shifted from stochastic to deterministic. In downstream waters, the bacterial ARG profiles were much more stable than bacterial OTUs. Further, our results indicated that both human-dominated environment (e.g., land use) and mobile genetic elements (MGEs) played an important role in shaping the ARG profiles and dynamics. Overall, this was a response to spatially extensive human-landscape interactions that included urban development in the river downstream region, which were common across subtropical coastal cities of China and can alter the ARG profile dynamics along rural-urban gradient. Therefore, watershed management actions aiming at reducing threats posed by ARGs in urbanizing watershed should first consider the surrounding urbanization level and the mode and intensity of human activity. Our findings also imply that due to the decoupling of bacterial function and taxonomy, both aspects should be studied separately.

Occurrence and fate of antibiotic residues and antibiotic resistance genes in a reservoir with ecological purification facilities for drinking water sources

Antibiotics and antibiotic resistance genes (ARGs) are emerging contaminants in surface waters, especially drinking water sources, where they can pose a risk to human health and aquatic ecology. The ecological purification facilities constructed in the drinking water reservoirs are intended to safeguard water quality. However, their ability to remove antibiotics and ARGs from the water and the presence of ARGs in such river-reservoir systems have not been comprehensively characterized yet. The occurrence, distribution and spatiotemporal variations in antibiotics, ARGs, and mobile genetic elements (MGEs) were investigated in a representative river-reservoir system in Shanghai, China. A total of 283 ARGs and 12 MGEs were detected in the water using high- throughput quantitative PCR analysis. Antibiotic residues and the absolute abundance of total ARGs and MGEs in reservoir inflow were significantly reduced when water from the river passed through the ecological purification processes in the reservoir. Antibiotics in this river-reservoir system posed only limited risks to the aquatic ecosystem and human health. No significant correlation was observed between the distribution pattern of ARGs and spatiotemporal factors. The dominant ARGs were strongly and significantly correlated with integrons. Through redundancy analysis and variation partitioning analysis, we determined that MGEs were the major driver shifting the distribution of ARGs, and the effects of environmental factors and antibiotic residues were reflected in the joint effects with MGEs. The small ecological reservoir was verified as an effective engineering to mitigate ecological risk in the drinking water source.

Occurrence of typical antibiotics in Nansi Lake's inflowing rivers and antibiotic source contribution to Nansi Lake based on principal component analysis-multiple linear regression model

The occurrence and distribution of 14 antibiotics in the surface water and sediment of Nansi Lake's inflowing rivers were studied. The concentrations of the antibiotics in the sediment and water were not detected (ND)-193,440 ng kg^-1 and ND-694 ng L^-1, respectively, and ofloxacin was identified as the main antibiotic. The target antibiotics were identified at decreased levels in the study area compared with the inflowing rivers of other lakes. The decreased antibiotic concentrations resulted from the dilution effect, strong biodegradation, and rapid photolysis during the wet season. The spatial variations were due to the differences in regional contributions; the concentrations of antibiotics from Jining and Peixian were the highest. Antibiotic pollution in different seasons originated from different sources; pollution levels were determined by water levels and rainfall as well as complicated runoff generation and confluence mechanisms. Based on the risk quotients, ofloxacin, sulfamethoxazole and sulfadiazine were identified as the main antibiotics that contributed to high ecological risks. Algae and aquatic plants were the main model organisms exposed to these risks. This study has great significance for environmental prevention and the control of antibiotic contamination in Nansi Lake, which is an important water transport channel and the main impounded lake for the eastern route of the south-to-north water diversion project.

Wastewater discharge drives ARGs spread in the coastal area: A case study in Hangzhou Bay, China

The distribution of 14 ARGs, intI1, and 16S rDNA were analysed in 4 wastewater treatment plants (WWTPs), 2 effluent receiving areas (ERAs), and Hangzhou Bay (HZB). The results showed that each integrated WWTP (IWWTP) received higher abundance of ARGs than pharmaceutical WWTPs (PWWTPs), and IWWTPs removed ARGs more efficiently than PWWTPs. The WWTP effluents greatly contributed to the ARGs pollution in the water environments of the ERAs and HZB, and the total abundance of the ARGs displayed a distance decay pattern. In coastal sediments, more ARGs were accumulated in remote sites. The correlation analysis showed that the occurrence of ARGs was more related to 16S rDNA and intI1 in the WWTPs. Three macrolides resistance genes (ermB, mphA, and vatB) had strong correlations with 16S rDNA and intI1 in all the sample groups. Our study clearly reveals the link between land WWTPs discharge and emerging pollution of ARGs in coastal environments.

Prevalence of Potentially Pathogenic Antibiotic-Resistant Aeromonas spp. in Treated Urban Wastewater Effluents versus Recipient Riverine Populations: a 3-Year Comparative Study

Antibiotic resistance continues to be an emerging threat both in clinical and environmental settings. Among the many causes, the impact of postchlorinated human wastewater on antibiotic resistance has not been well studied. Our study compared antibiotic susceptibility among Aeromonas spp. in postchlorinated effluents to that of the recipient riverine populations for three consecutive years against 12 antibiotics. Aeromonas veronii and Aeromonas hydrophila predominated among both aquatic environments, although greater species diversity was evident in treated wastewater. Overall, treated wastewater contained a higher prevalence of nalidixic acid-, trimethoprim-sulfamethoxazole (SXT)-, and tetracycline-resistant isolates, as well as multidrug-resistant (MDR) isolates compared to upstream surface water. After selecting for tetracycline-resistant strains, 34.8% of wastewater isolates compared to 8.3% of surface water isolates were multidrug resistant, with nalidixic acid, streptomycin, and SXT being the most common. Among tetracycline-resistant isolates, efflux pump genes tetE and tetA were the most prevalent, though stronger resistance correlated with tetA. Over 50% of river and treated wastewater isolates exhibited cytotoxicity that was significantly correlated with serine protease activity, suggesting many MDR strains from effluent have the potential to be pathogenic. These findings highlight that conventionally treated wastewater remains a reservoir of resistant, potentially pathogenic bacterial populations being introduced into aquatic systems that could pose a threat to both the environment and public health.IMPORTANCE Aeromonads are Gram-negative, asporogenous rod-shaped bacteria that are autochthonous in fresh and brackish waters. Their pathogenic nature in poikilotherms and mammals, including humans, pose serious environmental and public health concerns especially with rising levels of antibiotic resistance. Wastewater treatment facilities serve as major reservoirs for the dissemination of antibiotic resistance genes (ARGs) and resistant bacterial populations and are, thus, a potential major contributor to resistant populations in aquatic ecosystems. However, few longitudinal studies exist analyzing resistance among human wastewater effluents and their recipient aquatic environments. In this study, considering their ubiquitous nature in aquatic environments, we used Aeromonas spp. as bacterial indicators of environmental antimicrobial resistance, comparing it to that in postchlorinated wastewater effluents over 3 years. Furthermore, we assessed the potential of these resistant populations to be pathogenic, thus elaborating on their potential public health threat.

Assessment of the Risks of the Major Use Antibiotics in China's Surface Waters Using a Probabilistic Approach

The occurrence of antibiotics in China's surface waters is an emerging concern. Although the ecological risk assessment for a small number of antibiotics is available in some regions, no attempt has been made to assess their risks at a national scale. The present work therefore proposed a probabilistic approach to characterize the ecological risks of 26 major use antibiotics, including sulfonamides, tetracyclines, beta-lactams, fluoroquinolones, and macrolides, in China's surface waters. Initially we performed exposure and hazard assessment for these substances by synthesizing and interpreting the available occurrence and ecotoxicity data. For 22 antibiotics with sufficient ecotoxicity data, we assessed their risks by constructing joint probability curves (JPCs), from which their expected ecological risk (EER) estimates were less than 1%; for all the 26 antibiotics, in conjunction with the exposure distribution curves (EDCs), an assessment factor (AF) approach was applied and the potential risks were only detected for amoxicillin, ciprofloxacin, and penicillin with risk quotients (RQs) of 1.04, 1.54, and 5.83, respectively. These results indicated that the ecological risks of most major use antibiotics posed to nontarget organisms in China's aquatic environment seem to be low. Nevertheless, there are large uncertainties in the risk characterization processes, likely because of the significant data gaps in the understanding of exposure and hazards of these antibiotics. Integr Environ Assess Manag 2019;00:1-10. © 2019 SETAC.

The occurrence of sulfonamide and quinolone resistance genes at the Fildes Peninsula in Antarctica

Antibiotic resistance pollution is globalizing. However, little quantitative data exists regarding the occurrence of antibiotic resistance genes (ARGs) in Antarctica, which is central to assessing the level of global contamination of ARGs. Soil, sediment, and animal feces were sampled from 12 sites in the Fildes Peninsula in January and February 2017. The occurrence and distribution of qnrS, sul1 and sul2 were investigated. The results showed that sul1 was the predominant ARG and that all the ARGs were detected in animal feces. The total absolute abundance of the ARGs in animal feces (5.86 × 10⁷ copies) was the highest. Strong and positive correlations between sul1 and int1 were found, indicating that int1 might play an important role in the creation and spread of ARGs. This data and the analysis are critical for filling the data gap regarding ARGs in Antarctica and for improving understanding of the globalization of antibiotic resistance pollution.

Pesticides in the typical agricultural groundwater in Songnen plain, northeast China: occurrence, spatial distribution and health risks

Songnen plain is an important commodity grain base of China, and this is the first study on the comprehensive detection of multiple pesticides in groundwater. Based on an analytical method of 56 pesticides, 30 groundwater samples were collected and analyzed. At least 4 pesticides were detected in each sample and 32 out of 56 pesticides were detected. The average detected levels of individual pesticides were approximately 10-100 ng/L. Organophosphorus pesticides and carbamate pesticides were the dominant pesticides, and their percentage of total pesticide concentrations were 35.9% and 55.5%, respectively. Based on the spatial distribution, the characteristic of nonpoint source pollution was indicated in the whole study area except for a point source pollution with the influence of a sewage oxidation pond. Nine core pesticides and three distinct clusters of the core pesticides with various concentration patterns were revealed by cluster analysis. Linear regression identified a significant relationship between the cumulative detections and the cumulative concentrations, providing access to identify the outlying contaminant events that deviate substantially from the linear trend. A new insight for prediction of pesticide occurrence was provided by the Pearson correlation between some individual pesticide concentrations and the cumulative detections or the cumulative concentrations. According to health risk assessment, the residual pesticides posed medium risks for children and infants and approximately 90% of risks were composed of β-HCH, dimethoate, ethyl-p-nitrophenyl phenylphosphonothioate and methyl parathion. These findings contributed to establishing a database for future monitoring and control of pesticides in agricultural areas.

Pig liver esterases PLE1 and PLE6: heterologous expression, hydrolysis of common antibiotics and pharmacological consequences

Carboxylesterases, historically referred as non-specific esterases, are ubiquitous hydrolases with high catalytic efficiency. Without exceptions, all mammalian species studied contain multiple forms of carboxylesterases. While having been widely studied in humans and experimental animals, these enzymes remain to be characterized in farm animals. In this study, we showed that pig liver esterase 1 (PLE1) and pig liver esterase 6 (PLE6) were highly active toward amoxicillin (AMO) and ampicillin (AMP), two major antibiotics that are widely used in food-supplements. Mass-spectrometric analysis established that the hydrolysis occurred at the β-lactam amide bond and the hydrolysis drastically decreased or completely eliminated the antibacterial activity. Furthermore, hydrolytic activity and proteomic analysis suggested that trace PLEs existed in pig plasma and contributed little to the hydrolysis of AMO and AMP. These results suggested that carboxylesterases-based hydrolysis determines the therapeutic intensity of these and related antibiotics and the magnitude of the determination occurs in a species-dependent manner.

Influence of Two-Stage Combinations of Constructed Wetlands on the Removal of Antibiotics, Antibiotic Resistance Genes and Nutrients from Goose Wastewater

Antibiotic and antibiotic resistance genes (ARGs) have been considered as emerging environmental contaminants and possess potential crisis to global public health. However, little is known about the differences between various configurations of two-stage combinations of constructed wetlands (CWs) on antibiotics and ARG removal from wastewater. In the study, three configurations of two-stage hybrid CWs (horizontal subsurface flow-down-flow vertical subsurface flow CWs, HF-DVF; horizontal subsurface flow-up-flow vertical subsurface flow CWs, HF-UVF; down-flow vertical subsurface flow-up-flow vertical subsurface flow CWs, DVF-UVF) were operated to evaluate their ability to remove high-concentration antibiotics (tilmicosin-TMS and doxycycline-DOC), ARGs (seven tet genes and three erm genes), intI1, 16S rRNA, and nutrients from goose wastewater. The results showed that all three hybrid CWs could remove more than 98% of TMS and DOC from wastewater, without significant difference among treatments (p > 0.05). For ARGs, DVF-UVF showed significantly higher removal efficiencies of intI1, ermB, ermC, ermF, tetW, and tetG compared to HF-UVF (p < 0.05), mainly because they might remove and arrest growth of bacteria. The relatively high removal efficiencies of NH₄⁺-N, NO₃^-N, and NO₂^--N were also observed from DVF-UVF, ranging from 87% to 95% (p > 0.05), indicating that anaerobic ammonium oxidation (anammox) might be established in the CWs. Our results demonstrate that the removal performances of antibiotics using two-stage hybrid CWs are not affected by the combined configuration, whereas the combination of DVF and UVF CWs perform better on the removal of ARGs and nutrients compared with HF-DVF and HF-UVF CWs.

Distribution and co-occurrence of antibiotic and metal resistance genes in biofilms of an anthropogenically impacted stream

Urban stream biofilms are potential hotspots for resistomes and antibiotic resistance genes (ARGs). Biofilm communities that harbor resistance genes may be influenced by contaminant input (e.g., metals and antibiotics) from urban drainage (i.e., Wastewater Treatment Plant effluent and stormwater runoff); understanding the ecology of these communities and their resistome is needed. Given the potential importance of the co-occurrence of ARGs and metal resistance genes (MRGs), we investigated the spatial and temporal distribution of three ARGs (tetracycline [tetW] and sulfonamides [sulI and sulII]), four MRGs (lead [pbrT], copper [copA], and cadmium/cobalt/zinc [czcA and czcC]) via quantitative PCR and biofilm bacterial community composition via MiSeq 16S sequencing at four time points along an urbanization gradient (i.e., developed, agriculture, and forested sites) in a stream's watershed. Our results revealed that ARG and MRG abundances were significantly affected by land use-time interaction, with greater resistance abundances occurring in more urban locations during particular times of the year. It was also observed that changes in ARG and MRG profiles were influenced by differences in community composition among land use types, and that these differences were in response to changes in stream physicochemical parameters (pH, redox, temperature, nutrient availability, and metal concentration) that were driven by sub-watershed land use. Moreover, the dynamics between ARGs and MRGs within these communities correlated strongly and positively with one another. Taken altogether, our results demonstrate that changes in environmental properties due to human activity may drive the ARG-MRG profiles of biofilm communities by modulating community structure over time and space.

Antibiotics and Resistance Genes in Awash River Basin, Ethiopia

Among contaminants of emerging concern in the environment, a growing attention has been given to antibiotics and antibiotic-resistant genes (ARGs) due to the rise in their usage and potential ecotoxicological and public health effect. However, the occurrence of these contaminants in the environment is little investigated in developing countries particularly in sub-Saharan regions. In this study, the occurrence of three groups of antimicrobials including tetracycline, sulfonamides and fluoroquinolone, and their corresponding ARGs were investigated in the sediments of Awash River Basin, Ethiopia. Out of twelve studied compounds, sulfadiazine and enrofloxacin showed the highest and lowest detection frequency, respectively. Polymerase chain reaction (PCR) analysis revealed that tetA and tetB occurred in all the samples. The relative abundance of the resistant genes was in the following order: tetA > tetB > sul2 > sul1. Redundancy analysis result indicated that some sediment characteristics were found to have influence on the distribution sul1-resistant gene.

Spatial and seasonal variations of antibiotics in river waters in the Haihe River Catchment in China and ecotoxicological risk assessment

Concentrations of widely used antibiotics were predicted to be the highest in the Haihe River Catchment across China previously, potentially resulting in high ecotoxicological risks in this region. As a result of growing usage and regulation of antibiotic use in animals, the pattern of use may have altered temporally for different antibiotics. It is important to monitor the occurrence of antibiotics within different categories for understanding their mass loading to the catchment and the potential ecotoxicological risks involved. This study investigated the seasonal occurrence and spatial variation of 15 antibiotics in the Haihe River Catchment during 2016-2017. The investigated compounds included veterinary antibiotics, human-use antibiotics, and those intended for both human and animal use. Measurements reported from previous studies were compared with the results of this study and indicated that the use of veterinary antibiotics is probably increasing around the catchment. The ∑antibiotics concentration (i.e. the summed concentration of the 15 target antibiotics) ranged from 414 to 1951 ng/L, with an average of 821 ng/L. Discharges from wastewater treatment plants were the main sources of these compounds. The mass loading of antibiotics to the river waters was higher during wet seasons than during dry seasons. The mass fluxes of the antibiotics continuously increased towards the lower reaches of the rivers. The total annual input of the antibiotics from the Haihe River and Yongdingxin River into the Bohai Bay was 5008 kg/yr. Ofloxacin, trimethoprim, leucomycin, anhydro erythromycin and florfenicol were the predominant antibiotics, whilst amoxicillin, anhydro erythromycin, ofloxacin, norfloxacin and enrofloxacin may pose high ecotoxicological risks to the investigated aquatic ecosystem. Several antibiotics selected in this study were reported for the first time in this catchment. This study provides important information for chemical management and indicates that further monitoring is needed on the more harmful and veterinary antibiotics in the catchment.

Characterization and source-tracking of antibiotic resistomes in the sediments of a peri-urban river

The peri-urban rivers are one of the critical interfaces between urban-rural symbiotic ecosystems and appear to be a reservoir of antibiotic resistance genes (ARGs) in the environment. To prevent the transmission risks of ARGs between peri-urban river and human, it is essential to explore the prevalence and source of ARGs in the environment for designing potential mitigation strategies. In this study, we focused on the characterization and source-tracking of ARGs in the sediments of a typical peri-urban river in Beijing, Chaobai River. Twenty-seven ARGs frequently reported in the environment, and two integrons (intI1 and intI2) were detected using high-throughput quantitative PCR. The profile of bacterial community was determined by performing 16S rRNA gene sequencing. Meanwhile, crAssphage, a novel recently-discovered DNA bacteriophage, was employed for tracking the contribution of human fecal pollution to the prevalence of ARGs. Results showed that the targeted ARGs were detected widely in the sediments of Chaobai River. Relatively, the abundances of ARGs in downstream were higher than those in the upstream, likely suggesting a gradient impact of anthropogenic activities along the river. Remarkably, the int1 gene was correlated significantly with most of the ARGs and might be the key factor influencing the shaping of ARGs in the river sediments. However, no significant correlations were observed between the ARGs and selective pressure factors, including antibiotics and metals. Of the identified 1039 genera, Escherichia-Shigella, Bacteroides, Arcobacter, Dechloromonas and Pseudomonas were the top most abundant organisms. Microbial source tracking based on the crAssphage annotation suggested that human sewage might be one of the potential sources of resistance bacteria in the river sediments. The study can advance our knowledge about ARGs in the peri-urban river and provides a management reference for ARG pollution control.

Occurrence and spatial variation of antibiotic resistance genes (ARGs) in the Hetao Irrigation District, China

The prevalence and proliferation of antibiotic resistance genes (ARGs) has been identified as an emerging contaminant of concern and a crucial threat to public health worldwide. To determine the occurrence and distribution of ARGs in artificial agricultural irrigation systems, we designed eight sample sites of farmland drainage in the Hetao Irrigation District, Inner Mongolia, China. Results indicated that the distribution of ARGs in sub-drainage canals is influenced by the local urban area, agriculture, and animal husbandry structure. The bla_TEM gene was predominant in the water samples (up to 8.98 ARG copies/16S rRNA genes). The average ARG abundance in drainage channel sampling sites was significantly higher than the influent water from the Yellow River, which means that the artificial agricultural irrigation system enhances the abundance of resistance genes in the study area. Moreover, the effluent water of the whole irrigation system presented a lower abundance of ARGs than the influent water. This demonstrates that the Wuliangsuhai watershed ecosystem plays an important role in regulating the abundance of ARGs in the area. In our study, the mobile gene elements correlated with trB, emrD, mexF, and vanC (P < 0.001) in the irrigation system. Additionally, different correlations exist between other special subtypes of ARGs. These findings provided deeper insights into mitigating the propagation of ARGs and the associated risks to public health.

Urban and agriculturally influenced water contribute differently to the spread of antibiotic resistance genes in a mega-city river network

The widespread of water borne antibiotic resistance genes (ARGs) represents a growing threat to the health of millions of people. Our study detected the relative abundances of 10 ARG subtypes in the Shanghai river network, where the major ARG components were strB, sul1, and ermB. These ARGs were significantly enriched by the combined sewage, tail water from urban wastewater treatment plant and runoff from agricultural areas, which reached the Suzhou (SZ), Dianpu (DP), and Huangpu (HP) River, respectively (one-way ANOVA, P < 0.01). The target ARGs were distributed in varying patterns across different rivers. bla_CTX-M and bla_TEM contributed to the increase of total ARGs in the rivers influenced by urban sources, particularly in the SZ River, whose distribution of ARGs was significantly related to that of the confluence of the whole river network (Mantel test, P < 0.01). The bacterial community was closely structured with ARGs and potential pathogenic bacteria's association with target ARGs became significant in downstream samples (Procrustes test, P = 0.03). Water near urban wastewater fallouts was observed to have the highest content of intl1 in the DP River, whose downstream samples' intl -ARG relationship fitted the same regression model as that of the network confluence (R = 0.84, P < 0.001). The amelioration of river water quality does not reduce ARGs, but may affect their distributional patterns in the river network in Shanghai.

Fate of antibiotics in three distinct sludge treatment wetlands under different operating conditions

Sludge treatment wetlands (STWs) have recently been used to treat surplus sludge. However, the distribution of antibiotics involved in the process has not been comprehensively investigated. This study aimed to evaluate the fate of two antibiotics, i.e., ciprofloxacin (CIP) and azithromycin (AZM) in STWs during the treatment of surplus sludge. Three pilot-scale STWs units-S1 with aeration tubes, S2 with aeration tubes and reed planting, and S3 with reed planting-were constructed and operated under feeding followed by resting periods. The results showed that antibiotic content in residual sludge decreased over time and unit S2 performed the best in terms of antibiotic removal. Planting reed considerably improved the antibiotic removal performance of the STWs. Biodegradation and absorption resulted in removal of most of the antibiotics in the test units. Less than 2% of the antibiotics was taken up by plants, whereas <5% of the influent antibiotics left the STW units through the drainage discharge. Overall, STW units contributed to effectively decrease CIP and AZM to 41-72% and 49-84%, respectively.

Occurrence and distribution of antibiotics and antibiotic resistant genes in water and sediments of urban rivers with black-odor water in Guangzhou, South China

Urban rivers in some countries have been heavily polluted and the water became black and odor. Nevertheless, only few studies reported the occurrence of antibiotics and their corresponding antibiotic resistant genes (ARGs) in urban rivers with black-odor water with and without remediation. In this study, nine antibiotics (belonging to sulfonamides, tetracyclines, quinolones, and macrolides) and their corresponding ARGs in water and sediments of six urban rivers in Guangzhou, South China were analyzed to investigate their spatial distribution and the influence of water remediation. The concentrations of individual antibiotics varied from ND (not detectable) to 2702 ng/L and ND to 449 μg/kg in surface water and sediments, respectively. Norfloxacin displayed the highest average concentrations, followed by ciprofloxacin. The relative abundance of quinolone-resistance gene qnrA (~10³ ARGs/16S rRNA) was the highest, followed by tetracyclines-resistance genes tetC (~10^-2 ARGs/16S rRNA). The antibiotics and ARGs in sediments from various rivers exhibited distinct spatial distribution with large variation from upstream to downstream. Generally, levels of antibiotics and tetracyclines-resistance genes (tetA, tetC and tetM) in urban rivers with black-odor water (affected by industrial and domestic sewage) were higher than those in remediated urban rivers. Significant positive correlations were observed only between the relative abundances of tetA (or tetC) with the concentrations of some antibiotics (e.g., ciprofloxacin and norfloxacin). TetA was also significantly positively correlated with the concentrations of Ni, Cr, and As in sediments. This study found that urban rivers remediated with dredging might lower antibiotic levels in sediment, but high relative abundance of certain ARGs (e.g., tetB, qnrA) may still exist.

Occurrence and reduction of antibiotic resistance genes in conventional and advanced drinking water treatment processes

Antibiotic resistance is extensively detected in drinking water sources, threatening its safety and human health, which deserves further attention to the removal of antibiotic resistance genes (ARGs) in the drinking water system. In this study, the occurrence and reduction of integrase gene intI1 and forty-one ARG subtypes, which confers resistance to six antibiotic classes (β-lactam, aminoglycoside, macrolide, tetracycline, sulfonamide, and quinolone), were investigated in a drinking water treatment plant (DWTP). Seventeen ARG subtypes with absolute concentrations ranging from 1.4 × 10⁰ to 7.3 × 10⁵ and 3.9 × 10⁴ genes/mL (intI1) were detected in the raw water; and sul1 and sul2 were the two dominant ARG subtypes. Overall, the whole DWTPs achieved 0.03-2.4 log reduction of ARGs compared with those presented in raw water. The reduction efficiencies of sul1, strA, and intI1 were the highest (1.0-2.4 log) in both conventional and advanced processes. However, the levels of sul1, sul2, and ermC still remained high (1.3 × 10⁰-1.9 × 10⁴ genes/mL) in finished water. The treatment units, including pre-flocculation/sedimentation/sand filtration, and ozonation units, were beneficial for the reduction of ARGs, which was mostly ascribed to the decline in biomass and the strong oxidizing properties of ozone. However, the reduction effect was subsequently counteracted by the granular activated carbon and chlorination units. This study provides basic data for ARG pollution in the drinking water system, and suggests that ARGs persist in drinking water, even after conventional chlorination or advanced treatment processes, highlighting the need for new and efficient water purification technologies.

Ca2+ protect zebrafish embryos from water acidification

Ionizable strategies are routinely used to enhance the solubility and dissolution rates of various pharmaceuticals. These chemicals may directly affect aquatic environment once discharged from factories, hospitals or livestock farms. Here, we assessed the potential side effect of tetracyclines (TCs) on the development of zebrafish embryos. Tetracycline hydrochloride decreased water pH from 6.4 to 4.4 at 30 mg/L. Acidified water exceeded the tolerance of zebrafish embryos in pure water during the early ten hours post fertilization (hpf). Interestingly, we found that Ca²⁺ in the embryo medium could increase the tolerance of embryos to acidified water. Furthermore, we found that the protection of Ca²⁺ was not due to the formation of TCs-Ca²⁺ complexes under acidic condition, based on spectral analysis. Meanwhile we showed that exogenous addition of Ca²⁺ could inhibit the accumulation of Ca²⁺ from the cytoplasm to the surface of embryos. These results may shed light on the strategies for protecting aquatic animals from acidic environments.

Incidence and antimicrobial susceptibility fingerprints of Plesiomonas shigelliodes isolates in water samples collected from some freshwater resources in Southwest Nigeria

Plesiomonas shigelloides, is an emerging and significant enteric pathogen in water having implication in both localised and gastrointestinal infections with characteristic of displaying high resistance against commonly used antibiotics. This study evaluated the prevalence of Plesiomonas shigelloides and their antibiogram fingerprints in water sample collected from four rivers in South-western Nigeria. In all, 148 presumptive Plesiomonas shigelloides isolates was recovered from the rivers out of which 66 (44.6%) were confirmed positive for the organism using polymerase chain reaction techniques. Confirmed isolates were evaluated for their antibiogram profiles against a panel of 20 antimicrobials using the disc diffusion method and further screened for relevant antibiotic resistance genes. Resistance of the isolates against the antimicrobials followed the order: sulphamethoxazole (100%), erythromycin (93%), ampicillin (90%), cephalotin (82%), streptomycin (64%), and chloramphenicol (58%), amoxicillin (53%), cefotaxime (50%), tetracycline (49%), neomycin (38%) and trimethoprim + sulphamethoxazole (38%). Conversely, all the isolates were susceptible against netilmicin, and susceptibility against the other antibiotics follows the order: meropenem (94%), gentamicin (88%), imipenem (79%), amikacin (70%), ciprofloxacin (70%), norfloxacin (59%), trimethoprim (56%) and ceftazidine (56%). The multiple antibiotic resistance indices of the organism were higher than the accepted threshold of 0.2. The incidence of 11 antimicrobial resistance determinants were obtained as follows: [sulphonamides; (sulI (18%), sulII (20%), dfr1 (70%), dfr(18) (5%)), [beta-lactams; (ampC 37%)], [tetracyclines; (tetA (78%), tetE (57%)], [phenicols; (catII (16%), cmlA1 (11%)] and [aminoglycosides; (aphA2 (36%) and strA (67%)]. Pearson chi-square exact test revealed positive associations among tetA, tetE, sullI and catII and tetA genes. To the best of our knowledge, this is the first report on the incidence and antibiogram fingerprint of P. shigelloides in these freshwater resources and we conclude that these rivers are important reservoirs of multiple antimicrobial resistant biotypes of this organism, and consequently a threat to public health.

Occurrence and removal of antibiotics and antibiotic resistance genes in natural and constructed riverine wetlands in Beijing, China

Simultaneous elimination of antibiotics and antibiotic resistance genes (ARGs) is rarely investigated in full-scale riverine wetlands. Here, we compared the occurrence, abundance, and removal of 60 antibiotics and 27 ARGs in natural (Yeya Lake (YL)) and constructed (Bai River (BR)) riverine wetlands in Beijing, China. The concentrations of antibiotics in YL wetland were ND-51.9 ng/L in water and ND-37.9 ng/g in sediments. Significantly higher concentrations were found in BR wetland (ND-546 ng/L in water and ND-118 ng/g in sediments), which locates at the downstream of a reclaimed water treatment plant. The abundances of ARGs in YL and BR wetlands were up to 5.33 × 10⁵ and 8.41 × 10⁵ copies/mL in water, and 1.60 × 10⁷ and 4.67 × 10⁸ copies/g in sediments, respectively. These results suggest that wastewater greatly contributes to the elevated abundance of antibiotics and ARGs in both water and sediments. Compared to summer, higher levels of antibiotics in water were found in winter due to the higher usage, slower attenuation and the limited dilution. But higher abundances of ARGs were found in summer than in winter, in accordance with the favored microbial growth at higher temperature as denoted by copies of 16S rRNA. Compared to BR wetland, YL wetland achieved better removal of antibiotics and ΣARGs, with average removal efficiencies of 70.0% and 87.5%. Antibiotics, ARGs and environmental factors showed strong correlations in water samples from YL wetland. However, in BR wetland that receives urban wastewater effluents, no correlation between antibiotics and ARGs was found although the distribution of antibiotics was affected by aquatic environmental factors. These results indicate that subinhibitory concentrations of antibiotics may stimulate the prevalence of ARGs in natural wetlands.

Occurrence, distribution and ecological risk of trace metals and organic pollutants in surface sediments from a Southeastern European river (Someşu Mic River, Romania)

The increasing contamination of fresh water resources by trace metals and persistent organic pollutants is a major environmental concern. In the present study, we investigated, for the first time, the distribution, sources and ecological risk of trace metals and organic pollutants, including polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs), in surface sediments from a Southeastern European river (Someşu Mic River, Romania). Concentrations of Cd, Cr, Cu, Pb, Ni and Zn ranged from 0.04 to 0.4, 9.4 to 43.15, 7.2 to 65.6, 12.3 to 131.4, 14.7 to 47.7 and 42.1 to 236.8 mg kg^-1 dw, respectively. Concentrations of total PAHs, PCBs and OCPs ranged from 24.8 to 575.6, 2.7 to 252.7 and 2.1 to 44.3 ng g^-1 dw, respectively. Some sediment parameters, i.e., pH, total organic carbon (TOC) and total organic matter (OM) contents, played a significant role in the spatial distribution of contaminants. A combined analysis based on diagnostic ratios and multivariate analyses revealed PAHs originating mainly from pyrolytic sources. PCB compositions showed distinct contamination signatures for tri- to tetra-chlorinated PCBs, characteristic of contamination by Aroclor-1016 and -1254 technical mixtures. The dominant OCP congeners were α-HCH and p,p'-DDD, reflecting past use of technical HCHs and DDTs in agricultural practices. Metal source and pollution status was assessed using geoaccumulation index and enrichment factor, which indicate widespread pollution by Pb, Cd, Zn, Ni and Cu. The use of Sediments Quality Guidelines (SQGs), mean effect range-median quotient (m-ERM-Q) and toxic equivalent factor (TEF) indicated that the highest ecological risks occurred for PCBs and DDTs. This work presents not only initial baseline information on the extent of organic and inorganic contaminations in a river of ecological and economical interest, but also provides a diagnostic ratio/statistical combined approach that can be used to evaluate sediment quality in similar environments.

Pharmaceutical expenditure and total health-care expenditure in OECD countries and China: bidirectional Granger causality on the basis of health level

BACKGROUND

Previous studies have ignored the bidirectional causality and the heterogeneity of health level. This study explored the bidirectional causality between pharmaceutical expenditure (PE) and total health-care expenditure (Total HCE) considering the health level for effective health investment and national health improvement.

METHODS

Based on the panel data on PE and Total HCE in 32 OECD countries and China, the Granger causality test was applied. Countries were divided into low- and high-health-level (LH and HH) groups according to their life expectancies.

RESULTS

A 1% increase in the growth rate of per capita PE boosted a 0.11% increase in that of per capita Total HCE of the following year in HH group, whereas no such causality existed in LH group. A 1% increase in the growth rate of per capita Total HCE boosted a 0.46% increase in that of the per capita PE of the following year in LH group, whereas no such causality existed in HH group.

CONCLUSION

High-health-level countries should continue to increase the health investment by promoting rational PE growth such as expanding insurance coverage for innovative medicine for health improvement. Low-health-level countries should take optimizing policy to increase health investment in pharmaceutical for medicine accessibility and national health.

Occurrence of antibiotic resistance genes and bacterial pathogens in water and sediment in urban recreational water

The emergence and prevalence of antibiotic resistance genes (ARGs) and pathogens in the environment are serious global health concern. However, information about the occurrence of ARGs and pathogens in recreational water is still limited. Accordingly, we investigated the occurrence of six ARGs and human pathogens in three recreational lakes, and the correlations between ARGs and one mobile genetic element (intI1) were analyzed. The quantitative PCR results showed that the concentration of ARGs ranged from 4.58 × 10⁰ to 5.0 × 10⁵ copies/mL in water and from 5.78 × 10³ to 5.89 × 10⁸ copies/g dry weight (dw) in sediment. Sul1 exhibited the highest level among the five quantifiable ARGs. The concentrations of sul1, bla_-TEM, and tetX exhibited significant positive correlations with intI1 (p < 0.05), indicating that intI1 may be involved in their proliferation. The detection frequencies of ARGs ranged from 75%-100%, indicating the prevalence of these risks in this region. The concentration of Escherichia coli, Aeromonas spp., Mycobacterium avium, Pseudomonas aeruginosa, and Salmonella enterica ranged from 10³ to 10⁵ copies/100 mL in water and 10⁴-10⁶ copies/g dw in sediment. In total, 25% of the samples harbored all pathogen genes, indicating the prevalence of these pathogens in recreational lakes. Furthermore, the next-generation sequencing results showed that 68 genera of pathogens were present, among which Aeromonas, Mycobacterium, and Pseudomonas were the dominant ones in this region, posing a considerable potential health risk to public health. Overall, the widespread distribution of ARGs and pathogens underscores the need to better monitor and mitigate their propagation in recreational lakes and the associated risks to human health.

Contamination patterns in river water from rural Beijing: A hydrochemical and multiple stable isotope study

The pollution of urban river has reached a critical level. In the present study, the hydrochemical composition of local surface water collected during two seasons from the rural area around urban Beijing, China, was examined. Concentrations of selected cations and anions reveal the temporal and spatial distribution of anthropogenic and natural pollution. Multiple stable isotopes (δ¹⁵N_nitrate, δ¹⁸O_nitrate, δ³⁴S_sulfate, δ¹⁸O_sulfate, Δ³³S_sulfate) analyses were applied for detecting of specific hydrochemical processes and identifying the major sources of contamination. Twenty-eight percent of the river water samples from the wet season and 34% from the dry season exhibit a minor water quality of class IV (poor) and below due to high pH values as well as high nitrate, sulfate and fluoride concentrations. This water is hazardous for human health and the aquatic ecology. The seemingly better river water quality in the wet season is caused by higher precipitation and, hence, dilution of the water constituents. Multiple isotopes identify urban wastewater as the prime pollution source. The higher fraction of deteriorated river water in the southern rural area (42%) compared to the north (24%) points to a higher contribution of urban effluents to the downstream rivers in the rural south. It can, thus, be concluded that less discharge of wastewater to the local surface and subsurface environments by better controls of public and private sewage disposal combined with the renewal of leaking sewer pipes would reduce the risk of anthropogenic contamination of river water.

Occurrence and fate of antibiotics and antibiotic resistance genes in typical urban water of Beijing, China

The pollution of antibiotics and antibiotic resistance genes (ARGs) has been highlighted on a global scale because of their serious threats to the environment and human health. Typical urban water in cities with high population density are ideal mediums for the acquisition and spread of antibiotics and ARGs. The pollution level of a broad range of antibiotics and ARGs in hospital wastewater, groundwater and the Wenyu River, and their fates through three sewage treatment plants (STPs) were investigated in this study. The concentrations of the 11 detected antibiotics ranged from not detected (ND)-16800 ng L^-1 in diverse water samples from Beijing, and fluoroquinolones were detected at the highest concentration, especially in the hospital samples. The maximum concentrations of antibiotics in STPs and hospital were 1-3 orders of magnitude higher than those in the surface water from Wenyu River and groundwater. Good removal efficiencies by treatment processes were observed for tetracyclines and quinolones, and low removal efficiencies were observed for sulfonamides and macrolides. These results also revealed that the sulfonamide resistance genes (sul1, sul2) and macrolide resistance genes (ermB) were detected at the highest relative abundances (7.11 × 10^-2-1.18 × 10^-1) in the water bodies of Beijing. It was worth noting that sul1 abundance was the highest in groundwater samples. The relative abundance of most ARGs in STPs exhibited a declining trend in the order of influent > secondary effluents > effluent. However, the relative abundance of sul 1, sul 2 and tetC in the effluent was higher than those in the influent. The incomplete removal of antibiotics and ARGs in STPs poses a serious threat to the receiving rivers, and affects ecosystem security. Overall, our findings provide favorable support for a further investigation of the spread and risk of antibiotics and ARGs from diverse sources (e.g., STPs and hospitals) to the aquatic environment.

Characterization of antibiotic resistance genes in the sediments of an urban river revealed by comparative metagenomics analysis

The over-use of antibiotics causes growing concerns about human health risks induced by increasing rates of antimicrobial resistance. Riverine systems are considered generally as a natural reservoir of antibiotic resistance genes (ARGs). In this study, several methods including high-throughput sequencing-based metagenomics approach, statistical analysis and network analysis were applied jointly to characterize the wide-spectrum profile of ARGs in the sediments of an urban river in Beijing. Furthermore, contribution of human activities for the presence of ARGs was identified through comparative studies on the metagenomic profiling of ARGs between the river sediments and pristine niches (remote Antarctic soils and deep sea sediments). In total, 442 ARG subtypes belonging to 22 ARG types were detected in the human-impacted river sediments with an abundance range of 1.1 × 10^-1-8.1 × 10^-1 copy of ARG per copy of 16S-rRNA gene. The most abundant and diverse ARGs were commonly associated with antibiotics that have been extensively used in that area, likely indicating the spread of ARGs in river environments because of the selective pressure resulting from antibiotic use. As a whole, anthropogenic activities were the dominant contributor of major ARG types, for example, occupying 100% for sulfonamide-ARGs, 97% for beta-lactam-ARGs, 94% for aminoglycoside-ARGs and 64% for tetracycline-ARGs. This study provides insights into the role of human activities in accelerating the dissemination and proliferation of ARGs in urban river environment and draws attention to controlling the use and discharge of antibiotics for protection of public health.

High-throughput analysis of the effects of different fish culture methods on antibiotic resistance gene abundances in a lake

Freshwater lakes are important reservoirs for antibiotic resistance genes (ARGs). In this study, we determined the ARG profiles in water samples from Ying Lake, China, using high-throughput quantitative PCR. The high prevalence of ARGs suggested significant pollution with ARGs in the study area, where the ARG diversity and abundance were greater in an area with box-type fish farming than an area with fenced fish farming. Network analysis indicated the widespread co-occurrence of ARGs and mobile genetic elements. cphA-01, blalMP02, and blaCMY202 were identified as adequate indicator genes for estimating the total ARG abundances. Redundancy analysis indicated that changes in the microbial communities caused by variations in the physicochemical parameters with different fish culture methods mainly determined the ARGs in the lake system. Thus, analyzing the factors that affect ARGs provided novel insights into the mechanisms responsible for the maintenance and propagation of ARGs in a lake.

A metagenomic analysis framework for characterization of antibiotic resistomes in river environment: Application to an urban river in Beijing

River is considered generally as a natural reservoir of antibiotic resistance genes (ARGs) in environments. For the prevention and control of ARG risks, it is critical to comprehensively characterize the antibiotic resistomes and their associations in riverine systems. In this study, we proposed a metagenomic framework for identifying antibiotic resistomes in river sediments from multiple categories, including ARG potential, ARG hosts, pathogenicity potential, co-selection potential and gene transfer potential, and applied it to understand the presence, hosts, and co-occurrence of ARGs in the sediments of an urban river in Beijing. Results showed that a total of 203 ARG subtypes belonging to 21 ARG types were detected in the river sediments with an abundance range of 107.7-1004.1×/Gb, dominated by multidrug, macrolide-lincosamide-streptogramin, bacitracin, quinolone and sulfonamide resistance genes. Host-tracking analysis identified Dechloromonas, Pseudoxanthomonas, Arenimonas, Lysobacter and Pseudomonas as the major hosts of ARGs. A number of ARG-carrying contigs (ACCs) were annotated as fragments of pathogenic bacteria and carried multiple multidrug-ARGs. In addition, various biocide/metal resistance genes (B/MRGs) and mobile genetic elements (MGEs), including prophages, plasmids, integrons and transposons, were detected in the river sediments. More importantly, the co-occurrence analysis via ACCs showed a strong association of ARGs with B/MRGs and MGEs, indicating high potential of co-selection and active horizontal transmission for ARGs in the river environment, likely driven by the frequent impact of anthropogenic activities in that area.

Diverse and abundant antibiotics and antibiotic resistance genes in an urban water system

The widespread use of antibiotics has resulted in pollution associated with antibiotics and antibiotic resistance genes (ARGs) in urban water systems, threatening the public health and the ecological security. In this study, the patterns of the diversity and abundance of the antibiotics and ARGs in a typical city (Kunming, China) were analyzed by monitoring their presence in the tap water, the land block sewage discharge units, the sewage pipes, the influent of WWTP, the effluent of WWTP, and the urban river channel. The results showed that although the average concentration of total antibiotics in tap water was 10 ng/L, the concentrations reached hundreds or even thousands of ng/L in all the other sections, indicating antibiotics entering water system through human or pets discharge. The relative abundances of ARG copies to 16S rRNA gene copies in the effluent of WWTP, the urban river channel which was the downstream of WWTP were higher than those of the sewage pipes, increasing risk of ARG transfer after treatment by WWTP. In general, the relative abundance of ARGs in spring was higher than that in winter. There was no significant correlation between antibiotics concentrations and their corresponding ARGs, except for a correlation between tetracyclines and tet-resistance genes. Due to the existence of transposases, the urban water system is exposed to a widespread risk of horizontal transfer of ARGs.

Molecular characterization of multi-drug resistant Escherichia coli isolates from tropical environments in Southeast Asia

The emergence of antibiotic resistance among multidrug-resistant (MDR) microbes is of growing concern, and threatens public health globally. A total of 129 Escherichia coli isolates were recovered from lowland aqueous environments near hospitals and medical service centers in the vicinity of Kuala Lumpur, Malaysia. Among the eleven antibacterial agents tested, the isolates were highly resistant to trimethoprim-sulfamethoxazole (83.7%) and nalidixic acid (71.3%) and moderately resistant to ampicillin and chloramphenicol (66.7%), tetracycline (65.1%), fosfomycin (57.4%), cefotaxime (57.4%), and ciprofloxacin (57.4%), while low resistance levels were found with aminoglycosides (kanamycin, 22.5%; gentamicin, 21.7%). The presence of relevant resistance determinants was evaluated, and the genotypic resistance determinants were as follows: sulfonamides (sulI, sulII, and sulIII), trimethoprim (dfrA1 and dfrA5), quinolones (qnrS), β-lactams (ampC and blaCTX-M), chloramphenicol (cmlA1 and cat2), tetracycline (tetA and tetM), fosfomycin (fosA and fosA3), and aminoglycosides (aphA1 and aacC2). Our data suggest that multidrug-resistant E. coli strains are ubiquitous in the aquatic systems of tropical countries and indicate that hospital wastewater may contribute to this phenomenon.

Diversity of potential antibiotic-resistant bacterial pathogens and the effect of suspended particles on the spread of antibiotic resistance in urban recreational water

Evidence of the increasing incidence of antibiotic resistance in watersheds has attracted worldwide attention. Limited in formation is available on the occurrences of health-related antibiotic-resistant bacterial pathogens (ARBPs) in recreational waters. The effects of certain environmental factors (e.g., suspended particles) on the spread of resistance also has not been characterized to date. In this study, a combination of culture and molecular methods was employed to comprehensively investigate the patterns of microbial resistance to representative antibiotics in samples from three recreational lakes in Beijing. The antibiotic resistance index (ARI) based on the gradient concentration assay revealed that samples showed high resistance to penicillin-G, moderate resistance to ampicillin, vancomycin and erythromycin and low resistance to ceftriaxone, gentamycin, tetracycline and chloramphenicol. Antibiotic-resistant bacteria (ARB) were cultured and collected, and the diversity of potential ARBP species was further explored using next-generation sequencing (NGS). The results showed that most of the identified ARBPs were environmental opportunistic pathogens with emerging clinical concerns, e.g., the multidrug-resistant Acinetobacter junii. Furthermore, particle-attached (PA) fractions presented higher ARI values than free-floating (FL) fractions did, indicating that the PA fractions were more resistant to selected antibiotics. And the NGS results revealed that the PA fractions showed higher similarity in the screened ARB community compositions in comparison with the FL fractions, primarily due to a protective effect provided by the particles. Accordingly, ARBPs could persist for a longer time in protective particle matrices. However, quantification of antibiotic-resistant genes (ARGs) by qPCR showed no significant abundance differences between the two fractions. Overall, these findings suggest a potential health risk from the prevalence of ARBPs in recreational waters and provides a better understanding of the contribution of particles in the spread of antibiotic resistance in aquatic systems, with implications for the control of excessive suspended particles by water management.

Occurrence and distribution of antibiotics and antibiotic resistance genes in Ba River, China

The riverine system is usually considered as a natural reservoir of antibiotic resistance genes (ARGs) and more susceptible to anthropogenic activities. In this study, the occurrence and distribution of 14 antibiotics belonging to 7 categories together with 23 corresponding ARGs in Ba River of Xi'an China were investigated in March and July 2017. Sulfonamides, quinolones, macrolides and tetracyclines were detected in high frequencies ranged from 85.7% to 100%. Tetracyclines were detected with high concentrations in water samples (up to 8.54 × 10² ng L^-1) and sediment samples (up to 2.08 × 10³ μg kg^-1), respectively. The total concentrations of antibiotics were much higher in July in comparison with March. The sul1, tetA, tetC, tetZ, gyrA, ermF, cmlA and bla_TEM were the predominant ARGs in terms of absolute abundance. For both water and sediment samples in March compared with July, the relative abundance of ARGs had no significant difference except for sul3. The tetracyclines had positive correlation with tet genes, whereas the remaining antibiotics had no significant correlations with their corresponding ARGs, suggesting that environmental factors and cross-selection may significantly influenced the distribution of ARGs. Redundancy analysis was performed to further predict the influences of environmental factors on antibiotics and ARG abundance. The findings suggest that anthropogenic activities contribute significantly to the persistence of antibiotics pollution.

Occurrence and removal of sulfonamide antibiotics and antibiotic resistance genes in conventional and advanced drinking water treatment processes

Sulfonamides (SAs) and sul antibiotic resistance genes (ARGs) have been extensively detected in drinking water sources and warrant further studies on the removal of them in different drinking water treatment processes (DWTPs). The prevalence of 13 SAs, sul1, sul2 and class I integrase gene intI1 in conventional and advanced processes was investigated using HPLC-MS/MS and real-time quantitative PCR (qPCR), respectively. The most abundant SA was sulfamethoxazole, with the maximum concentration of 67.27 ng/L. High concentration of sulfamethoxazole was also measured in finished water in both conventional (22.05 ng/L) and advanced (11.24 ng/L) processes. Overall, the removal efficiency of advanced process for each SA was higher than that of conventional process, except for sulfameter. The absolute concentrations of sul1, sul2 and intI1 in raw water ranged from 1.8 × 10³ to 2.4 × 10⁵ gene abundance/mL. After treatment, the residual sul ARGs and intI1 in finished water still remained at 10² - 10⁴ gene abundance/mL. Conventional treatment units, including flocculation/sedimentation/sand filtration, played a more important role in removing sul1, sul2 and intI1 than oxidation (chlorination or ozonation) and granular activated carbon filtration treatments. Based on this work, more investigations are needed to help improve the removal of both antibiotics and ARGs in DWTPs.

Antimicrobial resistance gene surveillance in the receiving waters of an upgraded wastewater treatment plant

Wastewater treatment plants (WWTPs) have been identified as hotspots for antimicrobial resistance genes (ARGs) and thus represent a critical point where patterns in ARG abundances can be monitored prior to their release into the environment. The aim of the current study was to measure the impact of the release of the final treated effluent (FE) on the abundance of ARGs in the receiving water of a recently upgraded WWTP in the Canadian prairies. Sample nutrient content (phosphorous and nitrogen species) was measured as a proxy for WWTP functional performance, and quantitative PCR (qPCR) was used to measure the abundance of eight ARGs, the intI1 gene associated with class I integrons, and the 16S rRNA gene. The genes ermB, sul1, intI1, blaCTX-M, qnrS, and tetO all had higher abundances downstream of the WWTP, consistent with the genes with highest abundance in the FE. These findings are consistent with the increasing evidence suggesting that human activity affects the abundances of ARGs in the environment. Although the degree of risk associated with releasing ARGs into the environment is still unclear, understanding the environmental dimension of this threat will help develop informed management policies to reduce the spread of antibiotic resistance and protect public health.

Abiotic, biotic and photolytic degradation affinity of 14 antibiotics and one metabolite - batch experiments and a model framework

In this study, degradation affinities of 14 antibiotics and one metabolite were determined in batch experiments. A modelling framework was applied to decrypt potential ranges of abiotic, biotic and photolytic degradation coefficients. In detail, we performed batch experiments with three different sewages in the dark at 7 °C and 22 °C. Additionally, we conducted further batch experiments with artificial irradiation and different dilutions of the sewage at 30 °C - de novo three different sewages were used. The batch experiments were initially spiked with a stock solution with 14 antibiotics and one metabolite to increase background concentrations by 1 μg L^-1 for each compound. The final antibiotic concentrations were sub-inhibitory with regard to sewage bacteria. The here presented modelling framework based on the Activated Sludge Model No. 3 in combination with adsorption and desorption processes. The model was calibrated with monitored standard sewage compounds before antibiotic degradation rates were quantified. The model decrypted ranges of abiotic, biotic and photolytic degradation coefficients. In detail, six antibiotics were not abiotic degradable at 7 °C, five antibiotics not at 22 °C and only 2 antibiotics at 30 °C. Finally, nine antibiotics were not significantly biodegradable at 7 °C and 22 °C. The model determined the link between adsorption characteristics and biodegradation rates. In detail, the rate was significantly affected by the bio-solid partition coefficient and the duration until adsorption was balanced. All antibiotics and the metabolite were photolytic degradable. In general, photolytic degradation was the most efficient elimination pathway of presented antibiotics except for the given metabolite and penicillin antibiotics.

Effects of the natural colloidal particles from one freshwater lake on the photochemistry reaction kinetics of ofloxacin and enrofloxacin

Understanding the effect of natural colloidal particles (NCPs) on the photochemistry of organic pollutants is crucial to predict the environmental persistence and fate of them in surface waters, and it is, yet, scarcely elucidated. In this study, the pre-filtered surface water (through a 1 μm capsule filter) from Baiyangdian Lake was further separated into four different size NCPs: F1 (0.65-1.0 μm), F2 (100 kD-0.65 μm), F3 (10-100 kD) and F4 (1-10 kD) by cross-flow ultrafiltration (CFUF), and the photochemical kinetics and mechanisms of ofloxacin (OFL) and enrofloxacin (ENR) were investigated in the presence of those particles under simulated sunlight. Results showed that OFL and ENR underwent both direct and indirect photolysis in F1-F4 solutions, and the observed pseudo first-order rate constants (k_obs) for target compounds differed depending on the size of NCPs. Direct photolysis accounted for >50% of the degradation in all cases and was the dominant degradation pathway for the two target antibiotics with the exception of OFL in F1 solution. Except for ENR in both F3 and F4 solutions, nearly all NCPs enhanced the degradation of both target compounds by indirect photolytic pathways, especially in F1 solution that showed the largest reactivity for OFL and ENR, promoting the reactions by 63% and 41%, respectively. The excited state colloidal organic matter (³COM^∗) plays a significant role in the indirect photolysis, and the adsorptions of OFL and ENR to NCPs were likely to have a pronounced effect in the photochemistry process. Pearson's correlations analysis showed that the k_obs(OFL) was significant positive correlated with binding of Fe (r = 0.963, P < 0.05), and the k_obs(ENR) was significant positive correlated with the adsorption percentage of OFL (r = 0.999, P < 0.01). This paper has demonstrated that different size NCPs showed the different photochemical contribution to the reaction rate for OFL and ENR.

Dynamic transport of antibiotics and antibiotic resistance genes under different treatment processes in a typical pharmaceutical wastewater treatment plant

The propagation of antibiotic resistance is a challenge for human health worldwide, which has drawn much attention on the reduction of the resistance genes. To understand their occurrence during different treatment processes, in this study, four classes of antibiotics (tetracyclines, sulfonamides, quinolones, and macrolides), eight antibiotic resistance genes (ARGs) (tetB, tetW, sul1, sul2, gyrA, qepA, ermB, and ermF), and two mobile elements (int1 and int2) were investigated in a typical pharmaceutical plant. The total concentrations of antibiotics were detected in the range of 2.6 × 10² to 2.5 × 10³ ng/L in the treatment processes, and the high abundance of ARGs was detected in the biological treatment unit. The dynamic trend analysis showed that antibiotics were partially removed in the anaerobic/aerobic processes, where ARGs were proliferated. The abundance of tetB and gyrA genes was positively correlated with pH and EC (p < 0.05), and the tetW, sul1 and sul2 genes were significantly correlated with TOC, TN, and DO (p < 0.05), indicating the influence of physicochemical properties of the solution on the levels of ARG subtypes. The phylogenetic analysis showed that the tetW clones had high homology with some pathogenic microorganisms, such as Klebsiella pneumonia and Neisseria meningitides, which would threaten human health. Results indicated that the horizontal transfer acted as a major driver in the ARGs evolution.

Tracking the Sources of Antibiotic Resistance Genes in an Urban Stream during Wet Weather using Shotgun Metagenomic Analyses

Stormwater runoff has been known to cause increases in bacterial loadings in urban streams. However, little is known about its impacts on antibiotic resistance genes (ARGs) in urban watersheds. This study was performed to characterize the ARG composition of various environmental compartments of an urban watershed and to quantify their contributions of microbes and ARGs to an urban stream under wet weather conditions. Shotgun metagenomic results showed that the ARG abundance in wet weather flow was significantly higher than in base flow. Multidrug resistance genes were the most common ARG type across environmental samples. Vancomycin resistance genes were abundant in embankment soil and street sweeping samples. Analyses using SourceTracker estimated storm drain outfall water to be the biggest contributor of microbes (54-57%) and ARGs (82-88%) in the urban stream during wet weather flows. Furthermore, results on street sweepings showed that wash-off from streets was the biggest known contributor of microbes (41-45%) and ARGs (92-96%) in storm drain outfall water. Pantoea and Pseudomonas were associated with the highest numbers of ARGs and were most abundant in stormwater-related samples. Results from this study can advance our knowledge about ARGs in urban streams, an important medium linking environmental ARGs to the general public.

Small and large-scale distribution of four classes of antibiotics in sediment: association with metals and antibiotic resistance genes

Antibiotic chemicals and antibiotic resistance genes enter the environment via wastewater effluents as well as from runoff from agricultural operations. The relative importance of these two sources, however, is largely unknown. The relationship between the concentrations of chemicals and genes requires exploration, for antibiotics in the environment may lead to development or retention of resistance genes by bacteria. The genes that confer resistance to metal toxicity may also be important in antibiotic resistance. In this work, concentrations of 19 antibiotics (using liquid chromatography tandem mass spectrometry), 14 metals (using inductively coupled plasma-mass spectrometry), and 45 metal, antibiotic, and antibiotic-resistance associated genes (using a multiplex, microfluidic quantitative polymerase chain reaction method) were measured in 13 sediment samples from two large rivers as well as along a spatial transect in a wastewater effluent-impacted lake. Nine of the antibiotics were detected in the rivers and 13 were detected in the lake. Sixteen different resistance genes were detected. The surrounding land use and proximity to wastewater treatment plants are important factors in the number and concentrations of antibiotics detected. Correlations among antibiotic chemical concentrations, metal concentrations, and resistance genes occur over short spatial scales in a lake but not over longer distances in major rivers. The observed correlations likely result from the chemicals and resistance genes arising from the same source, and differences in fate and transport over larger scales lead to loss of this relationship.

Tetracyclines, sulfonamides and quinolones and their corresponding resistance genes in the Three Gorges Reservoir, China

The Three Gorges Project significantly impacted water quality and ecological balance in this area. The special engineered aquatic environment could be an important reservoir for antibiotic resistance genes (ARGs). Fifteen ARGs corresponding to three groups of antibiotics (tetracyclines, sulfonamides and quinolones) were determined in surface water, soil and sediment in this study. Total concentrations of antibiotics ranged from 21.55 to 536.86ng/L, 3.69 to 438.76ng/g, 15.78 to 213.84ng/g in water, soil and sediment, respectively. Polymerase chain reaction (PCR) of ARGs revealed the presence of two sulfonamide resistance genes (sul1, sul2), five tetracycline resistance genes (tetA, tetB, tetM, tetQ, tetG) and class 1 integron gene (intI1) in all samples. And the relative abundance of sulfonamide resistance genes was generally higher than tetracycline resistance genes in three matrices. Significant correlations (p<0.05) were found between the concentrations of intI1 and ARGs (tetA, tetB, tetM, tetQ, tetG, sul1, sul2), indicating intI1 may facilitate the proliferation and propagation of these genes. Redundancy analysis (RDA) showed distribution of ARGs was related to the certain antibiotics residues, which may exert selective pressure on bacteria and thus enrich the abundance of ARGs. The results of this study could provide useful information for both better understanding and management of the contamination caused by ARGs and related antibiotics in engineered aquatic environments.

Evaluation of attenuation of pharmaceuticals, toxic potency, and antibiotic resistance genes in constructed wetlands treating wastewater effluents

The performance of constructed wetlands (CWs) in the removal of pharmaceutically active compounds (PhACs) is generally evaluated on the basis of chemical analysis. In this work, we used a combination of chemical, toxicological, and molecular analyses to assess the attenuation of PhACs, toxic potency and antibiotic resistance genes (ARGs) in a field study of three CWs serving as tertiary treatment of wastewater treatment plants. First, 17 PhACs were analysed chemically, of which 14 were detected and seven at concentrations >0.1μg/l. Even though some of the individual PhACs were moderately or highly removed in the CWs investigated, median removal of overall PhACs was approximately 50% in the vertical subsurface flow CW (VSF-CW) with a lower hydraulic loading rate while the removal in the other two free water surface flow CWs (SF-CWs) was negligible. Second, toxic potency of wastewater extracts was assessed in a range of bioassays. Estrogenicity was overall attenuated in CWs, while the neurotoxic potency of wastewater extracts did not decrease after passage through the two CWs investigated. Third, the VSF-CW and one of the SF-CW showed a positive removal of an integrase gene and three ARGs tested. The increased concentrations of ARGs in the other SF-CW, as well as the increase of total bacteria in all CWs, may relate to regrowth of resistance-carrying bacteria. Finally, multivariate analysis shows that most PhACs are positively correlated to the observed toxic potency. Additionally, low removal of organics and nutrients seems to parallel with low removal of PhACs. ARGs positively correlated with organics, nutrients and some PhACs, and the integrase gene but not to the respective antibiotics. The insufficient removal of PhACs, toxic potency, and ARGs indicates the need of an optimal design of CWs as tertiary treatment facilities.

Antibiotic resistance genes in China: occurrence, risk, and correlation among different parameters

Antibiotic resistance has become a widely concerned issue due to the huge risk on the ecological environment and human health. China has the highest production and consumption of antibiotics than other countries. Thus, antibiotic resistance genes (ARGs) have been detected in various environmental settings (e.g., surface water, wastewater, sediment) in China. The occurrence of ARGs in these matrixes was summarized and discussed in this review. Sulfonamide resistance genes and tetracycline resistance genes were the most frequently detected ARGs in China. According to the abundance of these two classes of ARGs in the natural environment, sulfonamide resistance genes seem to be more stable than tetracycline resistance genes. Furthermore, the relationships between ARGs and antibiotics, antibiotic resistance bacteria (ARB), heavy metals, and environmental parameters (e.g., pH, organics) were also investigated. Specifically, relative abundance of total ARGs was found to correlate well with concentration of total antibiotics in aqueous phase but not in the solid phase (soil, sediment, sludge, and manure). As for relationship between ARGs and ARB, metals, and environmental parameters in different media, due to complex and variable environment, some exhibit positive correlation, some negative, while others no correlation at all. Three potential risks are discussed in the text: transmission to human, synergistic effect of different ARGs, and variability of ARGs. However, due to the complexity of the environment, more work is needed to establish a quantitative approach of ARG risk assessment, which can provide a theoretical support for the management of antibiotics and the protection of human health.

Sewer sediment-bound antibiotics as a potential environmental risk: Adsorption and desorption affinity of 14 antibiotics and one metabolite

In this study, 14 antibiotics and one metabolite were determined in sewages and size-dependent sewer sediments at three sampling sites in the city of Dresden, Germany. Adsorption and desorption experiments were conducted with fractionated sediments. All antibiotics and the metabolite investigated were determined in the sewages; 9 of 14 antibiotics and the metabolite were adsorbed to sewer sediments. The adsorbed antibiotic loads in ng of antibiotic per g of sediment correlated with antibiotic concentrations in ng of antibiotic per litre of sewage. The size fractions <63 μm, 63-100 μm and 100-200 μm had significantly higher loads of adsorbed antibiotics than bigger size fractions. In general, the adsorbed load decreased with an increasing size fraction, but size fractions >200 μm had similar levels of adsorbed antibiotic loads. An antibiotic-specific adsorption coefficient, normalized to organic content, was calculated: four antibiotics exceeded 10.0 L g^-1, three antibiotics fell below 1.0 L g^-1 and all residual antibiotics and the metabolite were in the range of 1.0-10.0 L g^-1. The adsorbed antibiotic load and the organic matter increased with time, generally. The mineral composition had a minor effect on the adsorption coefficients. Desorption dynamics of five antibiotics and the metabolite were quantified. Regardless of the size fraction, the predominant part of the equilibrium antibiotic concentration was desorbed after 10 min. The calculated desorption distribution coefficient indicated adsorption as irreversible at the pH investigated (7.5 ± 0.5).