Vertical up-flow constructed wetlands exhibited efficient antibiotic removal but induced antibiotic resistance genes in effluent

Fate and mitigation of antibiotics and antibiotic resistance genes in microbial fuel cell and coupled systems

Microbial fuel cells (MFCs), known for their low energy consumption, high efficiency, and environmental friendliness, have been widely utilized for removing antibiotics from wastewater. Compared to conventional wastewater treatment methods, MFCs produce less sludge while exhibiting superior antibiotic removal capacity, effectively reducing the spread of antibiotic resistance genes (ARGs). This study investigates 1) the mechanisms of ARGs generation and proliferation in MFCs; 2) the influencing factors on the fate and removal of antibiotics and ARGs; and 3) the fate and mitigation of ARGs in MFC and MFC-coupled systems. It is indicated that high removal efficiency of antibiotics and minimal amount of sludge production contribute the mitigation of ARGs in MFCs. Influencing factors, such as cathode potential, electrode materials, salinity, initial antibiotic concentration, and additional additives, can lead to the selection of tolerant microbial communities, thereby affecting the abundance of ARGs carried by various microbial hosts. Integrating MFCs with other wastewater treatment systems can synergistically enhance their performance, thereby improving the overall removal efficiency of ARGs. Moreover, challenges and future directions for mitigating the spread of ARGs using MFCs are suggested.

Potential of nature-based solutions to reduce antibiotics, antimicrobial resistance, and pathogens in aquatic ecosystems. a critical review

This comprehensive scientific review evaluates the effectiveness of nature-based solutions (NBS) in reducing antibiotics (ABs), combating antimicrobial resistance (AMR), and controlling pathogens in various aquatic environments at different river catchment levels. It covers conventional and innovative treatment wetland configurations for wastewater treatment to reduce pollutant discharge into the aquatic ecosystems as well as exploring how river restoration and saltmarshes can enhance pollutant removal. Through the analysis of experimental studies and case examples, the review shows NBS's potential for providing sustainable and cost-effective solutions to improve the health of aquatic ecosystems. It also evaluates the use of diagnostic indicators to predict NBS effectiveness in removing specific pollutants such as ABs and AMR. The review concludes that NBS are feasible for addressing the new challenges stemming from human activities such as the presence of ABs, AMR and pathogens, contributing to a better understanding of NBS, highlighting success stories, addressing knowledge gaps, and providing recommendations for future research and implementation.

Degradation products and transformation pathways of sulfamethoxazole chlorination disinfection by-products in constructed wetlands

Antibiotics and available chlorine coexist in multiple aquatic environments, and thus antibiotics and their chlorinated disinfection by-products (Cl-DBPs) have been a great concern for the nature and human health. Herein, the degradation intermediates and transformation pathways of sulfamethoxazole (SMX) Cl-DBPs in constructed wetlands (CWs) were investigated. A total of five SMX Cl-DBPs and their twenty degradation products in CWs was identified in this study. SMX and its Cl-DBPs influenced the biodegradation rather than the adsorption process in CWs. S1 atom on sulfonyl group of SMX had the strongest nucleophilicity, and was most vulnerable for nucleophilic attack. N5 and N7 on amino groups, and C17 on the methyl group had great electronegativity, and were susceptible to electrophilic reactions. S1-N5 and S1-C8 bonds of SMX are the most prone to cleavage, followed by C11-N5, C16-C17, and C12-N7. The chlorination of SMX mainly occurred at S1, N5, and N7 sites, and went through S-C cleavage, S-N hydrolysis, and desulfonation. The biodegradation of SMX Cl-DBPs in CWs mainly occurred at S1, N5, N7, C8, and C17 sites, and went through processes including oxidation of methyl, hydroxyl and amino groups, desulfonation, decarboxylation, azo bond cleavage, benzene ring cleavage, β-oxidation of fatty acids under the action of coenzymes. Over half of the SMX Cl-DBPs had greater bioaccumulation potential than their parent SMX, but the environmental risk of SMX Cl-DBPs was effectively reduced through the degradation by CWs.

Microplastics and Endocrine Disruptors in Typical Wastewater Treatment Plants in Megacity Shanghai

The fast development of China's urbanization has led to a notable release of emerging pollutants, including microplastics (MPs) and endocrine disruptors (EDCs). Generally, these pollutants enter the coastal environment through the discharge of wastewater treatment plants (WWTPs) and finally threaten the organisms in the receiving waterbody. The study investigated the environmental behavior of MPs and EDCs in two typical WWTPs in one of the megacities in China, Shanghai. The abundance of MPs in the influent ranged from 321 to 976 items/L. Four shapes (films, fragments, fibers, and microbead) were found, while fibers and films dominated. Transparent (31-63%) and white (20-47%) MPs were more frequently observed, while polyethylene terephthalate, cellulose, and cellophane were the main polymetric materials. The size of the MPs fell between 15.8 μm and 2220 μm, and the smaller one (<500 μm) dominated. The removal efficiencies of the two WWTPs for MPs ranged from 64% to 92%, and both WWTPs performed better for large pieces of MPs (>500 μm). For EDCs, total concentrations in the influent were detected, ranging from 113 to 2780 ng/L. Two groups, including phenolic estrogens (PEs) and steroid estrogens (SEs), were detected, and PEs, especially bisphenol A (BPA), were the predominant individuals among the studied EDCs. Specifically, PEs ranged from 82.8 to 2637 ng/L, while SEs ranged from 27.3 to 143 ng/L. The removal efficiencies of the WWTPs for EDCs varied (82.8-100%) as well, possibly due to the different treatment compartments and contamination load in the influent. Seasonal variations for both MPs and EDCs were observed. Specifically, concentrations of MPs and EDCs in WWTPs influent were higher in the wet season, as well as the removal efficiency. Furthermore, there was a correlation observed between the concentrations of MPs and EDCs, suggesting that MPs and EDCs may originate from the same source and that EDCs released by MPs cannot be ignored during treatment. Finally, the study evaluated the environmental risk of the effluents. MPs led to a minor risk (Level I), while EDCs might lead to an adverse impact on algae (RQs = 0.0014-0.024) and fish (RQs = 3.4-30.2). In summary, WWTPs received considerable amounts of MPs and EDCs. Although the WWTPs removed the contaminants efficiently, the environmental risk of the effluent needs to be noted.

An evaluation of conventional and nature-based technologies for controlling antibiotic-resistant bacteria and antibiotic-resistant genes in wastewater treatment plants

Antibiotic resistance is a globally recognized health concern which leads to longer hospital stays, increased morbidity, increased mortality, and higher medical costs. Understanding how antibiotic resistance persists and exchanges in environmental systems like soil, water, and wastewater are critically important for understanding the emergence of pathogens with new resistance profiles and the subsequent exposure of people who indirectly/directly come in contact with these pathogens. There are concerns about the widespread application of prophylactic antibiotics in the clinical and agriculture sectors, as well as chemicals/detergents used in food and manufacturing industries, especially the quaternary ammonium compounds which have been found responsible for the generation of resistant genes in water and soil. The rates of horizontal gene transfer increase where there is a lack of proper water/wastewater infrastructure, high antibiotic manufacturing industries, or endpoint users - such as hospitals and intensive agriculture. Conventional wastewater treatment technologies are often inefficient in the reduction of ARB/ARGs and provide the perfect combination of conditions for the development of antibiotic resistance. The wastewater discharged from municipal facilities may therefore be enriched with bacterial communities/pathogens and provide a suitable environment (due to the presence of nutrients and other pollutants) to enhance the transfer of antibiotic resistance. However, facilities with tertiary treatment (either traditional/emerging technologies) provide higher rates of reduction. This review provides a synthesis of the current understanding of wastewater treatment and antibiotic resistance, examining the drivers that may accelerate their possible transmission to a different environment, and highlighting the need for tertiary technologies used in treatment plants for the reduction of resistant bacteria/genes.

Impact analysis of hydraulic loading rate and antibiotics on hybrid constructed wetland systems: Insight into the response to decontamination performance and environmental-associated microbiota

Hybrid constructed wetlands (HCWs) are a promising solution for water ecology and environmental treatment, not only for conventional types of water pollution but also for antibiotics. Among the critical parameters for wetlands, the hydraulic loading rate (HLR) is especially important given the challenges of antibiotics treatment and frequent extreme rainfall. To investigate the removal performance of different HLRs on nutrients and antibiotics, as well as the response of antibiotics to nutrient removal, and the impact of HLRs on microbial communities, new HCWs with vertical flow constructed wetlands (VFCWs) and floating constructed wetlands (FCWs) in series were built. The results of the study showed that: (1) HCWs are highly effective in removing chemical oxygen demand (COD), NH4+-N, NO2--N, and total phosphorus (TP) at low HLR (L_HLR), with removal efficiencies as high as 97.8%, 99.6%, 100%, and 80.5%. However, high HLR (H_HLR) reduced their removal efficiencies; (2) The average removal efficiency of fluoroquinolones (FQs) under different HLRs was consistently high, at 99.9%, while the average removal efficiency of macrolides (MLs) was 96.3% (L_HLR) and 88.4% (H_HLR). The removal efficiency of sulfonamides (SAs) was susceptible to HLRs, and the removal of antibiotics occurred mainly in the rhizosphere zone of wetland; (3) High concentrations of antibiotics in HCWs were found to inhibit and poison plant growth and to reduce the removal efficiency of TP by 12%. However, they had a minor effect on the removal efficiency of carbon and nitrogen nutrients; (4) H_HLR altered the diversity and abundance of microbial communities in different compartments of the wetland and also reduced the relative abundance of Bacillus, Hydrogenophaga, Nakamurella, Denitratisoma and Acidovorax genera, which are involved in denitrification and phosphorus removal processes. This alteration in microbial communities was one of the main reasons for the reduced performance of nitrogen and phosphorus removal.

Mutual influence mechanism of nitrate and sulfamethoxazole on their biotransformation in poly (3-hydroxybutyrate-3-hydroxyvalerate) supported denitrification biofilter for a long-term operation

Nitrate and SMX both play a critical role in their biotransformation in biodegradable polymer-supported denitrification biofilters. However, the mutual influences of nitrate and SMX on their biotransformation for long-term operation remained obscure. Results showed SMX and nitrate had divergent effects on SMX removal. SMX removal rates was positively related with its loading rates, whereas they were negatively related to NLRs. The most abundant metabolite C10H14O3N3S (the reduced form of SMX moiety) from the N-O bond cleavage pathway by UHPLC-LTQ-Orbitrap-MS/MS and effluent TOC variations confirmed the presence of electron donor competition between nitrate and SMX. SMX less than 1000 μg/L had a negligible influence on denitrification performance. Denitrifiers such as Azospira and Denitratisoma were still enriched after chronic exposure, and nosZ/narG positively correlated with sul1/sul2 resistance genes, which were both responsible for the negligible influence of SMX. This work could guide the operational management of denitrification biofilters for simultaneous nitrate and antibiotics removal.

Deciphering the distribution and microbial secretors of extracellular polymeric substances associated antibiotic resistance genes in tube wall biofilm

Antibiotics and disinfectants have both been proposed to exert selective pressures on the biofilm as well as affecting the emergence and spread of antibiotic resistance genes (ARGs). However, the transfer mechanism of ARGs in drinking water distribution system (DWDS) under the coupling effect of antibiotics and disinfectants has not been completely understood. In the current study, four lab-scale biological annular reactors (BARs) were constructed to evaluate the effects of sulfamethoxazole (SMX) and NaClO coupling in DWDS and reveal the related mechanisms of ARGs proliferation. TetM was abundant in both the liquid phase and the biofilm, and redundancy analysis showed that the total organic carbon (TOC) and temperature were significantly correlated with ARGs in the water phase. There was a significant correlation between the relative abundance of ARGs in the biofilm phase and extracellular polymeric substances (EPS). Additionally, the proliferation and spread of ARGs in water phase were related to microbial community structure. Partial least-squares path modeling showed that antibiotic concentration may influence ARGs by affecting MGEs. These findings help us to better understand the diffusion process of ARGs in drinking water and provide a theoretical support for technologies to control ARGs at the front of pipeline.

Phytotoxic Effects of Tetracycline and its Removal Using Canna indica in a Hydroponic System

Wetland plants are gaining interest as potential agents for removing emerging contaminants. However, there have been limited studies examining the ability of these plant species to remove antibiotics and their tolerance to stress. This study aimed to investigate the potential of Canna indica, an indigenous wetland plant species in India, for tetracycline-induced oxidative stress, antioxidant activity, and removal of antibiotics from nutrient media and domestic wastewater. Canna indica exhibited a removal rate of approximately 91.05 ± 0.18% for tetracycline in antibiotic containing nutrient media and 87.97 ± 0.39% in domestic wastewater. Notably, the exposure to the drug during the 30 d reaction period led to the accumulation of reactive oxygen species in the plant tissues. Consequently, there was a decline in chlorophyll content, alongside an increase in antioxidant activity, membrane permeability, and K ⁺ ion leakage. These findings emphasize the importance of monitoring tolerance levels induced by antibiotics in plant species. Thus, monitoring the antibiotic-induced-tolerance levels in plant species is crucial for maintaining plant health and effectively managing abiotic stress, ensuring efficient recovery and facilitating an effective wetland treatment system.

Occurrence of antibiotics in wastewater: Potential ecological risk and removal through anaerobic-aerobic systems

Antibiotics are intensively used to improve public health, prevent diseases and enhance productivity in animal farms. Contrarily, when released, the antibiotics laden wastewater produced from pharmaceutical industries and their application sources poses a potential ecological risk to the environment. This study provides a discussion on the occurrence of various antibiotics in wastewater and their potential ecological risk in the environment. Further, a critical review of anaerobic-aerobic processes based on three major systems (such as constructed wetland, high-rate bioreactor, and integrated treatment technologies) applied for antibiotics removal from wastewater is performed. The review also explores microbial dynamics responsible for antibiotic biodegradation in anaerobic-aerobic systems and its economic feasibility at wider-scale applications. The operational problems and prospective modifications are discussed to define key future research directions. The appropriate selection of treatment processes, sources control, understanding of antibiotic fate, and adopting precise monitoring strategies could eliminate the potential ecological risks of antibiotics. Integrated bio-electrochemical systems exhibit antibiotics removal ≥95% by dominant Geobacter sp. at short HRT ∼4-10 h. Major process factors like organic loading rate, hydraulic loading rate (HRT), and solid retention time significantly affect the system performance. This review will be beneficial to the researchers by providing in-depth understanding of antibiotic pollution and its abatement via anaerobic-aerobic processes to develop sustainable wastewater treatment technology in the future.

Synergistic removal of sulfamethoxazole and dimethyl phthalate by five constructed wetland substrates

Frequent detection and joint toxicity of sulfonamides (SAs) and phthalate acid esters (PAEs) in water environment have caused serious health and safety problems that can be reduced by vertical flow constructed wetland (VFCW). However, it remains unclear what kind of substrate used in VFCW can synergistically remove SAs and PAEs. In this study, it was determined if biochar, zeolite, vermiculite, peat and sand synergistically removed sulfamethoxazole (SMX) and dimethyl phthalate (DMP) as representatives of SAs and PAEs by using batch and column experiments. The batch experiments showed that pseudo-second-order and intraparticle diffusion kinetics and Freundlich isotherm could better describe the synergistic adsorption of SMX and DMP on each substrate. SMX promoted hydrophobic interaction between DMP and each substrate so that low concentration DMP almost was adsorbed completely at neutral pH. Both neutral and alkaline pH conditions were favorable for synergistic adsorption of SMX and DMP on each substrate. The column experiments showed that removal of SMX or DMP in VFCW by substrate adsorption alone was limited with run time increasing, but SMX and DMP were effectively removed with run time increasing when loaded with simulated wastewater, SMX and DMP. The VFCW not only removed 94.7% SMX and 91.8% DMP after running 50 d, but also improved total nitrogen removal. In conclusion, these results strongly suggest that biochar, zeolite, vermiculite, peat and sand filled in VFCW can synergistically remove SMX and DMP.

Roles of substrates in removing antibiotics and antibiotic resistance genes in constructed wetlands: A review

Antibiotics and corresponding antibiotic resistance genes (ARGs) are emerging pollutants in wastewater that pose a significant threat to the environment and human health. Constructed wetlands (CWs) are a cost-effective technology for eliminating these pollutants through substrates, plants, and microorganisms. Detailed reviews of the roles of CW substrates on antibiotic and ARG removal and recent progress in the field are lacking. This paper reviews the mechanisms influencing antibiotic and ARG (intracellular and extracellular) removal in CWs, and natural, biomass, chemical, modified, industrial, novel, and combined substrates on their removal efficiencies. Generally, substrates remove antibiotics and ARGs mainly through adsorption, biodegradation, chemical oxidation, and filtration. Other mechanisms, such as photolysis, may also contribute to removal. Natural substrates (e.g., gravel, zeolite) are more frequently employed than other types of substrates. The removal performance of antibiotics and intracellular ARGs by zeolite was better than that of gravel through enhanced substrate adsorption, filtration, and biodegradation processes. Moreover, Mn ore showed promising high capability to remove high concentration of antibiotics through various removal pathways. In addition, combined substrates of soil/sand/gravel and other substrates further facilitate antibiotic removal. Future research is suggested to explore the mechanisms of competitive adsorption and redox-controlled biodegradation, investigate the effect of Fe/Mn oxides on the removal of antibiotics and ARGs via chemical oxidation, evaluate the removal of extracellular ARGs by CWs with different substrates, and investigate the effect of substrates on removal of antibiotics and ARGs in full-scale CWs.

Influencing factors of antibiotic resistance genes removal in constructed wetlands: A meta-analysis assisted by multivariate statistical methods

In order to control antibiotic resistance genes (ARGs) diffusion in constructed wetlands, it is critical to explore the main factors influencing ARGs removal and understand its mechanism. Despite the fact that numerous studies have been conducted to determine the factors influencing ARGs removal by constructed wetlands in recent years, attempts to use published data and incorporate them into a comprehensive comparison and analysis are still limited. A framework for literature collection, data extraction and statistical analysis (LDS) was constructed in this study. The main factors influencing antibiotics and ARGs removal by constructed wetlands were identified using this framework. The results showed that nutrients, types of constructed wetlands and hydraulic loading were the principal factors influencing the removal of most antibiotics. The principal factors influencing the most ARGs removal were mobile genetic elements, plants, volume of constructed wetlands and running time. After purification by constructed wetlands, the risk coefficient of antibiotics decreased significantly, while the relative abundance of most ARGs did not change significantly. The analysis results of linear mixed model showed that the relationship between antibiotics and ARGs in effluent was closer than that in influent. LDS framework provides a new platform for the study of influencing factors of pollutant removal based on data mining.

Ecological Risks of Antibiotics in Urban Wetlands on the Qinghai-Tibet Plateau, China

Although the ecological risks of antibiotics have been extensively researched globally, fewer studies have been conducted in sensitive and fragile plateau wetland ecosystems. To evaluate the ecological risk of antibiotics in plateau urban wetlands, 18 water samples, 10 plant samples, and 8 sediment samples were collected in March 2022 in the Xining urban wetlands on the Qinghai-Tibet Plateau. The liquid chromatography-electrospray ionization tandem mass spectrometry method was utilized to measure the concentrations of 15 antibiotics in three categories in three types of environmental media. Risk quotients were adopted to assess the ecological risk of antibiotics, and the principal component analysis-multiple linear regression model was used to analyze the source of antibiotics. The results showed that (1) the maximum concentrations of antibiotics in water samples, plants, and sediments reached 1220.86 ng/L, 78.30 ng/g, and 5.64 ng/g, respectively; (2) Tylosin (TYL), norfloxacin (NFX), ofloxacin (OFX), and ciprofloxacin (CFX) in water were at medium and high-risk levels, and OFX had the highest risk value, of 108.04; and (3) the results of source apportionment indicate that 58.94% of the antibiotics came from the Huangshui river and wastewater treatment plant (WWTP) near the wetlands. The current study may provide a reference for the risks and management of antibiotics in plateau urban wetlands.

New and traditional methods for antibiotic resistance genes removal: Constructed wetland technology and photocatalysis technology

Antibiotic resistance genes (ARGs) are a new environmental contaminant that poses a major hazard to humans and the environment. This research discusses the methods and drawbacks of two ARG removal approaches, constructed wetlands (CWs) and photocatalysis. CWs primarily rely on the synergistic effects of substrate adsorption, plant uptake, and microbial processes to remove ARGs. The removal of ARGs can be influenced by wetland plants, substrate type, wetland type, and hydraulic conditions. The absolute abundance of ARGs in effluent decreased, but their relative abundance increased. Photocatalysis deactivates ARGs predominantly through reactive oxygen species, with removal effectiveness determined by catalyst type, radiation type, and radiation intensity. The drawback is that it exposes intracellular resistance genes, perhaps increasing the risk of ARG spread. To address the current shortcomings, this paper proposes the feasibility of combining a constructed wetland with photocatalysis technology, which provides a novel strategy for ARG removal.

Fate of resistome components and characteristics of microbial communities in constructed wetlands and their receiving river

Currently, most researches focus on that constructed wetlands (CWs) achieve desirable removal of antibiotics, antibiotic resistance genes (ARGs) and human pathogens. However, few studies have assessed the fate of resistome components, especially the behavior and cooccurrence of ARGs, mobile genetic elements (MGEs) and virulence factors (VFs). Therefore, characteristics of microbial communities (MCs) in CWs and their receiving rivers also deserve attention. These factors are critical to water ecological security. This study used two CWs to explore the fate of resistome components and characteristics of MCs in the CWs and their receiving river. Eleven samples were collected from the two CWs and their receiving river. High-throughput profiles of ARGs and microbial taxa in the samples were characterized. 31 ARG types consisting of 400 subtypes with total relative abundance 42.63-84.94× /Gb of sequence were detected in CWs, and 62.07-88.08× /Gb of sequence in river, evidencing that ARG pollution covered CWs and the river, and implying huge potential risks from ARGs. MGEs and VFs were detected, and tnpA, IS91 and intI1 were the three dominant MGEs, while Flagella. Type IV pili and peritrichous flagella were main VFs. Both CWs can remove ARGs, MGEs and VFs efficiently. However, some ARGs were difficult to remove, such as sul1 and sul2, and certain ARGs remained in the effluent of the CWs. The co-occurrence of ARGs, MGEs, and VFs implies the risk of antibiotic resistance and dissemination of ARGs. Eighty-five types of human pathogen were detected in the river samples, particularly Pseudomonas aeruginosa, Bordetella bronchiseptica, Aeromonas hydrophila and Helicobacter pylori. Correlation analysis indicated that MCs had significant effects on the profiles of ARGs in the water environment. This study reveals potential risks of the reuse of reclaimed water, and illustrates the removal ability of ARGs and related elements by CWs. This study will be helpful for monitoring and managing resistomes in water environments.

Tracking the influence of antibiotics, antibiotic resistomes, and salinity gradient in modulating microbial community assemblage of surface water and the ecological consequences

The ecological impacts of antibiotics and antibiotic resistance genes (ARGs) on water ecology remain elusive in natural environments. We investigated the influence of antibiotics, ARGs and salinity gradient on the surface water ecosystem. Cefquinome (104.2 ± 43.6 ng/L) and cefminox (16.2 ± 7.50 ng/L) cephalosporins were predominant in all sites. Antibiotic contamination was increased in the estuary ecosystems compared to the freshwater ecosystems by 6%. Bacterial diversity could resist changes in salinity, but the relative abundance of some bacterial genera; Pseudoalteromonas, Glaciecola, norank_f__Arcobacteraceae, and Pseudohongiella was increased in the estuary zone (salinity>0.2%). The eukaryotic composition was increased in the subsaline environments (<0.2%), but the higher salinity in the saline zone inhibited the eukaryotic diversity. The relative abundance of ARGs was significantly higher in the estuary than in freshwater ecosystems, and ARGs interactions and mobile elements (aac(6')-Ib(aka_aacA4)-01, tetR-02, aacC, intI1, intI-1(clinic), qacEdelta1-01, and strB) were the predominant factors responsible for the ARGs propagation. Antibiotics associated with corresponding and non-corresponding ARGs and potentially created an adverse environment that increased the predation and pathogenicity of the aquatic food web and inhibited the metabolic functions. Surface water are first-line-ecosystems receiving antibiotics and ARGs hence our findings provided vital insights into understanding their ecological consequences on surface water ecosystems.

Antibiotics and antibiotic resistant bacteria/genes in urban wastewater: A comparison of their fate in conventional treatment systems and constructed wetlands

There is a growing concern that the use and misuse of antibiotics can increase the detection of antibiotic resistant genes (ARGs) in wastewater. Conventional wastewater treatment plants provide a pathway for ARGs and antibiotic resistant bacteria (ARB) to be released into natural water bodies. Research has indicated that conventional primary and secondary treatment systems can reduce ARGs/ARB to varying degrees. However, in developing/low-income countries, only 8-28% of wastewater is treated via conventional treatment processes, resulting in the environment being exposed to high levels of ARGs, ARB and pharmaceuticals in raw sewage. The use of constructed wetlands (CWs) has the potential to provide a low-cost solution for wastewater treatment, with respect to removal of nutrients, pathogens, ARB/ARGs either as a standalone treatment process or when integrated with conventional treatment systems. Recently, CWs have also been employed for the reduction of antibiotic residues, pharmaceuticals, and emerging contaminants. Given the benefits of ARG removal, low cost of construction, maintenance, energy requirement, and performance efficiencies, CWs offer a promising solution for developing/low-income countries. This review promotes a better understanding of the performance efficiency of treatment technologies (both conventional systems and CWs) for the reduction of antibiotics and ARGs/ARB from wastewater and explores workable alternatives.

Nitrogen and sulfamethoxazole removal in a partially saturated vertical flow constructed wetland treating synthetic mariculture wastewater

This study investigated the removal of nitrogen and sulfamethoxazole (SMX), and the microbial communities in a partially saturated vertical flow constructed wetland (PS-VFCW) fed with synthetic mariculture wastewater operated at different saturated zone depths (SZDs), i.e. 51, 70, and 60 cm. Removal efficiencies were 99.8%-100.0% for COD, 34.1%-100.0% for NH4+-N, 67.8%-97.3% for total inorganic nitrogen (TIN), and 29.8%-57.2% for SMX. Excellent nitrification performance was achieved at the SZDs of 51 and 60 cm. Denitrification performed well at 70 and 60 cm SZDs. The highest TIN removal efficiency (97.3%) was achieved as the SZD was 60 cm. SMX removal was significantly influenced by SZD and was promoted by higher SZD. The removal of organics, nitrogen, and SMX mainly occurred in the unsaturated zone. Ammonia-oxidizing bacteria, nitrite-oxidizing bacteria, denitrifying bacteria, and SMX-degrading bacteria were detected in the unsaturated and saturated zones, and showed an increasing trend in abundance along the depth.

Antibiotic-Resistant Gene Behavior in Constructed Wetlands Treating Sewage: A Critical Review

The main objective of this review is to evaluate the performance of constructed wetlands (CWs) used to reduce antibiotic-resistant genes (ARGs) during sewage treatment. To accomplish this objective, statistical and correlation analyses were performed using published data to determine the influence of operational and design parameters on ARG reduction in CWs. The effects of design and operational parameters, such as different CW configurations, seasonality, monoculture and polyculture, support medium, and hydraulic retention time (HRT), on ARG removals, were analyzed. A comparison of ARG reduction under different CW configurations showed that the hybrid configuration of surface flow (SF)–vertical subsurface flow (VSSF) achieved the highest reductions, with values of 1.55 ulog. In this case, aeration is considered an important factor to reduce ARGs in CWs, and it should be considered in future studies. However, statistical analyses showed that the ARG reductions under different CW configurations were not significant (p > 0.05). The same behavior was observed when the effects of operational factors on ARG reductions were analyzed (p > 0.05). The results of this study show that CWs are not optimal technologies to reduce ARGs in sewage. The combination of CWs with advanced wastewater technologies can be a solution for enhancing ARG reduction and reducing the spread of antibiotic resistance.

Spatiotemporal dynamic changes of antibiotic resistance genes in constructed wetlands and associated influencing factors

A better understanding of the spatiotemporal dynamics and influencing factors of sulfonamide antibiotic resistance genes (ARGs) distribution in subsurface flow constructed wetlands is essential to improve the ARGs removal efficiency. The spatiotemporal dynamics of sulfonamide ARGs were explored in the vertical upflow subsurface flow constructed wetland (VUSFCW). The results showed that the absolute abundance of ARGs presented a trend of bottom layer > middle layer > top layer. The relative abundance of ARGs decreased significantly from the bottom layer to the middle layer, but increased in the top layer. The bottom layer was the main stage to remove ARGs. The absolute abundance of ARGs at each point in summer was significantly higher than that in winter. Based on the spatiotemporal distribution of ARGs, the internal mechanism of ARGs dynamic change was explored by the partial least square path analysis model. The results showed that physical-chemical factors, microorganisms and antibiotics indirectly affected the spatiotemporal distribution of ARGs mainly through mobile genetic elements. The indirect influence coefficients of physical-chemical factors, microorganisms and antibiotics on the spatiotemporal distribution of ARGs were 0.505, 0.221 and 0.98 respectively. The direct influence coefficient of MGEs on the spatiotemporal distribution of ARGs was 0.895. The results of network analysis showed that the potential host species of ARGs in summer were more abundant than those in winter. The selection mode of sulfonamide ARGs to potential hosts was nonspecific. There is a risk of sulfonamide ARGs infecting pathogens in VUSFCW. Fortunately, VUSFCW has proven effective in reducing the absolute abundance of ARGs and the potential risk of pathogens carrying ARGs. These findings provide a model simulation and theoretical basis for effectively reducing the threat of ARGs.

Trace antibiotics increase the risk of antibiotic resistance genes transmission by regulating the biofilm extracellular polymeric substances and microbial community in the sewer

Sewer is considered a potential hotspot for antibiotic resistance, but the occurrence and proliferation of antibiotic resistance genes (ARGs) under trace antibiotics exposure have received little attention. This work evaluated the effects of tetracycline (TC) and sulfamethoxazole (SMX) individually and in combination in the sewer system and revealed the related mechanisms of ARG proliferation. The relative abundance of tetA and sul1 increased the most under TC and SMX stress, respectively, whereas sul1 increased the most under combined stress. Intl1 was abundant in both the liquid phase and the biofilm, and redundancy analysis confirmed that horizontal gene transfer was the main reason for the proliferation of ARGs. The increase in extracellular polymeric substances (EPS) secretion and the enhancement of the main hydrophobic functional groups facilitated the accumulation of biofilms, which promoted the proliferation of ARGs in biofilms. The relative abundance of most ARGs in the liquid phase was significantly correlated with EPS, protein and tryptophan-like substances. Furthermore, the microbial community structure and diversity affected the proliferation and spread of ARGs in the sewer. These findings contribute to our further understanding of the proliferation and development of ARGs in the sewer and lay the foundation for the front-end control of ARGs.

Plants inhibit the relative abundance of sulfonamide resistance genes and class 1 integron by influencing bacterial community in rhizosphere of constructed wetlands

Antibiotic resistance genes (ARGs) commonly detected in wastewater can potentially lead to a health crisis. Constructed wetlands (CWs) remove ARGs and sulfonamides (SAs) from wastewater, but the importance of plants in the process is seldom reported. We compared the effect of three wetland plant species (Cyperus alternifolius, Juncus effuses, and Cyperus papyrus), sample distance from the root, and SA presence on the environmental abundance of class 1 integron (intI1) and SA resistance genes (sul) using specially designed CW rhizoboxes. Quantitative polymerase chain reaction revealed that the relative abundance of the target genes in planted CWs, especially in C. alternifolius planted CWs, was significantly lower than that in unplanted CWs (P < 0.05). The substrate in the rhizosphere or near-/moderate-rhizosphere (closest to the root) showed the lowest average relative abundance of the target genes, while the bulk substrate (without the root) showed the highest abundance of these genes, irrespective of the planted species. Further, the influence of plants was more evident after 8 weeks of wastewater treatment. The trend was the same in SA-treated and untreated groups, although the relative abundance of the target genes was significantly higher in the former (P < 0.05). The weaker correlation between the intI1 and sul genes in the rhizosphere and near-/moderate-rhizosphere in comparison to the bulk substrate in the SA group suggested that the risk of horizontal gene transfer was probably higher in the bulk substrate and unplanted CW. A partial least-squares path model revealed that dissolved organic carbon and oxygen content significantly influenced SA concentration, microbial community, and intI1 genes, and then shaping the sul genes together. Finally, redundancy analysis suggested that abundance of sul genes was influenced by bacteria enriched in the bulk substrate and unplanted CWs. The findings provide new insights into the importance for controlling risk of ARGs by wetland plants.

Removal of Sulfonamide Resistance Genes in Fishery Reclamation Mining Subsidence Area by Zeolite

A majority of subsidence lakes were reclaimed as fish ponds, but the widespread use of antibiotics has caused the pollution of antibiotic resistance genes (ARGs). This paper uses zeolite as a filter material to construct a horizontal submersible wastewater treatment device and explores its effect on the removal of conventional pollutants and sulfonamide ARGs in wastewater. The results showed that the removal of total nitrogen and ammonia nitrogen by the zeolite filter media were 59.0% and 63.8%, respectively, which were higher than the removal of total phosphorus and COD. The absolute abundances of sul1 and sul2 in wastewater were 2.81 × 10⁴ copies·L⁻¹ and 2.42 × 10³ copies·L⁻¹. On average, 60.62% of sul1 and 75.84% of sul2 can be removed, and more than 90% of sul1 and sul2 can be removed. Experiments showed that the residence time of wastewater in the treatment device had a significant impact on removal. The microbial community structure of aquaculture wastewater was quite different before and after wastewater treatment. The abundance changes of Saccharimonadales and Mycobacterium affect the removal of sulfonamide ARGs.

Antibiotic removal and antibiotic resistance genes fate by regulating bioelectrochemical characteristics in microbial fuel cells

Antibiotics removal and ARGs control in microbial fuel cell (MFC) has received extensive attention. In particular, the critical role of bioelectrochemical characteristics deserves further study. Bioelectrochemical characteristics significantly affected sulfamethoxazole (SMX) removal and ARGs fate, in which the current intensity played a more critical role than anode potential. High-concentration SMX (2 mg/L and 10 mg/L) facilitated the anode potential tend to be close, and thus, the strengthening effect of current on the system was highlighted. However, the SMX degradation pathway under different bioelectrochemical characteristics was not affected. Furthermore, the higher current intensity was preferable to antibiotic removal, but unfavorable for ARGs control might be due to the oxidative stress on microorganisms. Low-concentration SMX (0.5 mg/L) contributed to improving higher electricity generation because of Geobacter enrichement. This study suggested that appropriate bioelectrochemical characteristics regulation in MFCs was essential in removing antibiotics and controlling ARGs.

Co-selective Pressure of Cadmium and Doxycycline on the Antibiotic and Heavy Metal Resistance Genes in Ditch Wetlands

Abuse of heavy metals and antibiotics results in the dissemination of metal resistance genes (MRGs) and antibiotic resistance genes (ARGs). Ditch wetlands are important sinks for heavy metals and antibiotics. The relationships between bacterial communities and MRG/ARG dissemination under dual stresses of heavy metals and antibiotics remain unclear. The responses of MRGs and ARGs to the co-selective pressure of cadmium (Cd) and doxycycline (DC) in ditch wetlands were investigated after 7-day and 84-day exposures. In ecological ditches, residual rates of Cd and DC varied from 0.4 to –5.73% and 0 to –0.61%, respectively. The greatest total relative abundance of ARGs was observed in the Cd 5 mg L^–1 + DC 50 mg L^–1 group. A significant level of DC (50 mg L^–1) significantly reduced the total relative abundances of MRGs at a concentration of 5 mg L^–1 Cd stress. Redundancy analysis indicated that Cd and DC had strong positive effects on most ARGs and MRGs after a 7-day exposure. Meanwhile, the class 1 integron gene (intI1) exhibited strong positive correlations with most ARGs and cadmium resistance genes (czcA) after an 84-day exposure. Network analysis showed that Acinetobacter and Pseudomonas were the potential dominant host genera for ARGs and MRGs, and tetracycline resistance genes (tetA), czcA, and intI1 shared the same potential host bacteria Trichococcus after an 84-day exposure.

Performance Efficiency of Conventional Treatment Plants and Constructed Wetlands towards Reduction of Antibiotic Resistance

Domestic and industrial wastewater discharges harbor rich bacterial communities, including both pathogenic and commensal organisms that are antibiotic-resistant (AR). AR pathogens pose a potential threat to human and animal health. In wastewater treatment plants (WWTP), bacteria encounter environments suitable for horizontal gene transfer, providing an opportunity for bacterial cells to acquire new antibiotic-resistant genes. With many entry points to environmental components, especially water and soil, WWTPs are considered a critical control point for antibiotic resistance. The primary and secondary units of conventional WWTPs are not designed for the reduction of resistant microbes. Constructed wetlands (CWs) are viable wastewater treatment options with the potential for mitigating AR bacteria, their genes, pathogens, and general pollutants. Encouraging performance for the removal of AR (2-4 logs) has highlighted the applicability of CW on fields. Their low cost of construction, operation and maintenance makes them well suited for applications across the globe, especially in developing and low-income countries. The present review highlights a better understanding of the performance efficiency of conventional treatment plants and CWs for the elimination/reduction of AR from wastewater. They are viable alternatives that can be used for secondary/tertiary treatment or effluent polishing in combination with WWTP or in a decentralized manner.

A Review on Constructed Treatment Wetlands for Removal of Pollutants in the Agricultural Runoff

Constructed wetland (CW) is a popular sustainable best management practice for treating different wastewaters. While there are many articles on the removal of pollutants from different wastewaters, a comprehensive and critical review on the removal of pollutants other than nutrients that occur in agricultural field runoff and wastewater from animal facilities, including pesticides, insecticides, veterinary medicine, and antimicrobial-resistant genes are currently unavailable. Consequently, this paper summarized recent findings on the occurrence of such pollutants in the agricultural runoff water, their removal by different wetlands (surface flow, subsurface horizontal flow, subsurface vertical flow, and hybrid), and removal mechanisms, and analyzed the factors that affect the removal. The information is then used to highlight the current research gaps and needs for resilient and sustainable treatment systems. Factors, including contaminant property, aeration, type, and design of CWs, hydraulic parameters, substrate medium, and vegetation, impact the removal performance of the CWs. Hydraulic loading of 10–30 cm/d and hydraulic retention of 6–8 days were found to be optimal for the removal of agricultural pollutants from wetlands. The pollutants in agricultural wastewater, excluding nutrients and sediment, and their treatment utilizing different nature-based solutions, such as wetlands, are understudied, implying the need for more of such studies. This study reinforced the notion that wetlands are effective for treating agricultural wastewater (removal > 90%) but several research questions remain unanswered. More long-term research in the actual field utilizing environmentally relevant concentrations to seek actual impacts of weather, plants, substrates, hydrology, and other design parameters, such as aeration and layout of wetland cells on the removal of pollutants, are needed.

Hydrothermal synthesis of magnetic nano-CoFe2O4 catalyst and its enhanced degradation of amoxicillin by activated permonosulfate

Advanced oxidation process (AOP) has attracted widespread attention because it can effectively remove antibiotics in water, but its practical engineering application is limited by the problems of the low efficiency and difficult recovery of the catalyst. In the study, nano-spinel CoFe₂O₄ was prepared by hydrothermal method and served as the peroxymonosulfate (PMS) catalyst to degrade antibiotic amoxicillin (AMX). The reaction parameters such as CoFe₂O₄ dosage, AMX concentration, and initial pH value were also optimized. The reaction mechanism was proposed through free radical capture experiment and possible degradation pathway analysis. In addition, the magnetic recovery performance and stability of the catalyst were evaluated. Results showed that 85.5% of AMX could be removed within 90 min at optimal conditions. Sulfate radicals and hydroxyl radicals were the active species for AMX degradation. Moreover, the catalyst showed excellent magnetism and stability in the cycle experiment, which has great potential in the AOP treatment of antibiotic polluted wastewater.

Performance and mechanism of sulfamethoxazole removal in different bioelectrochemical technology-integrated constructed wetlands

Sulfamethoxazole (SMX) has a high concentration and detection frequency in aquatic environments due to the poor removal efficiency of traditional biological treatment processes. Bioelectrochemical technology-integrated constructed wetlands (CWs) have great potential for SMX removal; however, the process of SMX removal in different bioelectrochemical technology-integrated CWs (microbial fuel cell (MFC) and direct current (EC)) remains unclear. To address this, we examined the mechanism of SMX removal in MFCCW and ECCW. The results revealed that the SMX removal efficiency can reach 96.0 ± 2.4% in the ECCW and 97.2 ± 2.2% in the MFCCW. The enhancement of MFC for SMX removal in CW was slightly better than that in direct current (p > 0.05). It was found that the adsorption process of SMX in the substrate promoted by EC was more enhanced than that by MFC. Furthermore, bioelectrochemical technology improved plant activity, including root and enzymatic (superoxide dismutase, peroxidase, and catalase) activities, and fluorescence parameters (photochemical quenching coefficient, non-photochemical quenching coefficient, and quantum efficiency of PS II). Significant differences were found between CW and ECCW (p < 0.05), while no significant differences were found between CW and MFCCW (p > 0.05). The microbial activity and abundance in CW were improved by bioelectrochemical technology, and the microbial community structure was optimised to be simpler and more stable. However, EC tended to promote microbial and plant activity in CW, whereas MFC tended to optimise the microbial community and improve the tightness and stability of the module. The enhanced difference might also account for the changes in the SMX degradation pathway. 4-aminobenzenesulfonic acid (TP174), 3-amino-5-methylisoxazole (TP99) and 5-methylisoxazole (TP84) were all common products in the three reactors, whereas TP99 underwent further ring-opening in MFCCW and TP174 underwent further hydrolysis in ECCW. This study provided an important reference for the targeted regulation of plants and microorganisms in constructed wetlands via different bioelectrochemistry to enhance characteristic pollutants degradation.

Changes of antibiotic resistance genes and bacterial communities in the advanced biological wastewater treatment system under low selective pressure of tetracycline

Effluents of conventional wastewater treatment systems contain antibiotic residues at concentrations below the minimal inhibitory concentrations (MIC), which nevertheless could still select for antibiotic-resistant bacteria. This work focuses on evaluating the changes of antibiotic resistance genes (ARGs) and bacterial communities in a planted advanced biological wastewater treatment system (ABWWTS) under long-term exposure to sub-MIC tetracycline. In the ABWWTS, the removal rates of tetracycline ranged from 97.9% to 99.9%, and a 17.2% decrease in the average removal rates of NH₄⁺-N was observed after the addition of tetracycline. Although the background of ABWWTS contributed to the ARGs in effluents, the concentration of 283 targeted ARGs (ΣARGs) was 83.5% lower in effluents than in influents after sub-MIC tetracycline exposure, and the concentrations of ΣARGs in the ABWWTS were, on average, 30.0% lower than those in an unplanted biological wastewater treatment system (UBWWTS) after a performance of 130 days. The relative abundance of tetracycline resistance genes increased within ABWWTS and UBWWTS under tetracycline exposure. After tetracycline exposure, bacterial diversity in ABWWTS and UBWWTS increased on average by 36.2% and 42.7%, respectively, and the abundances of Nitrosomonas and Nitrospira in the aerobic zone were more than 10-times higher in the ABWWTS than in the UBWWTS. Sub-MIC tetracycline concentrations were linearly correlated with the relative abundance of tetracycline resistance genes in Escherichia coli (E. coli). Long-term exposure to tetracycline at the same concentration increased abundances of the same ARGs (i.e., tetR-02 and tetM-01) in E. coli and the microflora of the ABWWTS, revealing that sub-MIC tetracycline could increase the abundance of ARGs in the ABWWTS by facilitating the vertical transfer of tetracycline resistance genes. These findings demonstrated that planted ABWWTS played a positive role in removing ARGs under low antibiotic selective pressure, which was in accompany with increasing levels of corresponding ARGs within the system.

Enhanced removal of sulfamethoxazole and tetracycline in bioretention cells amended with activated carbon and zero-valent iron: System performance and microbial community

Antibiotics, heavily used as medicine, enter the environment inevitably and raise concerns of the risk to the ecosystems. In this study, we explored the removal efficiency and mechanism of sulfamethoxazole (SMX) and tetracycline (TC) in activated carbon (AC) and AC-zero-valent iron amended bioretention cells (AC-BRC and AC-Fe-BRC) compared with a conventional bioretention cell (BRC). Moreover, the system performance of BRCs, the shifts of the microbial community, as well as the fate of corresponding antibiotic resistance genes (ARGs) were comprehensively investigated. The results showed that, exposed to antibiotics notwithstanding, AC-BRC and AC-Fe-BRC significantly outperformed BRC on total nitrogen (TN) removal (BRC: 70.36 ± 13.61%; AC-BRC: 91.43 ± 6.41%; AC-Fe-BRC: 83.44 ± 12.13%). Greater than 97% of the total phosphorous (TP) was removed in AC-Fe-BRC, remaining unimpacted despite of the selective pressure from SMX/TC. Excellent removals of antibiotics (above 99%) were achieved in AC-BRC and AC-Fe-BRC regardless of the types and initial concentrations (0.8 mg/L, 1.2 mg/L and 1.6 mg/L) of antibiotics, dwarfing the removal performance of BRC (12.2 ± 4.4%-64.2 ± 5.5%). The illumina high throughput sequencing analysis demonstrated the concomitant variations of microbial communities as SMX/TC was loaded. AC layers tended to alleviate the adverse effect of SMX/TC on microbial biodiversity. Proteobacteria (34.55-68.47%), Chloroflexi (7.13-33.54%), and Bacteroidetes (6.20-21.03%) were the top three dominant phyla in the anaerobic zone of the BRCs. The abundance of antibiotic resistance genes (ARGs) sulI, sulII and tetA genes were dramatically higher in AC-BRC and AC-Fe-BRC when exposed to 0.8 mg/L SMX/TC, which indicated that relatively low concentrations of SMX/TC induced the production of these three ARGs in the presence of AC. Although the amendment of AC led to highly efficient SMX/TC removals, further investigation is still required to improve the retention of ARGs in BRCs.

Ecological impact of antibiotics on bioremediation performance of constructed wetlands: Microbial and plant dynamics, and potential antibiotic resistance genes hotspots

Constructed wetlands (CWs) are nature-based solutions for treating domestic and livestock wastewater which may contain residual antibiotics concentration. Antibiotics may exert selection pressure on wetland's microbes, thereby increasing the global antibiotics resistance problems. This review critically examined the chemodynamics of antibiotics and antibiotics resistance genes (ARGs) in CWs. Antibiotics affected the biogeochemical cycling function of microbial communities in CWs and directly disrupted the removal efficiency of total nitrogen, total phosphorus, and chemical oxygen demand by 22%, 9.3%, and 24%, respectively. Since changes in microbial function and structure are linked to the emergence and propagation of antibiotic resistance, antibiotics could adversely affect microbial diversity in CWs. The cyanobacteria community seemed to be particularly vulnerable, while Proteobacteria could resist and persist in antibiotics contaminated wetlands. Antibiotics triggered excitation responses in plants and increased the root activities and exudates. Microbes, plants, and substrates play crucial roles in antibiotic removal. High removal efficiency was exhibited for triclosan (100%) > enrofloxacin (99.8%) > metronidazole (99%) > tetracycline (98.8%) > chlortetracycline (98.4%) > levofloxacin (96.69%) > sulfamethoxazole (91.9%) by the CWs. This review showed that CWs exhibited high antibiotics removal capacity, but the absolute abundance of ARGs increased, suggesting CWs are potential hotspots for ARGs. Future research should focus on specific bacterial response and impact on microbial interactions.

The survival and removal mechanism of Sphingobacterium changzhouense TC931 under tetracycline stress and its' ecological safety after application

Sphingobacterium changzhouense TC931 was isolated as a novel TC (tetracycline) removal bacterium through adsorption on extracellular polymerase substances (EPS) and cellular surface and biodegradation. TC biodegradation efficiency by strain TC931 was affected by solution initial pH and carbon source. Polysaccharides and hydrocarbons in EPS and cellular surface were responsible for TC biosorption. Eight possible biodegradation products were identified and the biodegradation pathway was proposed. Strain TC931 was rich in antibiotic resistance genes, and tetX_-TC931 and antibiotics resistance genome island (GI) may be acquired via horizontal gene transfer in early evolutionary history. The GI was incomplete and may stable in strain TC931, but it could develop into an intact and transferability GI with help of other mobile genetic elements. This work offers a theoretical basis for understanding the survival and biodegradation mechanisms of S. changzhouense TC931 under TC stress, and offers an ecological safety assessment for its application in environmental bioremediation.

Response of antibiotic and heavy metal resistance genes to tetracyclines and copper in substrate-free hydroponic microcosms with Myriophyllum aquaticum

Constructed wetlands for antibiotics and heavy metals removal have become important reservoirs of antibiotic resistance genes (ARGs) and heavy metal resistance genes (MRGs), especially in the substrates. Here, substrate-free hydroponic microcosms of Myriophyllum aquaticum were established; tetracyclines (TCs) and Cu(II) were added to evaluate the behaviours of ARGs and MRGs in the microcosms. Several ARGs, MRGs, and mobile genetic elements (MGE) were detected in the biofilms attached to the plants, ranging from 0.5 to 2.3 × 10⁸ copies/g dry weight. ARGs and MRGs exhibited higher relative abundances in the effluent suspended solids (SS); however, their absolute amounts were much lower than those in conventionally constructed wetlands. Microcosms with TCs and Cu(II) exhibited a higher level of resistant genes than those with compound added singularly owing to co-selection pressure. The existence of TCs and copper significantly changed the microbial communities in the microcosms. The exogenous input of TC/Cu(II) and microbial community structure were the factors driving the occurrence of ARGs, whereas MRGs were more correlated with the copper addition. Thus, reducing the exogenous inputs of antibiotics /heavy metals and SS of the effluent is suggested for the mitigation of resistant genes in phytoremediation technologies working in the absence of conventional substrates.

Technologies towards antibiotic resistance genes (ARGs) removal from aquatic environment: A critical review

Antibiotic resistance genes (ARGs) have been recognized as emerging pollutants that are widely distributed and accumulated in most of aquatic environment. Although many ARGs-removal technologies are employed, a corresponding discussion of merits and limitations of known technologies is still currently lacking. More importantly, the removal mechanisms of ARGs remain unclear, hindering their ecological feasibility. Thus, further in-depth studies are highly required. In this review, the occurrence and risk of ARGs in aquatic environment are introduced, and the main routes and potential impacts of ARGs dissemination are enumerated. In addition, several novel ARGs detection methods are critically reviewed. Notably, to ensure greater applicability of these technologies, systematic information on how recent technologies impact the ARGs removal and control are comprehensively compared and summarized. Finally, future research directions to alleviate the risk of ARGs in aquatic environment are briefly introduced. Taken together, this review provides useful information to facilitate the development of innovative and feasible ARGs removal technologies and increase their economic viability and ecological sustainability.

Improving removal of antibiotics in constructed wetland treatment systems based on key design and operational parameters: A review

While removal of antibiotics in constructed wetland treatment systems (CWTS) has been described previously, few studies examined the synergistic effect of multiple design and operational parameters for improving antibiotic removal. This review describes the removal of 35 widely used antibiotics in CWTS covering the most common design parameters (flow configuration, substrate, plants) and operational parameters (hydraulic retention time/hydraulic loading rates, feeding mode, aeration, influent quality), and discusses how to tailor those parameters for improving antibiotic removal based on complex removal mechanisms. To achieve an overall efficient removal of antibiotics in CWTS, our principal component analysis indicated that optimization of flow configuration, selection of plant species, and compensation for low microbial activity at low temperature is the priority strategy. For instance, a hybrid-CWTS that integrates the advantages of horizontal and vertical subsurface flow CWTS may provide a sufficient removal performance at reasonable cost and footprint. To target removal of specific antibiotics, future research should focus on elucidating key mechanisms for their removal to guide optimization of the design and operational parameters. More efficient experimental designs (e.g., the Box-Behnken design) are recommended to determine the settings of the key parameters. These improvements would promote development of this environmentally friendly and cost-efficient technology for antibiotic removal.

Fate and removal of bacteria and antibiotic resistance genes in horizontal subsurface constructed wetlands: Effect of mixed vegetation and substrate type

This study aimed to investigate the influence of cropping method and substrate type on the fate and the removal of bacterial and antibiotic resistance genes (ARGs) indicators from primary wastewater by constructed wetlands (CWs) during startup and maturation stages. Four small-scale CWs differing in their plantation pattern (monoculture vs. polyculture) and substrate type were constructed and operated under field conditions. While for bacteria, the greatest impact of the cropping method and substrate type on removal was during the startup stage rather than the maturation stage, for ARGs, such impact was significant at both stages. During startup, the removal efficiencies of heterotrophic bacteria, fecal coliforms, E. coli, 16S rRNA genes and lacZ increased with the operation time. At maturation, the removal efficiencies were constant and were within the range of 89.2-99.4%, 93.7-98.9%, 89-98.8%, 94.1-99.6% and 92.9-98.7%, respectively. The removal efficiencies of intl1, tetM, intl1, sul1, ermB and total ARGs were also increased with the operation time. However, they were ARG type and configuration-dependent; at maturation they ranged between 50.7%-89.4%, 85.9%-97%, 49.6%-92.9%, 58.2%-96.7% and 79.9-94.3%, respectively. The tuff-filled serially planted CW was also the only one capable of removing these genes at similar high efficiency. Metagenomic analysis showed that none of the ARGs was among the most common ARGs in water and biofilm samples; rather most ARGs belonged to bacterial efflux transporter superfamilies. Although ARGs were removed, they were still detected in substrate biofilm and their relative concentrations were increased in the effluents. While the removal of both bacteria and ARGs was higher during summer compared to winter, the season had no effect on the removal pattern of ARGs. Hence, combination of the serial plantation with substrate having high surface area is a potential strategy that can be used to improve the performance of CWs.

New insights on the combined removal of antibiotics and ARGs in urban wastewater through the use of two configurations of vertical subsurface flow constructed wetlands

The occurrence and removal of 49 antibiotics and 11 selected antibiotic resistance genes (ARGs) were investigated in 2 vertical subsurface flow (VF) constructed wetlands (1.5 m² each): an unsaturated (UVF) unit and a partially saturated (SVF) unit (0.35 m saturated out of 0.8 m) operating in parallel and treating urban wastewater. Thirteen antibiotics were detected in influent wastewater, 6 of which were present in all samples. The SVF showed statistical significance on the removal of 4 compounds (namely ciprofloxacin, ofloxacin, pipemidic acid and azithromycin), suggesting that the wider range of pH and/or redox conditions of this configuration might promote the microbial degradation of some antibiotics. In contrast, the concentration of the latter (except pipemidic acid) and also clindamycin was higher in the effluent than in the influent of the UVF. Five ARGs were detected in influent wastewater, sul1 and sul2, bla_TEM, ermB and qnrS. All of them were detected also in the biofilm of both wetlands, except qnrS. Average removal rates of ARGs showed no statistical differences between both wetland units, and ranged between 46 and 97% for sul1, 33 and 97% for sul2, 9 and 99% for ermB, 18 and 97% for qnrS and 11 and 98% for bla_TEM.

Exploring the decentralized treatment of sulfamethoxazole-contained poultry wastewater through vertical-flow multi-soil-layering systems in rural communities

Sulfamethoxazole (SMX) is the most widely distributed sulfonamide antibiotics detected in decentralized poultry wastewater in rural communities. As an economically-feasible and eco-friendly technology for decentralized wastewater treatment in rural areas, vertical-flow multi-soil-layering (MSL) system was promising to mitigate the ecological and human health risks from SMX in such areas. The treatment of SMX-contained poultry wastewater by using MSL systems was investigated for the first time, and the main and interactive effects of related multiple variables on system performance were explored through factorial analysis, including material of permeable layer, concentration of SMX, and pH of influent. Results indicated that SMX concentration and pH of influent showed significantly negative effects on SMX removal. Medical stone used in MSL systems with larger surface area could intensify the SMX removal compared to anthracite. MSL systems showed stable performances on SMX removal with the best SMX removal efficiency more than 91%. A novel stepwise-cluster inference (SCI) model was developed for the first time to map the multivariate numeric relationships between state variables and SMX removal under discrete and nonlinear complexities. It was demonstrated that the effect of SMX in wastewater with high concentration was significant on the differentiation of soil bacteria composition in MSL systems based on microbial diversity analysis. These results can help better understand the mechanism of SMX removal in MSL systems from perspectives of factorial analysis, numeric modeling, and microbiological change.

Nanotechnology as a viable alternative for the removal of antimicrobial resistance determinants from discharged municipal effluents and associated watersheds: A review

Effective and efficient utilization of antimicrobial drugs has been one of the important cornerstone of modern medicine. However, since antibiotics were first discovered by Alexander Fleming about a century ago, the time clock of antimicrobial resistance (AMR) started ticking somewhat leading to a global fear of a possible "post-antimicrobial era". Antibiotic resistance (AR) remains a serious challenge causing global outcry in both the clinical setting and the environment. The huge influence of municipal wastewater effluent discharges on the aquatic environment has made the niche a hotspot of research interest in the study of emergence and spread of AMR microbes and their resistance determinants/genes. The current review adopted a holistic approach in studying the proliferation of antibiotic resistance determinants (ARDs) as well as their impacts and fate in municipal wastewater effluents and the receiving aquatic environments. The various strategies deployed hitherto for the removal of resistance determinants in municipal effluents were carefully reviewed, while the potential for the use of nanotechnology as a viable alternative is explicitly explored. Also, highlighted in this review are the knowledge gaps to be filled in order to curtail the spread of AMR in aquatic environment and lastly, suggestions on the applicability of nanotechnology in eliminating AMR determinants in municipal wastewater treatment facilities are proffered.

Microbial communities responded to tetracyclines and Cu(II) in constructed wetlands microcosms with Myriophyllum aquaticum

Combined antibiotic and heavy metal pollution has generated considerable concern. Constructed wetlands (CWs) have been shown to efficiently remove pollutants; however, the microbial community responses to combined pollutants remain enigmatic. In this study, seven microcosm CWs were planted with Myriophyllum aquaticum, spiked with tetracyclines (TCs) (300-30,000 μg/L), alone or with Cu(II), to investigate the response of plant-associated microbial communities. TCs and the Cu/TC ratio greatly affected the performance of CWs. Tetracyclines led to higher microbial diversity, evenness and richness, while UniFrac distances and principal coordinate (PC_O) and redundancy analyses revealed that the co-presence of TCs and Cu(II) led to variations in bacterial communities. Proteobacteria, Cyanobacteria and Bacteroidetes were the dominant microbial phyla and Cloacibacterium, Hydrogenophaga, Rheinheimera and Denitratisoma accounted for 6.2-21.0% of all genera. Therefore, the co-occurrence of heavy metals should be considered when judging the removal potential of TCs in phytoremediation.

Treatment Processes for Microbial Resistance Mitigation: The Technological Contribution to Tackle the Problem of Antibiotic Resistance

Advances generated in medicine, science, and technology have contributed to a better quality of life in recent years; however, antimicrobial resistance has also benefited from these advances, creating various environmental and health problems. Several determinants may explain the problem of antimicrobial resistance, such as wastewater treatment plants that represent a powerful agent for the promotion of antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARG), and are an important factor in mitigating the problem. This article focuses on reviewing current technologies for ARB and ARG removal treatments, which include disinfection, constructed wetlands, advanced oxidation processes (AOP), anaerobic, aerobic, or combined treatments, and nanomaterial-based treatments. Some of these technologies are highly intensive, such as AOP; however, other technologies require long treatment times or high doses of oxidizing agents. From this review, it can be concluded that treatment technologies must be significantly enhanced before the environmental and heath problems associated with antimicrobial resistance can be effectively solved. In either case, it is necessary to achieve total removal of bacteria and genes to avoid the possibility of regrowth given by the favorable environmental conditions at treatment plant facilities.

Efficiency and kinetics of conventional pollutants and tetracyclines removal in integrated vertical-flow constructed wetlands enhanced by aeration

The integrated vertical-flow constructed wetland (IVCW) is considered as a potential alternative for domestic wastewater treatment of towns and small cities. Oxygen supply is the main limitation of pollutants removal in IVCWs. In the present study, a field experiment was conducted to evaluate the capacity and kinetics of pollutants removal in IVCWs with/without artificial aeration. Two IVCWs constructed with Canna indica and Phragmites australis were running in continuous flow to remove high concentrations of conventional pollutants and low concentrations of tetracyclines (TETs), which are at similar levels of domestic wastewater. The results showed that IVCWs had a good performance on COD, phosphorus, and TETs with removal efficiencies over 80%, 64%, and 75%, respectively, with a hydraulic retention time (HRT) of 3.0 d. However, the removal of nitrogen was limited, showing as TN removal efficiency of about 30%. The IVCW with Phragmites australis had a higher removal efficiency and rate. A kinetics based on Monod Equation and solved with Matlab 2018a could describe the degradation of conventional pollutants. Artificial aeration improved the oxygen supply and remarkably raised the removal capacity for COD, N, and P in IVCWs. The q_1/2 values, which was defined as the average removal loading before half of the pollutants was removed and represented the removal capacity without limitation of pollutants concentration, were increased by 5-30 times after aeration. In conclusion, IVCWs could remove conventional pollutants and TETs simultaneously showing a great potential in domestic wastewater treatment. Artificial aeration enhanced removal capacity of IVCWs on conventional pollutants while showed little influence on TETs.

Biodegradation of sulfonamides in both oxic and anoxic zones of vertical flow constructed wetland and the potential degraders

The pollution of wastewater with antibiotics and antibiotics resistance genes has attracted public concerns about ecosystem and global health. Swine wastewater can contain high concentrations of antibiotics, especially sulfonamides, even after full-scale wastewater treatment. In this study, mesocosm-scale vertical flow constructed wetlands (VF-CWs) were applied to abate nutrients and antibiotics in swine wastewater containing sulfonamides. VF-CWs performed well in the removal of both nutrients and antibiotics. Sulfonamides did not influence total organic carbon (TOC) and total phosphorus (TP) removal, and even slightly enhanced NH₄⁺-N removal. High removal efficiencies (26.42-84.05%) were achieved for sulfadiazine (SDZ), sulfamethoxazole (SMX) and sulfamethazine (SMZ). Together with lab-scale sorption and biodegradation experiments, microbial degradation was found to be the most important removal mechanism for sulfonamides in VF-CWs. Sulfonamides addition increased bacterial alpha-diversity and changed microbial community structure. Moreover, antibiotics promoted antibiotic-resistant or -degrading bacteria. Bacillus, Geobacter and other seven genera were correlated with sulfonamides reduction under either aerobic or anaerobic condition. In summary, VF-CW is a suitable alternative for swine wastewater treatment, and biodegradation plays the key role in sulfonamides abatement. Main findings of the work. This was the first work to combine bacterial community analysis with microcosm experiments to uncover the major removal mechanism of sulfonamides in constructed wetlands.

Identification of Selected Antibiotic Resistance Genes in Two Different Wastewater Treatment Plant Systems in Poland: A Preliminary Study

Antibiotic resistance is a growing problem worldwide. The emergence and rapid spread of antibiotic resistance determinants have led to an increasing concern about the potential environmental and public health endangering. Wastewater treatment plants (WWTPs) play an important role in this phenomenon since antibacterial drugs introduced into wastewater can exert a selection pressure on antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs). Therefore, WWTPs are perceived as the main sources of antibiotics, ARB and ARG spread in various environmental components. Furthermore, technological processes used in WWTPs and its exploitation conditions may influence the effectiveness of antibiotic resistance determinants’ elimination. The main aim of the present study was to compare the occurrence of selected tetracycline and sulfonamide resistance genes in raw influent and final effluent samples from two WWTPs different in terms of size and applied biological wastewater treatment processes (conventional activated sludge (AS)-based and combining a conventional AS-based method with constructed wetlands (CWs)). All 13 selected ARGs were detected in raw influent and final effluent samples from both WWTPs. Significant ARG enrichment, especially for tet(B, K, L, O) and sulIII genes, was observed in conventional WWTP. The obtained data did not show a clear trend in seasonal fluctuations in the abundance of selected resistance genes in wastewaters.