How resistant is anammox biofilm against antibiotics: A special insight into anammox response towards fluoroquinolones

Elevated concentrations of pharmaceutically active compounds (PhACs) in the water bodies are posing a serious threat to the aquatic microbiota and other organisms. In this context, anaerobic ammonium oxidizing (anammox) bacteria carry a great potential to degrade PhACs through their innate metabolic pathways. This study investigates the influence of short-term exposure to lower and higher concentrations (0.8 mg L^-1, 0.06 mg L^-1, respectively) of antibiotics on the anammox process under distinct operational conditions (starvation/non-starvation) in moving bed biofilm reactor (MBBR). During batch operations that lasted for up to 6 h, the total nitrogen removal efficiency (TNRE) and total nitrogen conversion rate (TNCR) reached a maximum of 93 ± 5 % and 6.97 ± 1.30 mg N g^-1 TSS d^-1, respectively. Evidently, at higher PhAC levels, the anammox process was active, and up to 75 % PhAC removal efficiency was obtained within 6 h of the batch cycle. Most importantly, the anammox biofilm effectively eliminated the PhACs compounds, i.e., ciprofloxacin (CIP), ofloxacin (OFL), and norfloxacin (NOR) present at higher (0.8 mg L^-1) and lower (0.06 mg L^-1) total PhACs (sum of CIP, NOR, OFL) concentrations. Furthermore, 16S rRNA sequencing analyses showed a mixture of nitrifying, denitrifying, and anammox bacterial commodities enriched on the carriers' surface with a high relative abundance of <i>Candidatus</i> Brocadia, primarily responsible for catalyzing the anammox process. This study showed the intricate relationship between PhAC concentrations, TNCR, and antibiotic elimination in the wastewater treatment, and the results obtained set up a new breakthrough in wastewater treatment. Future research should investigate the mechanisms that underlie the anammox biofilms' resistance to various types of PhACs and investigate the long-term stability and scalability of this process with real wastewater influents.