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. 2022 Mar 24;15(4):393. doi: 10.3390/ph15040393

Table 3.

Promising strategies to eliminate ARBs and ARGs in water treatment plants and drinking water distribution systems.

Strategy Result Ref
Nanotechnology (nanoparticles, nanocomposites, nanofibers)
GNICPs
(Ginkgo biloba L. modified iron-cobalt NPs)
↓ bacterial abundance (↓16S rRNA)
↓ ARGs: blaTEM, sul1, qnrA, acrA-02, mexB, tetM-01, ermB, mefA, ereA
↓MGEs: intI1, intI3, tnp-04, and TP614
Altered microbial community composition
[147]
Cd2+ and Fe2O3 NPs ↑ conjugative transfer frequencies
↑ cell membrane permeability
↑ antioxidant enzymes (SOD, CAT)
↑ mRNA expression of trfAp and trfBp
[152]
Metallic (Cu, Zn, CuO, ZnO) NPs ↓ bacterial growth
↓ ARGs: sul1, aadA1 and MGE: intl1
↑ ROS production
↑ bacterial cell membrane permeability
[143]
nTiO2 NPs Adsorption of tetM-plasmid (0.06/min and 4.29 mg/g) [144]
nZVI NPs Adsorption of tetM-plasmid (0.05/min and 2.15 mg/g)
ARGs fragmentation
CuO NPs (with humic acid) ↓ absolute ARGs: macB, mexF and MGE: intl1
↓ absolute metallic-resistance genes: copA, cusA
Modulation of EPS production
[145]
CNTs/AG/Ti electrode
(Carbon nanotubes/agarose/titanium)
↑ ROS production
bacterial cell membrane damage
↓ ampicilin-resistant E. coli (100%, 1.8.V, 30 min)
blaTEM-1 degradation (100%, 2 V (PBS), 30 min)
[151]
Water-resistant cellulose foam paper coated with CuO, ZnO, or Ag2O NPs Enhanced cellulose filter paper antibacterial activity against E. coli, P. aeruginosa, Bacillus Subtilis, and Bacillus cereus
Ag2O NPs produced the highest antibacterial activity
[148]
Melamine foams with Ag NPs Antibacterial activity against E. coli [149]
PVDF membrane functionalized with TiO2 NPs 99.9% retention of tetracycline, chloramphenicol, and sulfadiazine-resistant bacteria
↓ ARGs: floR (97.8%), sul1 (99.5%), sul2 (98.8%), intI1 (93.7%), tetC (20.6%), tetW (27.2%), tetQ (2.0%)
Inhibition of HGT
[150]
Chitosan/biochar-nanosilver (C-Ag) composite Sustainable antibacterial activity against E. coli (>50 days)
Good reusability
[153]
Carbon-based copper nanocomposites ↓ absolute ARGs and MGEs
↓ HGT mediated by plasmids and MGEs
[142]
SWNTs-PAN/TPU/PANI composite electrospun nanofiber membrane Complete removal of S. aureus and E. coli
Good durability and stability over various cycles
[154]
k-carrageenan/Ag NPs film Antimicrobial activity against Vibrio cholerae, Candida albicans, P. aeruginosa, E. coli, K. pneumoniae, and Bacillus cereus
Inhibition of bacteria growth
[146]
Microalgae
Chlorella micrococcus (photo-sequencing batch reactor) ↓ 78% ARG absolute abundance
Rhodocyclaceae and Burkholderiaceae bacteria families
[119]
Microalgae-bacteria consortium ↓ ARGs: blaTEM (72%) and ermB (97%) absolute abundance [124]
↑ ARG: sul1 [125]

ARG—antibiotic resistance gene; CAT—catalase; EPS—extracellular polymeric substances; HGT—horizontal gene transference; NPs—nanoparticles; MGE—mobile genetic element; PRB—permeable reactive barrier; ROS—reactive oxygen species; SOD—superoxide dismutase; ZVI—zero-valent iron; ↓—decrease; and ↑—increase.