Advancing illicit connection diagnosis of urban stormwater pipes: Comprehensive analysis with EEM fluorescence spectroscopy

Urban drainage systems are significant contributors to the issue of black-odorous water bodies. The current application of stormwater pipe inspection technologies faces substantial limitations, especially in industrial areas with diverse wastewater. This study introduced an innovative approach using excitation-emission matrix (EEM) fluorescence spectroscopy for rapid and accurate diagnosis, providing a new perspective for diagnosing illicit connections. In single wastewater-type areas like residential zones, the method achieved a remarkable 91.5 % accuracy solely through spectra observation and fluorescence peak intensity comparison, outperforming conventional NH3-N-based techniques, which reached an accuracy of only 68.1 %. For regions with complex wastewater scenarios, after EEM subtraction, the residual spectra can be roughly categorized into four distinctive categories based on characteristics. This provides a preliminary assessment and helps in initially identifying the types and sources of inflowing wastewater. Furthermore, the least squares (LS) method refines diagnosis results, offering calculated coefficients reflecting the probability and severity of suspected wastewater intrusion. Simulation experiments and field sample analyses validated the feasibility and accuracy of the EEM-based method, highlighting its advantages for diagnosing illicit connections in both single and mixed wastewater scenarios. The results can significantly narrow down the investigation scope and enhance the confirmation of wastewater sources, exhibiting promising application prospects.

How to achieve adequate quenching for DBP analysis in drinking water?

Quenching is an important step to terminate disinfection during preparation of disinfected water samples for the analysis of disinfection byproducts (DBPs). However, an incomplete quenching might result in continued reactions of residual chlorine, whereas an excessive quenching might decompose target DBPs. Therefore, an adequate quenching to achieve simultaneous disinfection termination and DBP preservation is of particular importance. In this study, the two-stage reaction kinetics of chlorine and three commonly used quenching agents (i.e., ascorbic acid, sodium thiosulfate, and sodium sulfite) were determined. Stopping quenching during the first stage prevented interactions of residual chlorine with natural organic matter. Complete quenching was achieved by minimizing the quenching time for ascorbic acid and sodium sulfite, while limiting the quenching time to less than 3 min for sodium thiosulfate. At the optimized quenching times, the molar ratios (MRs) of quenching agent to chlorine were 1.05, 1.10, and 0.75 for ascorbic acid, sodium sulfite, and sodium thiosulfate, respectively. The destructive effects of the three quenching agents on total organic halogen (TOX) followed the rank order of ascorbic acid (33.7-64.8 %) < sodium sulfite (41.6-72.8 %) < sodium thiosulfate (43.3-73.2 %), and the destructive effects on aliphatic DBPs also followed the rank order of ascorbic acid (29.5-44.5 %) < sodium sulfite (34.9-51.9 %) < sodium thiosulfate (46.9-53.2 %). For total organic chlorine (TOCl) and aliphatic DBPs, the quenching behavior itself had more significant destructive effect than the quenching agent type/dose and quenching time, but for total organic bromine (TOBr), the destructive effect caused by quenching agent type/dose and quenching time was more significant. High-dose, long-duration quenching enhanced the reduction of TOX, but had little effect on aliphatic DBPs. Additionally, the three quenching agents reduced the levels of halophenols (except for tribromophenol), while maintained or increased the levels of tribromophenol, halobenzoic/salicylic acids, and halobenzaldehydes/salicylaldehydes. To achieve adequate quenching for overall DBP analysis in chlorinated water samples, it is recommended to use ascorbic acid at a quenching agent-to-chlorine MR of 1.0 for a quenching time of < 0.5 h.

The formation and control of disinfection by-products by two-step chlorination for sewage effluent: Role of organic chloramine decomposition among molecular weight fractions

With the increasing discharge of wastewater effluent to natural waters, there is an urgent need to achieve both pathogenic microorganism inactivation and the mitigation of disinfection by-products (DBPs) during disinfection. Studies have shown that two-step chlorination, which injected chlorine disinfectant by splitting into two portions, was more effective in inactivating Escherichia coli than one-step chlorination under same total chlorine consumption and contact time. In this study, we observed a substantial reduction in the formation of five classes of CX3R-type DBPs, especially highly toxic haloacetonitriles (HANs), during two-step chlorination of secondary effluent when the mass ratio of chlorine-to-nitrogen exceeded 2. The shift of different chlorine species (free chlorine, monochloramine and organic chloramine) verified the decomposition of organic chloramines into monochloramine during second chlorination stage. Notably, the organic chloramines generated from the low molecular weight (< 1 kDa) fraction of dissolved organic nitrogen in effluent organic matter tended to decompose during the second step chlorination leading to the mitigation of HAN formation. Furthermore, the microbiological analysis showed that two-step chlorinated effluent had a slightly lower ecological impact on surface water compared to one-step chlorination. This work provided more information about the two-step chlorination for secondary effluent, especially in terms of organic chloramine transformation and HAN control.

Rapid degradation of brominated haloacetaldehydes at elevated temperature: Kinetics and newly discovered mechanisms

As an important class of disinfection byproducts (DBPs) of emerging concern, haloacetaldehydes (HALs) undergo degradation and transformation under environmentally relevant conditions. In this study, the stability of chlorinated and brominated HALs was investigated at different pHs and water temperatures. Results indicated that the degradation of HALs followed second-order kinetics. Surprisingly, rapid degradation of Br-HALs at elevated temperature was newly discovered in this study. At 50 °C and pH 7.5, over 90 % of TBAL degraded in 8 min, while the degradation of TCAL was ∼1 %. Moreover, increasing pH also facilitated the degradation of HALs and the alkaline degradation rate constants ( [Formula: see text] ) were found to be 7-9 orders of magnitude higher than their neutral degradation rate constants ( [Formula: see text] ). Under conditions relevant to environment and DBP measurement, HALs mainly degraded to form corresponding trihalomethanes and formate via decarburization pathway, which accounted for 70-93 % of HALs loss. The remaining 7-30 % of HAL loss was attributed to the dehalogenation pathway newly proposed in this study, successfully closing halogen balance during HAL degradation. In addition, a quantitative structure-activity relationship (QSAR) model was established for HAL degradation and the degradation rate constants for three mono-HALs were predicted at different temperature. The kinetic models and reaction rate constants obtained in this study can be used for quantitative predictions of HAL concentrations in drinking water, which is beneficial for monitoring and control of these emerging DBPs. Furthermore, considering the rapid degradation of Br-HALs into corresponding products, the temperature during sample pre-treatment can have a significant impact on DBP analysis.

Identification of high oxygen-consuming substances in stormwater drainage systems illicitly connected with sewage system

The dissolved oxygen content in water is an important indicator for assessing the quality of the water environment, and maintaining a certain amount of dissolved oxygen is essential for the healthy development of the ecological environment. When a water body is anoxic, the activity of anaerobic microorganisms increases and organic matter is decomposed to produce a large number of blackening and odorizing substances, resulting in black and odorous water bodies, which is a very common and typical phenomenon in China. Presently, there is still a relatively universal occurrence of illicitly connected stormwater and sewage pipes in the urban drainage pipe network in China, which makes oxygen-consuming substances be directly discharged into rivers through stormwater pipes and consume the dissolved oxygen in the water bodies, resulting in an oxygen deficiency of the water. This induces seasonal or year-round black and stink phenomena in urban rivers. Hence, identifying high oxygen-consuming substances, which lays the foundation for the subsequent removal of oxygen-consuming substances, is essential. Through a series of comparisons of water quality indicators and analysis of organic characteristics, it was found that the oxygen consumption capacity of domestic sewage was higher than that of industrial wastewater in the selected area of this study, and the oxygen-consuming substances of domestic sewage were small molecular amino acids. By comparing 20 conventional free amino acids, it was found that seven of them consumed oxygen easily, and compared with chemical oxygen consumption, biological oxygen consumption was in a leading position.

Tracking the source of antibiotic resistome in the stormwater network drainage in the presence of sewage illicit connections

Stormwater pipes are illicitly connected with sewage in many countries, which means that sewage enters stormwater pipes and the drainage is discharged to surface water without any treatment. Sewage contains more pathogens and highly risky antibiotic resistance genes (ARGs) than surface runoff. Therefore, sewage may alter the microbial and ARG compositions in stormwater pipe drainage, which in turn leads to an increased risk of resistance in surface water. However, the effects of sewage on ARGs in the drainage of stormwater networks have not been systematically studied. This study characterized the microbial and ARG composition of several environmental compartments of a typical stormwater network and quantified their contributions to those in the drainage. This network transported ARGs and microorganisms from sewage, sediments in stormwater pipes, and surface runoff into the drainage and thus into the river. According to metagenomic analysis, multidrug resistance genes were most abundant in all samples and the numbers and relative abundance of ARGs in the drainage collected during wet weather were comparable to that of sewage. The results of SourceTracker showed that the relative contribution of sewage was double that of rainwater and surface runoff in the drainage during wet weather for both microorganisms and ARGs. Desulfovibrio, Azoarcus, and Sulfuritalea were connected with the greatest number of ARGs and were most abundant in the sediments of stormwater pipes. Furthermore, stochastic processes were found to dominate ARG and microbial assembly, as the effects of high hydrodynamic intensity outweighed the effects of environmental filtration and species interactions. The findings of this study can increase our understanding of ARGs in stormwater pipe drainage, a crucial medium linking ARGs in sewage to environmental ARGs.

Stormwater discharge: An overlooked source of disinfection byproduct precursors

Discharge from the stormwater system is as an important pathway for contaminant transport, impacting the quantity and characteristics of dissolved organic matter (DOM) in surface water, and thus the formation of disinfection byproducts (DBPs) during downstream drinking water disinfection. In this study, DOM in stormwater pipes was characterized by size-exclusion chromatography, and the formation of 27 DBPs and halogen-specific total organic halogen (TOX) following chlorination was investigated. Overall, DOM in stormwater pipes was characterized by low molecular weight compounds and microbial-derived organics. Total DBP concentrations in chlorinated stormwaters were ∼1-15 times higher than in chlorinated surface waters. DBPs formed in stormwaters were dominated by trihalomethanes and haloacetic acids. Moreover, the DBP-associated toxicity of chlorinated stormwaters was ∼1-38 times higher than in chlorinated surface waters, and mainly due to the presence of large amount of haloacetaldehydes and haloacetonitriles. Sampling during a rainfall event suggested that stormwater discharge significantly increased DBP precursors in the surface water. The high formation and estimated toxicity of DBPs in stormwater discharge indicates this is an overlooked source of DBP precursors, posing a threat to the aquatic environment and potentially drinking water quality.

Total organic halogen (TOX) in drinking water: Occurrence, correlation analysis, and precursor removal during drinking water treatment

Total organic halogen (TOX) in drinking water provides a measurement of the overall organic halogenated disinfection by-products (DBPs) formed during disinfection. Yangtze River Delta is one of the regions with the highest population density, the fastest urbanization process, and the most severe water pollution in China. Collecting water samples from full-scale drinking water treatment plants (DWTPs) in this region, this study firstly surveyed TOX occurrence in drinking water. Besides, the correlation of TOX formation potential (TOXFP) and trihalomethane formation potential (THMFP) with general water quality parameters (e.g., dissolved organic carbon [DOC], UV254, and specific ultraviolet absorbance) and the removal efficiencies of TOX precursors by different water treatment processes were also investigated. TOX levels in DWTP effluents (i.e., finished water) ranged from 29 to 165 μg/L (median 67 μg/L), and those in simulated distribution system waters ranged from 101 to 276 μg/L (median 158 μg/L). There were generally higher linear regression coefficient values for raw water (R2 = 0.51-0.88) than for treated water (R2 = 0.33-0.64) in terms of the relationship between DBP formation potentials and general parameters. However, a relatively stronger correlation between THMFP and TOXFP was observed for treated water (R2 = 0.80, p < 0.001) than for raw water (R2 = 0.64, p < 0.001). The overall treatment efficiencies of investigated parameters in DWTPs generally followed the order of UV254 > DOC > TOX precursors > THM precursors. Notably, the overall removal rates of DOC and TOX precursors in summer (averaging 59 % and 54 %, respectively) were obviously higher than those in winter (averaging 39 % and 38 %, respectively), which was assumed to be related to the seasonal variation of bioactivity in sand filter. These results could expand the knowledge of TOX in drinking water, and provide valuable perspectives to water industry and DBP research.

Simultaneous modulation of CHO cell cytotoxicity, turbidity, and DOC by coagulation with or without pre-oxidation in water from the Pearl River Delta region, China

Coagulation with or without pre-oxidation are important drinking water treatment processes. However, the efficacy of these processes in mitigating water toxicity remains unknown. To further improve drinking water safety, we employed water from the Pearl River Delta region of southern China to investigate a treatment approach consisting of coagulation with or without pre-oxidation to simultaneously modulate health-relevant cytotoxicity to CHO cells, on top of the conventional foci of turbidity and dissolved organic carbon (DOC) during water treatment. Three coagulants (two aluminum-based and one iron-based salts) and three pre-oxidants (ozone, permanganate, and peroxymonosulfate) were studied. For coagulation without pre-oxidation, intermediate coagulant doses and pH reached optimum cytotoxicity to CHO cells, turbidity, and DOC control simultaneously. Introducing oxidants reduced cytotoxicity to CHO cells significantly, enhanced by increasing oxidant concentrations and pre-oxidation duration. The cytotoxicity to CHO cells mitigation capabilities of three pre-oxidants were: ozone > peroxymonosulfate > potassium permanganate. Modulation of water cytotoxicity to CHO cells was mostly attributable to controlling DOC (specifically humic-acid like substances, tyrosine, tryptophan). However, the addition of pre-oxidants led to significant shifts in water cytotoxicity to CHO cells forcing drivers, rendering humic-acid like substances the sole decisive cytotoxicity-inducing fluorophores. For the first time, 'sweet spots' were identified to simultaneously monitor cytotoxicity to CHO cells alongside turbidity and DOC. These methods better modulate water cytotoxicity to CHO cells without sacrificing conventional water treatment goals while shedding light onto the mechanisms behind.

A Novel Source of Radicals from UV/Dichloroisocyanurate for Surpassing Abatement of Emerging Contaminants Versus Conventional UV/Chlor(am)ine Processes

Ultraviolet (UV)/chlor(am)ine processes are emerging advanced oxidation processes (AOPs) for water decontamination and raising continuous attention. However, limitations appear in the UV/hypochlorite and UV/monochloramine for removing specific contaminants ascribed to the differences in the sorts and yields of free radicals. Here, this study reports UV/dichloroisocyanurate (NaDCC) as a novel source of radicals. NaDCC was demonstrated to be a well-balanced compound between hypochlorite and monochloramine, and it had significant UV absorption and a medium intrinsic quantum yield. The UV/NaDCC produced more substantial hydroxyl radicals (·OH) and reactive chlorine species (RCSs, including Cl·, ClO·, and Cl2·-) than conventional UV/chlor(am)ine, thereby generating a higher oxidation efficiency. The reaction mechanisms, environmental applicability, and energy requirements of the UV/NaDCC process for emerging contaminants (ECs) abatement were further investigated. The results showed that ·OH and ·NH2 attacked ECs mostly through hydrogen atom transfer (HAT) and radical adduct formation, whereas Cl· destroyed ECs mainly through HAT and single electron transfer, with ClO· playing a certain role through HAT. Kinetic model analyses revealed that the UV/NaDCC outperformed the conventional UV/chlor(am)ine in a variety of water matrices with superior degradation efficiency, significantly saving up to 96% electrical energy per order. Overall, this study first demonstrates application prospects of a novel AOP using UV/NaDCC, which can compensate for the deficiency of the conventional UV/chlor(am)ine AOPs.

Alkaline chlorination of drinking water: A trade-off between genotoxicity control and trihalomethane formation

The pH of chlorination is an important factor affecting the formation of disinfection byproducts (DBPs). In this study, we discovered that the genotoxicity induced by chlorination can be effectively reduced under alkaline conditions. As the pH of chlorination increased from 6.5 to 8.5, the genotoxicity of investigated waters reduced by ∼30-90 %. By assessing the genotoxicity of the mixture of measured DBPs, it was found that the contribution of measured DBPs to the overall genotoxicity was lower than 5 %, and the significant reduction of genotoxicity was largely associated with unknown DBPs. The result of Pearson's correlation analysis indicated that humified organics and soluble microbial byproducts were likely responsible for the genotoxicity, and their derived genotoxic compounds (i.e., unknown DBPs) tended to decompose during alkaline chlorination. However, the control of genotoxicity by alkaline chlorination was achieved at the expense of promoting trihalomethane (THM) formation. The highest genotoxicity reduction (93 %) was observed for chlorinated granular activated carbon-treated waters, but the formation of THMs was promoted to a level approaching that in untreated waters. The inconsistent trend of overall genotoxicity and THM concentration during alkaline chlorination suggested the inadequacy of THMs as metric for DBP exposure, and considerations should also be given to the toxicity of bulk water in addition to regulated DBPs.

Residual chlorine persistently changes antibiotic resistance gene composition and increases the risk of antibiotic resistance in sewer systems

During the COVID-19 pandemic, excessive amounts of disinfectants and their transformation products entered sewer systems worldwide, which was an extremely rare occurrence before. The stress of residual chlorine and disinfection by-products is not only likely to promote the spread of antibiotic resistance genes (ARGs), but also leads to the enrichment of chlorine-resistant bacteria that may also be resistant to antibiotics. Therefore, the potential impact of such discharge on ARG composition should be studied and the health risks should be assessed. Thus, this study combined high-throughput 16S rRNA gene amplicon sequencing and metagenomic analysis with long-term batch tests that involved two stages of stress and recovery to comprehensively evaluate the impact of residual chlorine on the microbial community and ARG compositions in sewer systems. The tests demonstrated that the disturbance of the microbial community structure by residual chlorine was reversible, but the change in ARG composition was persistent. This study found that vertical propagation and horizontal gene transfer jointly drove ARG composition succession in the biofilm, while the driving force was mainly horizontal gene transfer in the sediment. In this process, the biocide resistance gene (BRG) subtype chtR played an important role in promoting co-selection with ARGs through plasmids and integrative and conjugative elements. Moreover, it was further shown that the addition of sodium hypochlorite increased the risk of ARGs to human health, even after discontinuation of dosing, signifying that the impact was persistent. In general, this study strengthens the co-selection theory of ARGs and BRGs, and calls for improved disinfection strategies and more environmentally friendly disinfectants.

Leaching of organic matter and iodine, formation of iodinated disinfection by-products and toxic risk from Laminaria japonica during simulated household cooking

Iodinated disinfection by-products (I-DBPs) exhibited potential health risk owing to the high toxicity. Our recent study demonstrated that I-DBPs from Laminaria japonica (Haidai), the commonly edible seaweed, upon simulated household cooking condition were several hundred times more than the concentration of drinking water. Here, the characterization of Haidai and its leachate tandem with the formation, identification and toxicity of I-DBPs from the cooking of Haidai were systemically investigated. The dominant organic matter in Haidai leachate were polysaccharides, while the highest iodine specie was iodide (∼90% of total iodine). Several unknown I-DBPs generated from the cooking of Haidai were tentatively proposed, of which 3,5-diiodo-4-hydroxybenzaldehyde was dominant specie. Following a simulated household cooking with real chloraminated tap water, the presence of Haidai sharply increased aggregate iodinated trihalomethanes, iodinated haloacetic acids, and total organic iodine concentrations to 97.4 ± 7.6 μg/L,16.4 ± 2.1 μg/L, and 0.53 ± 0.06 mg/L, respectively. Moreover, the acute toxicity of Haidai soup to Vibrio qinghaiensis sp.-Q67 was around 7.3 times higher than that of tap water in terms of EC50. These results demonstrated that the yield of I-DBPs from the cooking of Haidai and other seaweed should be carefully considered.

Radiotherapy for Liver Cancer: An International Multi-Centre Pooled Analysis of 925 Cases

PURPOSE/OBJECTIVE(S)

Primary and secondary liver cancer incidence is growing and has a poor prognosis. The standard use of radiation has been hampered by studies with a wide range of patients, different management protocols and varied outcomes. To overcome this heterogeneity in the literature, larger and higher-level trials are warranted, but, so far, have been difficult to implement. Therefore, pooled analyses may offer the best way to determine the benefit of radiation, identify treatment parameters needed to optimize treatment techniques, and identify patient factors that allow for better patient selection.

MATERIALS/METHODS

Patients with liver cancer treated by radiotherapy at centers in Canada, United States and Australia was pooled. Patient and treatment characteristics were noted, as well as the clinical outcomes of local control within 1 year, recurrence and mortality. Stepwise Cox proportional hazards models were used to identify significant predictors for recurrence and mortality. Patients were stratified by center, and primary versus metastatic disease.

RESULTS

A total of 925 patients were included in this study. Mean age was 67 years, and 45% had a primary diagnosis of hepatocellular carcinoma. 1-year local control rate was 80%. Median survival was 1.8 years (1.9 years for primary liver cancer, and 1.4 years for metastatic liver cancer). Higher total dose and BED was associated with better survival. Median time to recurrence was 1.5 years. Higher total dose was associated with lower risk of recurrence CONCLUSION: As one of the largest pooled analyses in hepatic cancer, this international multi-center study provides pragmatic data on clinical outcomes of patients receiving radiotherapy for liver cancer. This database may assist in better selection of patients for future studies and answer questions such as what is the optimal dose and which patients benefit from treatment.

Disinfection by-product precursors introduced by sandstorm events: Composition, formation characteristics and potential risks

Sandstorms, a natural meteorological event, occur repeatedly during the dry season and can accumulate large amounts of natural/anthropogenic pollutants during the deposition process, potentially introducing disinfection by-product (DBP) precursors into surface waters. In this study, the characteristics of sandstorm-derived dissolved organic matter (DOM) and its DBP formation potential were elucidated. Overall, sandstorm-derived DOM mainly consisted of low-molecular-weight, low-aromaticity, high-nitrogen organic matter, with a dissolved organic carbon (DOC) release yield of 14.4 mg-DOC/g. The halogenated DBP formation potential (calculated as total organic halogen) of sandstorm-derived DOM was comparable to that of surface water, while the normalized DBP-associated toxicity was 1.96 times higher. Similar to DOM introduced by other depositional pathways, sandstorm-derived DOM also had higher yields of highly cytotoxic DBPs (haloacetaldehydes [HALs], haloacetonitriles [HANs] and halonitromethanes [HNMs]). The average atmospheric deposition flux for DOM during the sandstorm event (50.4 ± 2.1 kg km-2 day-1) was 6.95 times higher than that of dry deposition, indicating a higher probability of contaminant input. Simultaneously, the estimation revealed that the sandstorm will increase the formation potential of toxicity forcing agents, such as HALs, HANs and HNMs, in surface water by 3.87%, 2.39% and 9.04%, respectively. Considering the high frequency of sandstorm events and the sorption of other organic pollutants by sand and dust, the impact of sandstorms on surface water quality should be of concern.

5-Year Renal Function Outcomes after SABR for Primary Renal Cell Carcinoma: A Report from the International Radiosurgery Oncology Consortium of the Kidney (IROCK)

PURPOSE/OBJECTIVE(S)

Renal cell carcinoma (RCC) presents uncommonly in patients with a congenital solitary kidney or prior contralateral nephrectomy. The objective of this study was to compare renal function outcomes of stereotactic ablative body radiotherapy (SABR) in patients with solitary vs. bilateral kidneys.

MATERIALS/METHODS

Patients with primary RCC with ≥2 years of follow-up at 12 participating International Radiosurgery Consortium for Kidney (IROCK) institutions were included. Patients with upper tract urothelial carcinoma or metastatic disease were excluded. Renal function was measured by estimated glomerular filtration rate (eGFR). For patients where eGFR was not recorded, Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation was used to estimate eGFR based on known creatinine. Baseline characteristics and renal function outcomes were compared between solitary vs. bilateral kidneys. Multivariable logistic regression was used to identify factors predictive of eGFR decline ≥ 15 mL/min and any eGFR increase evaluated at 1-year post-SABR.

RESULTS

One hundred and ninety patients with solitary (n = 56) or bilateral kidneys (n = 134) underwent SABR and were followed for a median of 5.0 years (IQR: 3.4-6.8). Pre-SABR eGFR (mean ± SD) was similar in patients with solitary (61.1 ± 23.2 mL/min) vs. bilateral kidneys (58.0 ± 22.3 mL/min, p = 0.324). Mean tumor size was 3.70 ± 1.40 cm in solitary and 4.35 ± 2.50 cm in bilateral kidneys (p = 0.026). After SABR, an initial compensatory increase in eGFR was observed in both cohorts (22.7% solitary and 17.7% bilateral at 1 year). This compensatory increase persisted in patients with bilateral but not a solitary kidney (10.3% vs. 0% at 3-years and 21.1% vs. 0% at 5-years, respectively). At 5-years post-SABR, eGFR decreased by -14.5 ± 7.6 in solitary and -13.3 ± 15.9 mL/min in bilateral kidneys (p = 0.665). At all timepoints assessed, there were no significant differences in eGFR decline between solitary vs. bilateral cohorts (all p > 0.05). There were also no significant differences in post-SABR end-stage renal disease (7.1% vs. 6.7%) or dialysis (3.6% vs. 3.7%) in solitary vs. bilateral, respectively. Multivariable analysis demonstrated that increasing tumor size (OR per 1 cm: 1.57; 95% CI: 1.14-2.16, p = 0.006) and baseline eGFR (OR per 10 mL/min: 1.30; 95% CI: 1.02-1.66, p = 0.034) was more likely to be associated with eGFR decline ≥ 15 mL/min. There was no significant association between solitary vs. bilateral kidney and eGFR decline (OR: 1.22; 95% CI: 0.45-3.34, p = 0.693).

CONCLUSION

There was no observed difference between renal function outcomes in patients with a solitary vs. bilateral kidneys. While larger tumor size may increase the risk of eGFR decline post-SABR, treatment of a solitary kidney does not appear to increase the risk of renal dysfunction long-term.

Real-World Experience of Intensity Modulated Radiation Therapy and Concurrent Chemotherapy for Anal Cancer with Long-Term Follow up and Clinical Outcomes

PURPOSE/OBJECTIVE(S)

The standard treatment for epidermoid anal cancer (AC) is concurrent chemoradiation (CRT). Here we present real world evidence of the safety and outcomes of AC patients managed by IMRT and concurrent chemotherapy at a single academic cancer center.

MATERIALS/METHODS

We retrospectively reviewed the outcomes of 180 AC patients treated with definitive CRT between 2011 and 2018. Patients were managed according to a prospectively designed protocol of IMRT with radiation dose escalated according to tumor stage: 50.4, 55.8 and 63 Gy for T1, T2 and T3/T4 disease respectively, and 36 Gy for elective nodal RT. Involved nodes were given the same dose based on T category. Concurrent chemotherapy consisted of two cycles of mitomycin C (MMC, 12 mg/m2) and 5-fluorouracil (5FU, 1000 mg/m2/day x 4 days) given on week 1 and 5. There was no planned treatment break. Univariate and multivariate analysis for outcomes were performed using Cox proportional hazard method and likelihood ratio statistics. Overall survival (OS) disease free (DFS), colostomy-free survival (CFS) and local failure rates (LFR) were described by Kaplan-Meier methods.

RESULTS

There were 128 female and 52 male patients with a median age of 64 (IQR 55-74). The median size of the primary was 4.0 cm (0.6-11.0 cm). There were 18 T1, 91 T2, 38 T3 and 33 T4 lesions; 50.6% (91/180) of the patients had N0 disease. Thirteen (7.2%) did not receive concurrent chemotherapy, and 16 (8.9%) failed to complete treatment as planned. Forty-three (23.9%) patients had a treatment gap >5 (6-33) days. Eighteen of 147 (12%) with T1-3 disease failed locally, LF was observed in 13/33 (39%) T4 lesions (P = 0.0002). The 5-year OS, DFS, CFS and LFR were 85.1%, 75.6%, 87.6% and 15.5% respectively. On multivariate analysis, increasing age and N+ disease were significant for worse OS, and increasing size of the primary tumor was the only significant factor for worse DFS, CFS and LFR. Grade ≥3 acute toxicities were observed in 42.8% of patients, with grade ≥3 neutropenia and febrile neutropenia observed in 18.9% and 13.9% of patients respectively. Six patients (3.3%) died of acute toxicities. Thirteen (7%) patients experienced grade ≥3 late toxicities.

CONCLUSION

Size of the primary appears to be the most important determinant of outcome following standard CRT using IMRT for AC. Despite IMRT, almost 1 in 4 patients required a treatment break, and over 40% experienced grade ≥3 acute toxicities including neutropenia and febrile neutropenia. Future studies with RT dose escalation or de-escalation, stratifying patients based on tumor size, HPV status and molecular markers are necessary to improve outcomes and decrease treatment related toxicity.

Dosimetric Parameters Predictive of Treatment-Related Toxicity in High Dose-Rate Brachytherapy as Monotherapy for Prostate Cancer

PURPOSE/OBJECTIVE(S)

High dose-rate (HDR) brachytherapy as monotherapy is an effective treatment for patients with low- and intermediate-risk prostate cancer and is increasingly being offered as a 2-fraction protocol. There is a lack of consensus on the optimal dosimetric planning parameters to use, or whether there is any benefit summating dosimetric parameters from more than one implant. Our goal is to determine planning parameters associated with disease control, toxicity and health-related quality of life (HRQOL).

MATERIALS/METHODS

Data were collected on 83 patients with low- and intermediate-risk prostate cancer who received 2 fractions of 13.5 Gy HDR brachytherapy without androgen-deprivation therapy as part of a randomized phase II clinical trial. An in-house deformable, registration algorithm was used to co-register and dose-summate the plans from both implants for each patient. Acute and late GU and GI toxicities were measured using CTCAE 4.0 and HRQOL was measured in urinary, bowel, sexual and hormonal domains using the EPIC scores. Treatment efficacy was assessed through PSA measurement and imaging with or without biopsy where indicated. Covariates included baseline clinical factors, disease characteristics and treatment dosimetric parameters. Cox proportional hazards was performed to evaluate covariates impact on treatment toxicity and efficacy, and logistic regression analysis evaluated covariates impact on HRQOL.

RESULTS

Among the 83 patients, median prostate volume was 46.7cm3. Median summated planning target volume receiving 100% prescription dose (PTV V100%) was 97.4%, median PTV V150% 42.4% and median PTV V200% 15.5%. Median highest dose to the 1cm3 rectum (D1cc) was 66.9% of the prescription dose and median rectum V80% was 0.008cm3. Median urethral D1cc was 99.0% of the prescription dose, median urethral Dmax 121.7% and median urethral D10% 116.2%. Grade ≥2 GI toxicity was uncommon (3.7% acute and 8.5% late), but grade ≥2 GU toxicity was reported in 73.2% (acute) and 46.3% (late) patients. Rectum D1cc and V80% were found to be significantly associated with grade 2 or higher acute GI toxicity, while use of a-blocker at baseline was associated with grade ≥2 acute GU toxicity. Similarly, use of a-blocker was associated with late grade ≥2 GU toxicity, but with no dosimetric associations. No other variables were associated with treatment-related toxicities. Only rectum D1cc was significantly associated with changes in bowel EPIC scores. Estimated 5-year biochemical disease-free survival was 93.9% and 5-year cumulative incidence of local failure was 3.8%.

CONCLUSION

HDR monotherapy with 27 Gy delivered in 2 fractions in treatment of prostate cancer is well tolerated with high rates of disease control and minimal toxicity. Dose summation between 2 fractions of HDR brachytherapy is feasible, with rectal dose predicting acute GI toxicity. The lack of association between dose metrics and urinary toxicity raises the potential for further dose escalation.

Dosimetric Predictors of Toxicities and Quality of Life Following Two-Fraction Stereotactic Body Radiotherapy for Prostate Cancer

PURPOSE/OBJECTIVE(S)

There is emerging interest in two-fraction stereotactic body radiotherapy (2#SBRT) for localized prostate cancer. However, there is limited data to guide organs at risk (OAR) dose constraints in 2#SBRT. We aim to identify dosimetric predictors of toxicities and quality of life (QoL) using real life patient data from two prospective 2#SBRT trials.

MATERIALS/METHODS

We included 60 patients who had 2#SBRT in the 2STAR (NCT02031328) and 2SMART (NCT03588819) phase 2 trials. The prescribed dose was 26Gy to the prostate +/- focal boost of 32Gy to the dominant intraprostatic lesions. Toxicities and QoL data were prospectively collected using CTCAEv4 and EPIC26 questionnaires. For QoL, we reported the minimal clinical important changes (MCIC), defined as changes in QoL score of >0.5 standard deviation from baseline QoL score. We evaluated the bladder, urethra, rectum, and penile bulb dosimetry (urethra dosimetry only available in 30 patients in 2SMART trial). Some of the dosimetric parameters were log-transformed to normalize the distribution. Cox regression was used to identify dosimetric predictors for acute and late grade ≥2 GU toxicities. Logistic regression was used to identify dosimetric predictors for late MCIC in urinary, bowel and sexual QoL domains. Backward stepwise selection was used to identify significant dosimetric parameters. For GU toxicities and urinary QoL, three additional clinical factors (age, prostate volume and IPSS) were included in the final model as confounding factors. Receiver operating characteristics curve was used to identify cut-off for significant dosimetric parameters.

RESULTS

The median follow-up for the cohort was 56 months (range: 39-78 months). The cumulative acute and late grade ³2 GU toxicities were 62% (37/60) and 57% (34/60) respectively. No bladder or urethra dosimetric parameter was associated with acute grade ≥2 GU toxicities. Bladder D0.5cc was significant predictor of late grade ≥2 GU toxicities in univariate model (P = 0.05), but not in multivariate model. Baseline IPSS score was the single strongest predictor for late grade ≥2 GU toxicities (HR = 1.9; 95% CI = 1.1-3.4; P = 0.03). For late QoL outcomes, there were 36% (21/58), 28% (16/58), and 29% (17/58) of patients with MCIC in urinary, bowel and sexual QoL domains respectively. Bladder V10Gy was associated with late urinary MCIC in multivariate model after adjusting for clinical confounders (HR = 2.6, 95% CI = 1.1-6.6; P = 0.04). 48% (14/29) and 24% (7/29) of patients with bladder V10Gy>13.9% and V10Gy≤13.9% respectively had late urinary MCIC. No rectum and penile bulb dosimetry parameters was identified to be associated with late bowel or sexual QoL.

CONCLUSION

Using real life patient data from prospective clinical trials with medium term follow-up, we identified statistically significant bladder dosimetry parameter predictive of late urinary QoL. This finding could be useful to guide OAR dose constraints in prostate 2#SBRT trials.

Reevaluation for UV photolysis of Fe(III) inducing tetracycline abatement: Overlooked significance of complexation-assistance in environmental fates of antibiotics

Interaction of antibiotics with metal ions in aquatic environments, commonly occurring to form complexes, may affect the migration, transformation and reactivity of residual antibiotics. This study demonstrates the photolysis of Fe(III) by UV irradiation at pH 3.5, as an advanced oxidation process, to produce •OH for the abatement of a common broad-spectrum antibiotic compound, tetracycline (TET). The dimethylamino (-N(CH₃)₂) and hydroxyl (-OH) groups of TET were determined as the binding sites for the complexation with Fe(III) via a series of novel characterization approaches. The complexation stoichiometry of Fe(III)-TET complexation, including the complexation ratio, constants and percentages, was determined via a complexometric titration based on the UV differential spectroscopy. The complexation constant was determined to be 21,240 ± 1745 L·mol^-1 under the designed conditions. Complexation of TET with Fe(III) enhanced its degradation in the UV/Fe(III) process, through the promotion of the •OH generation by inhibiting hydrolysis-precipitation process of Fe(III) and enhancing Fe(III)/Fe(II) cycle and the acceleration of mass transfer between •OH and TET. This finding provides new insights into the role of complexation in the fate of residual antibiotics in the UV/Fe(III) process. The reduced overall ecotoxicity during the TET abatement, evaluated by the toxicity variation through ECOSAR program, provides the UV/Fe(III) process with a theoretical feasibility for water decontamination in actual applications.

Zerovalent Iron/Cu Combined Degradation of Halogenated Disinfection Byproducts and Quantitative Structure-Activity Relationship Modeling

Previous studies have reported that zerovalent iron (ZVI) can reduce several aliphatic groups of disinfection byproducts (DBPs) (e.g., haloacetic acids and haloacetamides) effectively, and the removal efficiency can be significantly improved by metallic copper. Information regarding ZVI/Cu combined degradation of different types of halogenated DBPs can help understand the fate of overall DBPs in drinking water distribution and storage systems consisting of unlined cast iron/copper pipes and related potential control strategies. In this study, we found that, besides aliphatic DBPs, many groups of new emerging aromatic DBPs formed in chlorinated and chloraminated drinking water can be effectively degraded by ZVI/Cu; meanwhile, total organic halogen and total ion intensity were reduced significantly after treatment. Moreover, a robust quantitative structure-activity relationship model was developed and validated based on the ZVI/Cu combined degradation rate constants of 14 typical aromatic DBPs; it can predict the degradation rate constants of other aromatic DBPs for screening and comparative purposes, and the optimized descriptors indicate that DBPs possessing a lower value of the lowest unoccupied molecular orbital energy and a higher value of dipole moment tend to present higher degradation rate constants. In addition, toxicity data of 47 DBPs (belonging to 18 groups) were predicted by two previously established toxicity models, demonstrating that, although most DBPs exhibit higher toxicity than their dehalogenated products, some DBPs show lower toxicity than their lowly halogenated analogs.

Effects of UV-based oxidation processes on the degradation of microplastic: Fragmentation, organic matter release, toxicity and disinfection byproduct formation

The occurrence and transformation of microplastics (MPs) remaining in the water treatment plants has recently attracted considerable attention. However, few efforts have been made to investigate the behavior of dissolved organic matter (DOM) derived from MPs during oxidation processes. In this study, the characteristics of DOM leached from MPs during typical ultraviolet (UV)-based oxidation was focused on. The toxicity and disinfection byproduct (DBP) formation potentials of MP-derived DOM were further investigated. Overall, UV-based oxidation significantly enhanced the aging and fragmentation of highly hydroscopic MPs. The mass scales of leachates to MPs increased from 0.03% - 0.18% at initial stage to 0.09% - 0.71% after oxidation, which were significantly higher than those leached by natural light exposure. Combined fluorescence analysis with high resolution mass spectrometer scan confirmed that the dominant MP-derived DOM are chemical additives. PET-derived DOM and PA6-derived DOM showed inhibition of Vibrio fischeri activity with corresponding EC₅₀ of 2.84 mg/L and 4.58 mg/L of DOC. Bioassay testing with Chlorella vulgaris and Microcystis aeruginosa showed that high concentrations of MP-derived DOM inhibited algal growth by disrupting the cell membrane permeability and integrity. MP-derived DOM had a similar chlorine consumption (1.63 ± 0.41 mg/DOC) as surface water (1.0 - 2.0 mg/DOC), and MP-derived DOM mainly served as precursors for the investigated DBPs. Contrary to the results of previous studies, the DBP yields from MP-derived DOM were relatively lower than those of aquatic DOM under simulated distribution system conditions. This suggests that MP-derived DOM itself rather than serving as DBP precursor might be potential toxic concern.

Identification of key precursors contributing to the formation of CX3R-type disinfection by-products along the typical full-scale drinking water treatment processes

Identification and characterization of disinfection by-product (DBP) precursors could help optimize drinking water treatment processes and improve the quality of finished water. This study comprehensively investigated the characteristics of dissolved organic matter (DOM), the hydrophilicity and molecule weight (MW) of DBP precursor and DBP-associated toxicity along the typical full-scale treatment processes. The results showed that dissolved organic carbon and dissolved organic nitrogen content, the fluorescence intensity and the SUVA₂₅₄ value in raw water significantly decreased after the whole treatment processes. Conventional treatment processes were in favor of the removal of high-MW and hydrophobic DOM, which are important precursors of trihalomethane and haloacetic acid. Compared with conventional treatment processes, Ozone integrated with biological activated carbon (O₃-BAC) processes enhanced the removal efficiencies of DOM with different MW and hydrophobic fractions, leading to a further decrease in almost all DBP formation potential and DBP-associated toxicity. However, almost 50% of the detected DBP precursors in raw water has not been removed after the coagulation-sedimentation-filtration integrated with O₃-BAC advanced treatment processes. These remaining precursors were found to be mainly hydrophilic and low-MW (< 1.0 kDa) organics. Moreover, they would largely contribute to the formation of haloacetaldehydes and haloacetonitriles, which dominated the calculated cytotoxicity. Since current drinking water treatment process could not effectively control the highly toxic DBPs, the removal of hydrophilic and low-MW organics in drinking water treatment plants should be focused on in the future.

The performance and mechanism of iron-mediated chemical oxidation: Advances in hydrogen peroxide, persulfate and percarbonate oxidation

Many studies have successfully built iron-mediated materials to activate or catalyze Fenton-like reactions, with applications in water and wastewater treatment being investigated. However, the developed materials are rarely compared with each other regarding their performance of organic contaminant removal. In this review, the recent advances of Fenton-like processes in homogeneous and heterogeneous ways are summarized, especially the performance and mechanism of activators including ferrous iron, zero valent iron, iron oxides, iron-loaded carbon, zeolite, and metal organic framework materials. Also, this work mainly compares three O-O bond containing oxidants including hydrogen dioxide, persulfate, and percarbonate, which are environmental-friendly oxidants and feasible for in-situ chemical oxidation. The influence of reaction conditions, catalyst properties and benefits are analyzed and compared. In addition, the challenges and strategies of these oxidants in applications and the major mechanisms of the oxidation process have been discussed. This work can help understand the mechanistic insights of variable Fenton-like reactions, the role of emerging iron-based materials, and provide guidance for choosing appropriate technologies when facing real-world water and wastewater applications.

Direct discharge of sewage to natural water through illicitly connected urban stormwater systems: An overlooked source of dissolved organic matter

The illicit connection of sewage pipes to stormwater pipes commonly occurs in urban stormwater systems. This brings problems that sewage might be directly discharges into natural water and even drinking water sources without treatment, posing risks to ecological safety. Sewage contains various unknown dissolved organic matter (DOM), which could react with disinfectants and lead to the formation of carcinogenic disinfection byproducts (DBPs). Thus, understanding the impacts of illicit connections on downstream water quality is of significance. This study firstly investigated the characteristics of DOM using fluorescence spectroscopy and the formation of DBPs after chlorination in an urban stormwater drainage system in the case of illicit connections. The results found that the concentrations of dissolved organic carbon and dissolved organic nitrogen ranged from 2.6 to 14.9 mg/L and from 3.0 to 19.6 mg/L, respectively, with the highest levels occurring at the illicit connection points. Concerning DBP precursors, pipe illicit connections introduced considerable precursors of highly toxic haloacetaldehydes and haloacetonitriles into the stormwater pipes. Furthermore, illicit connections introduced more contents of tyrosine-like and tryptophan-like aromatic proteins, which may be related to foods, nutrients, personal care products, etc. in the untreated sewage. This indicated that the urban stormwater drainage system was a significant input source of DOM and DBP precursors to natural water. The results of this study are of great significance for protecting the security of water sources and promoting the sustainability of urban water environment.

Degradation kinetics and formation of regulated and emerging disinfection by-products during chlorination of two expectorants ambroxol and bromhexine

Ambroxol hydrochloride (AMB) and bromhexine hydrochloride (BRO) are classic expectorants and bronchosecretolytic pharmaceuticals. In 2022, both AMB and BRO were recommended by medical emergency department of China to alleviate cough and expectoration for symptoms caused by COVID-19. The reaction characteristics and mechanism of AMB/BRO with chlorine disinfectant in the disinfection process were investigated in this study. The reaction of chlorine with AMB/BRO were well described by a second-order kinetics model, first-order in both AMB/BRO and chlorine. The second order rate reaction constant of AMB and BRO with chlorine at pH 7.0 were 1.15 × 10² M^-1s^-1 and 2.03 × 10² M^-1s^-1, respectively. During chlorination, a new class of aromatic nitrogenous disinfection by-products (DBPs) including 2-chloro-4, 6-dibromoaniline and 2, 4, 6-tribromoaniline were identified as the intermediate aromatic DBPs by gas chromatography-mass spectrometry. The effect of chlorine dosage, pH, and contact time on the formation of 2-chloro-4, 6-dibromoaniline and 2, 4, 6-tribromoaniline were evaluated. In addition, it was found that bromine in AMB/BRO were vital bromine source to greatly promote the formation of classic brominated DBPs, with the highest Br-THMs yields of 23.8% and 37.8%, respectively. This study inspired that bromine in brominated organic compounds may be an important bromine source of brominated DBPs.

Effects of phosphate addition on the removal of disinfection by-product formation potentials by biological activated carbon filtration

In drinking water treatment plants (DWTPs), the widely used biological activated carbon filters (BACFs), as the last barrier before disinfection, can remove dissolved organic matter (DOM) known as precursors of disinfection by-products (DBPs). Whether phosphate addition can improve water purification and DBP control of BACFs is still controversial. This study investigated short-term and long-term effects of phosphate addition on controlling DBP formation potentials (FPs) by BACFs via column and batch experiments. The BAC columns presented good water purification performance: they removed around 50 % DOM, nearly all fulvic acid-likes and humic acid-likes as well as 5 %-70 % chlor(am)innated THM₄, HAA₉ and HAN₄ FPs (except chloraminated THM₄ FPs)， which was mainly contributed by aerobic bacteria not anoxic bacteria. Phosphate addition within 7-14 days further improved removals of DOM, aromatic organics, fluorescence fractions in DOM as well as HAA₉ and HAN₄ FPs (especially TCAA FP and TCAN FP) to different extent. However, this improvement did not last longer, and removals of DOM, aromatic organics, two fluorescence fractions (soluble microbial byproduct-likes and humic acid-likes) and DBP FPs decreased despite long-term phosphate addition. Oxic and anoxic batch experiments showed that the positive response of water purification to short-term phosphate addition was also mainly attributed to aerobic bacteria and not to anoxic bacteria. For example, the former decreased DOM and DBP FPs, while the latter increased protein- and tryptophan-like substances as well as chloraminated THM₄ FPs. Phosphate addition resulted in EPS increase in anoxic reactors and decrease in oxic reactors. These results indicated that a high dissolved oxygen in BACFs may be helpful for water purification and DBP control. Overall, short-term phosphate addition into phosphorus-limited water is beneficial for BACFs to control DBPs while long-term addition has no effect. Therefore, an intermittent phosphate addition into BACFs is suggested to control DBPs in DWTPs.

Adsorption of highly toxic chlorophenylacetonitriles on typical microplastics in aqueous solutions: Kinetics, isotherm, impact factors and mechanism

Microplastics (MPs) widely exist in all kinds of water bodies. The physical and chemical properties of MPs make them easy to become the carrier of pollutants, but the interaction between disinfection by-products (DBPs) and MPs has not been studied yet. In this study, the occurrence of emerging high-toxic chlorophenylacetonitriles (CPANs) in wastewater treatment plant (WWTP) effluents was determined. CPANs ubiquitously existed in WWTP effluents, and the concentration ranged from 88 ± 5 ng/L to 219 ± 16 ng/L. The typical MPs (i.e., polyethylene (PE), polyethylene terephthalate (PET), and polystyrene (PS)) were selected to study their adsorption of CPANs. Adsorption kinetics and isotherm analysis were carried out. The maximum Langmuir adsorption capacities were 8.602 ± 0.849 to 9.833 ± 0.946 μg/g for PE, 13.340 ± 1.055 to 29.405 ± 5.233 μg/g for PET, and 20.537 ± 1.649 to 43.597 ± 1.871 for PS. Dichloro-CPANs had higher adsorption capacity than monochloro-CPANs. After that, the specific surface area, contact angle, FTIR spectrum, crystallinity, and glass transition temperature (Tg) of MPs were measured. Based on the analysis of the properties of both MPs and CPANs, the mechanism of adsorption was studied. The adsorption of CPANs on PE was mainly affected by pore-filling and van der Waals force. In addition to these two factors, the adsorption of PET was also affected by hydrophobic interaction. Due to the substituents on the benzene ring, there was π-π interaction between PS and CPANs, which might be the reason why PS had the highest adsorption capacity for CPANs. Finally, the effects of pH and dissolved organic matter were studied, and their effects were relatively limited. The results indicated that MPs may adsorb CPANs in actual WWTP effluents, and special attention should be paid to the possible impacts on the aquatic environment caused by the transfer of CPANs on MPs.

Disinfection byproducts in indoor swimming pool water: Detection and human lifetime health risk assessment

Quantification of regulated and emerging disinfection byproducts (DBPs) in swimming pool water, as well as the assessment of their lifetime health risk are limited in China. In this study, the occurrence of regulated DBPs (e.g., trihalomethanes, haloacetic acids) and emerging DBPs (e.g., haloacetonitriles, haloacetaldehydes) in indoor swimming pool water and the corresponding source water at a city in Eastern China were determined. The concentrations of DBPs in swimming pool water were 1-2 orders of magnitude higher than that in source water. Lifetime cancer and non-cancer risks of DBPs stemming from swimming pool water were also estimated. Inhalation and dermal exposure were the most significant exposure routes related to swimming pool DBP cancer and non-cancer risks. For the first time, buccal and aural exposure were considered, and were proven to be important routes of DBP exposure (accounting for 17.9%-38.9% of total risk). The cancer risks of DBPs for all swimmers were higher than 10^-6 of lifetime exposure risk recommended by United States Environmental Protection Agency, and the competitive adult swimmers experienced the highest cancer risk (7.82 × 10^-5). These findings provide important information and perspectives for future efforts to lower the health risks associated with exposure to DBPs in swimming pool water.

Decomposition of Total Organic Halogen Formed during Chlorination: The Iceberg of Halogenated Disinfection Byproducts Was Previously Underestimated

Total organic halogen (TOX) is widely used as a surrogate bulk parameter to measure the overall exposure of halogenated disinfection byproducts (DBPs) in drinking water. In this study, we surprisingly found that the level of TOX in chlorinated waters had been significantly underestimated under common analytical conditions. After the addition of quenching agent sodium thiosulfate, total organic chlorine and total organic bromine exhibited a two-phase decomposition pattern with increasing contact time, and a significant decomposition was observed for different types of quenching agents, quenching doses, and pH conditions. More importantly, the decomposed TOX closely correlated with the acute toxicity of quenched water against luminous bacteria, implying that the DBPs responsible for TOX decomposition could be of important toxicological significance. Based on nontarget analysis by using high-resolution mass spectrometry, molecular formulas for the decomposed TOX were determined. After re-examining the mass balance of TOX in the context of unintentional decomposition, it was found that both the level and percentage of unknown TOX in chlorinated waters were considerably higher than historically thought. Overall, this study brings new insights into the knowledge of TOX formed during chlorination, providing important clues on the identification of toxicity driver in drinking water.

Stereotactic Body Radiotherapy for Renal Cell Carcinoma: Oncological and Renal Function Outcomes

AIMS

To evaluate oncological and renal function outcomes of stereotactic body radiotherapy (SBRT) for medically inoperable patients with localised renal cell carcinoma.

MATERIALS AND METHODS

Consecutive patients treated with curative intent SBRT (30-45 Gy in five fractions or 42 Gy in three fractions) were included. Data on local control (Response Evaluation Criteria in Solid Tumors [RECIST] v1.1), distant metastasis, impact on estimated glomerular filtration rate (eGFR) and proportional ipsilateral and contralateral renal functions (measured through renal scans) were collected. Univariate and multivariable analyses were conducted to determine association of variables with oncological and renal function outcomes.

RESULTS

Seventy-four patients were analysed. The median follow-up was 27.8 months (interquartile range 17.6-41.7). Fifty-seven per cent had tumours ≥ T1b. One-, 2- and 4-year cumulative incidence of local failure was 5.85, 7.77 and 7.77%, respectively. The cumulative incidence of distant metastasis at 2 years was 4.24%. On multivariable analysis, a lower planning target volume (PTV) mean dose (P = 0.019) and a larger PTV (P = 0.005) were significantly associated with the risk of developing local failure. A lower PTV maximum dose (P = 0.039) was significantly associated with the risk of developing distant metastasis. The median change in global eGFR (ml/min) from pre-SBRT levels was -7.0 (interquartile range -14.5 to -1.0) at 1 year and -11.5 (interquartile range -19.5 to -4.0) at 2 years. The proportion of ipsilateral (differential) renal function decreased over time from 47% of overall renal function pre-SBRT to 36% at 2 years, whereas the proportion of contralateral renal function correspondingly improved. On multivariable analysis, a higher volume of uninvolved renal cortex (P < 0.0001) was significantly associated with a smaller decrease in eGFR over time.

CONCLUSION

In this large institutional cohort, oncological outcomes of renal cell carcinoma treated with SBRT were favourable and a longitudinal decline in renal function in the ipsilateral kidney and compensatory increase in the contralateral kidney were observed. Clinical and dosimetric factors were significantly associated with oncological and renal function outcomes.

[Retrospective analysis for 424 330 first-line screening results of non-invasive prenatal testing in Hebei province]

Objective: To evaluate the effect of noninvasive prenatal testing (NIPT) as first-line screening in fetal chromosome aneuploidy screening practice, and to provide evidence for the prevention and control strategy of birth defects. Methods: Since July 2019, Hebei province had carried out the NIPT project providing first-line screening for eligible pregnant women in the area (except for those who were not applicable). Pregnant women with high risk received genetic counseling, prenatal diagnosis and intervention guidance. Low risk and false-positive ones received continuous detection and moved to prenatal diagnosis center for counseling and diagnosis if abnormities were discovered. All pregnant women were followed up to learn about pregnancy outcomes and newborn health status. Detection results and clinical data of pregnant women participating the NIPT project from July 2019 to July 2020 were collected. The detection results and effect of NIPT were analyzed. Results: (1) Basic information of the screened population: A total of 424 330 pregnant women were screened, and 423 596 were successfully detected, with a success rate of 99.83% (423 596/424 330). The age of pregnant women was (28.8±4.5) years old; the gestational age of screening was (16.6±2.3) weeks; the proportion of advanced-age pregnant women (≥35 years old) was 10.18% (43 132/423 596); in vitro fertilization-embryo transfer (IVF-ET) rate was 1.58% (6 713/423 596); the twin rate was 1.38% (5 849/423 596); the proportion of primipara was 34.23% (144 977/423 596). (2) Screening results and detection performance: totally, 325, 73 and 20 pregnant women were diagnosed with trisomy 21, 18 and 13; the sensitivity were 99.39%, 100.00% and 100.00%; the specificity were 99.98%, 99.99% and 99.98%; the positive predictive value were 75.76%, 68.87% and 21.51%, respectively. Besides, 249 190 pregnant women were received supplementary reports as well, and 255, 10 and 9 were confirmed for sex chromosome aneuploidy, other autosomal aneuploidy and deletion/duplication syndrome; the positive predictive value were 37.78%, 6.06% and 32.14%, respectively. The sensitivity of NIPT for target trisomy (trisomy 21, 18 and 13) screening in advanced-age, IVF-ET and twin pregnant women were 99.29%, 100.00% and 90.00%, respectively; the specificity were 99.93% for all; the positive predictive value were 82.25%, 61.54% and 69.23%, respectively. Conclusions: NIPT has a significant effect and good performance in the first-line screening of fetal chromosome aneuploidy in the whole population, which might provide reference for the improvement of birth defect prevention and control strategy.

Characteristics of dissolved organic matter in two alternative water sources: A comparative study between reclaimed water and stormwater

Reclaimed water and stormwater are two important alternative water sources to mitigate water resource shortage. They can be reused by discharging into drinking water sources. Due to different sources, characteristics of dissolved organic matter (DOM, a precursor of disinfection by-products, DBPs) present in reclaimed water and stormwater would be different. This study selected reclaimed water to compare with stormwater (including both stormwater runoff and rainwater) by investigating their DOM characteristics, including concentrations, aromaticity, molecular weight, hydrophobicity/hydrophilicity, composition and DBPs formation potential. The results showed that reclaimed water had higher dissolved organic carbon (DOC) concentrations (6.02-10.8 mg/L) than stormwater (3.62-5.48 mg/L) while SUVA₂₅₄ values of stormwater runoff (1.92-2.53 L/(mg-C·m)) were higher than reclaimed water (1.11-1.24 L/(mg-C·m)). Additionally, reclaimed water is more hydrophobic while stormwater runoff and rainwater are more hydrophilic. Although all water types included the highest fraction of DOM with molecular weight <1 kDa (43.0 %-77.5 %), reclaimed water primarily contained soluble microbial products (SMPs)-like and humic acid-like substances while stormwater runoff primarily contained humic acid-like DOM. In terms of DBPs, reclaimed water showed relatively higher formation potential than stormwater runoff while rainwater had the lowest DBPs formation potential. These results can contribute to effective water resource management. Particularly, when reclaimed water or/and stormwater are discharged into drinking water sources, these outcomes can help on efficient drinking water treatment.

Revisiting the effect of boiling on halogenated disinfection byproducts, total organic halogen, and cytotoxicity in simulated tap water

Boiling is a widely adopted household tap water treatment method because of its ability to inactivate chlorine-resistant pathogenic bacteria, and to reduce certain groups of disinfection byproducts (DBPs). From a more comprehensive point of view, this study revisited the effect of boiling on four groups of 17 aliphatic DBPs and six groups of 44 aromatic DBPs in both simulated chlorinated and chloraminated tap water samples, with a special focus on the changes of total organic halogen (TOX) and cytotoxicity. Results showed that the concentrations of aliphatic DBPs substantially decreased during boiling via volatilization (trihalomethanes and chloral hydrate) and hydrolysis (haloacetamides) in chlorinated and chloraminated tap water samples. The concentrations of aromatic DBPs during boiling generally followed an increasing trend due to decarboxylation of polycarboxylic precursors in chlorinated tap water samples, and showed a first increasing and then decreasing trend in chloraminated tap water samples. A sharp decreasing of TOX occurred in the heating process of tap water samples from room temperature to 100 °C, and a relatively gentle decreasing was kept in the prolonged boiling process till 5 min. The most abundant DBP group in the tap water samples without boiling was trihalomethanes, and was replaced by haloacetic acids with boiling for 5 min. Continuous boiling for 5 min substantially reduced the cytotoxicity of chlorinated and chloraminated water samples by 52.6% and 21.3%, respectively. Reduction of cytotoxicity matched well with the reduction of TOCl (r = 0.907, P < 0.01), TOBr (r = 0.885, P < 0.01) and TOX (r = 0.905, P < 0.01), suggesting that the cytotoxicity reduction during boiling was mainly ascribed to the reduction of halogenated DBPs. Therefore, boiling of tap water to 100 °C was strongly recommended to reduce the potential health risks induced by tap water ingestion.

Does Snowfall Introduce Disinfection By-product Precursors to Surface Water?

Snow with large specific surface area and strong adsorption capacity can effectively adsorb atmospheric pollutants, which could/might lead to the increase of disinfection by-product (DBP) precursors in surface water. In this study, the contents and characteristics of dissolved organic matter (DOM) in meltwater were investigated, and DBP formation and the DBP-associated cytotoxicity index during chlorination of meltwater was first explored. Overall, meltwater exhibited high nitrogen contents. Meltwater-derived DOM was mainly composed of organics with low molecular weights, low aromaticity, and high unsaturated degrees. DBP formation potentials and cytotoxicity indexes in chlorinated meltwater were positively correlated with air quality index and were significantly impacted by snowfall stages. The trihalomethane and haloacetic acid yields from meltwater were relatively low, while yields of highly cytotoxic DBPs, especially halonitromethanes (6.3-10.8 μg-HNMs/mg-DOC), were significantly higher than those of surface water (1.7 μg-HNMs/mg-DOC). Notably, unsaturated nonaromatic organic nitrates in meltwater were important precursors of halonitromethanes. The actual monitoring results showed that snowfall significant increased the haloacetaldehydes and nitrogenous DBP formation levels of surface water. Considering increased DBP formation and DBP-associated toxicity, it was demonstrated that DOM derived from snowfall in atmosphere-polluted areas could deteriorate surface water quality and pose potential risks to drinking water.

Insights into the formation and mitigation of iodinated disinfection by-products during household cooking with Laminaria japonica (Haidai)

Iodinated disinfection by-products (I-DBPs) have attracted extensive interests because of their higher cytotoxicity and genotoxicity than their chlorinated and brominated analogues. Our recent studies have firstly demonstrated that cooking with seaweed salt could enhance the formation of I-DBPs with several tens of μg/L level. Here, I-DBP formation and mitigation from the reaction of disinfectant with Laminaria japonica (Haidai), an edible seaweed with highest iodine content, upon simulated household cooking process was systematically investigated. The total iodine content in Haidai ranged from 4.6 mg-I/g-Haidai to 10.0 mg-I/g-Haidai, and more than 90% of iodine is soluble iodide. During simulated cooking, the presence of disinfectant simultaneously decreased iodide by 15.0-32.8% to 2.7-5.8 mg/L and increased total organic iodine by 1.3-10.9 times to 0.5-1.8 mg/L in Haidai soup, proving I-DBP formation. The concentrations of iodinated trihalomethanes and haloacetic acids were at the levels of several hundreds of μg/L and several μg/L, respectively, which are 2-3 orders and 1-2 orders of magnitude more than those in drinking water. Effects of key factors including disinfectant specie, disinfectant dose, temperature and time on I-DBP formation were also ascertained, and temperature and disinfectant specie played a decisive role in the formation and speciation of I-DBPs. In order to avoid the potential health risk from the exposure of I-DBPs in Haidai soup, it is prerequisite to soak and wash dry Haidai sample over 30.0 min before cooking, which could effectively remove major soluble iodide. In general, this study provided the new insight into I-DBP formation from daily household cooking with Haidai and the corresponding enlightenment for inhabitants to eat Haidai in daily life.

Electronic Control of Traditional Iron-Carbon Electrodes to Regulate the Oxygen Reduction Route to Scale Up Water Purification

Shifting four-electron (4e^-) oxygen reduction in fuel cell technology to a two-electron (2e^-) pathway with traditional iron-carbon electrodes is a critical step for hydroxyl radical (HO^•) generation. Here, we fabricated iron-carbon aerogels with desired dimensions (e.g., 40 cm × 40 cm) as working electrodes containing atomic Fe sites and Fe₃C subnanoclusters. Electron-donating Fe₃C provides electrons to FeN₄ through long-range activation for achieving the ideal electronic configuration, thereby optimizing the binding energy of the *OOH intermediate. With an iron-carbon aerogel benefiting from finely tuned electronic density, the selectivity of 2e^- oxygen reduction increased from 10 to 90%. The resultant electrode exhibited unexpectedly efficient HO^• production and fast elimination of organics. Notably, the kinetic constant k_M for sulfamethoxazole (SMX) removal is 60 times higher than that in a traditional iron-carbon electrode. A flow-through pilot device with the iron-carbon aerogel (SA-Fe_0.4NCA) was built to scale up micropolluted water decontamination. The initial total organic carbon (TOC) value of micropolluted water was 4.02 mg L^-1, and it declined and maintained at 2.14 mg L^-1, meeting the standards for drinking water quality in China. Meanwhile, the generation of emerging aromatic nitrogenous disinfection byproducts (chlorophenylacetonitriles) declined by 99.2%, satisfying the public safety of domestic water. This work provides guidance for developing electrochemical technologies to satisfy the flexible and economic demand for water purification, especially in water-scarce areas.

Effects of biological activated carbon filter running time on disinfection by-product precursor removal

Biological activated carbon (BAC) filtration is usually considered to be able to decrease formation potentials (FPs) of disinfection by-products (DBPs) in drinking water treatment plant (DWTP). However, BAC filters with long running time may release microbial metabolites to effluents and therefore increase FPs of nitrogenous DBPs with high toxicity. To verify this hypothesis, this study continuously tracked BAC filters in a DWTP for one year, and assessed effects of old (running time 8-9 years) and new (running time 0-13 months) BAC filters on FPs of 15 regulated and unregulated DBPs. Results revealed that dissolved organic carbon (DOC) removal was slightly higher in the new BAC than the old one. All fluorescent components of dissolved organic matter evidently declined after new BAC filtration, but fulvic acid-like and soluble microbial product-like substances increased after old BAC filtration, which could be caused by microbial leakage. Correspondingly, new BAC filter generally removed more DBP FPs than the old one. 46.5% HAA₇ FPs from chlorination and 44.3% THM₄ FPs from chloramination were removed by new BAC filter. However, some DBP FPs, especially HAN FPs, were poorly removed or even increased by the old BAC filter. Proteobacteria could be a main contributor for DBP precursor removal in BAC filters. Herminiimonas, most abundant genera in new BAC filter, may explain its better DOC and UV₂₅₄ removal performance and lower DBP FPs, while Bradyrhizobium, most abundant genera in old BAC filter, might produce more extracellular polymeric substances and therefore increased N-DBP FPs in old BAC effluent. This study provided insight into variations of DBP FPs and microbial communities in the new and old BAC filters, and will be helpful for the optimization of DWTP design and operation for public health.

Dramatically increased disinfection byproducts in swimming pool water caused by commonly used urea degradants

In China, urea degradants are often used in combination with chlorine in swimming pool water to remove urea. Here we report the first study about the impacts of urea degradants on urea degradation, disinfection byproduct (DBP) formation and estimated DBP-associated cytotoxicity and genotoxicity. Firstly, four groups of typical DBPs from six real indoor swimming pools were analyzed. The concentration of DBPs in swimming pool waters was about 1-2 orders of magnitude higher than that source tap water. Notably, a rapid increase in DBPs was observed after urea degradant treatment. Simulated processes of urea removal using three commonly used urea degradants were therefore conducted in laboratory. Neither urea degradant nor chlorine alone removed urea effectively within 48 h. When applied in combination, urea degradant with sufficient chlorine rapidly removed urea by 100% within 3 h, and anti-chlorourea oligomer in urea degradants was the main contributor. Meanwhile, a remarkable increase in DBPs, especially brominated DBPs, was observed due to bromide introduction by urea degradants. For this reason, bromine incorporation factor (BIF) of DBPs dramatically increased. For instance, the BIF of dihaloacetic acids increased by 2665%-4025% after applying three urea degradants. As the highly toxic brominated DBPs were generated, attention should be paid into the potential DBP-related health risks from the use of urea degradants together with chlorine.

Insight into UV-LED/PS/Fe(Ⅲ) and UV-LED/PMS/Fe(Ⅲ) for p-arsanilic acid degradation and simultaneous arsenate immobilization

As a feed additive, p-arsanilic acid (p-ASA) is hardly metabolized in animal bodies and is excreted chemically unchanged via feces and urine, which can be transformed into more toxic inorganic arsenic species and other organic by-products upon degradation in the aquatic environment. In this study, UV-LED/persulfate (PS)/Fe(Ⅲ) and UV-LED/peroxymonosulfate (PMS)/Fe(Ⅲ) processes were developed to remove p-ASA and immobilize the formed inorganic arsenic via tuning solution pH. UV-LED/PMS/Fe(Ⅲ) (90.8%) presented the best performance for p-ASA degradation at pH 3.0, and the p-ASA degradation in these processes both followed the pseudo-first-order kinetics. The ∙OH played the major role in UV-LED/PS/Fe(Ⅲ) and UV-LED/PMS/Fe(Ⅲ) systems. Solution pH greatly affected the p-ASA degradation and the maximum removal can be achieved at pH 3.0 due to the presence of more Fe(OH)(H₂O)₅²⁺. The dosages of Fe(III) and PMS (PS), SO₄^2- and HCO₃^- significantly influenced the performance of p-ASA oxidation, while HA, Cl^- and NO₃^- slightly affected the p-ASA degradation. According to quantum chemical calculation, radical addition on the C atom in the C-As bond of p-ASA was corroborated to be the dominant reaction pathway by SO₄∙^- and ∙OH. Additionally, the reactive sites and reasonable degradation pathways of p-ASA were proposed based on DFT calculation and HPLC/MS analysis. The release of inorganic arsenic in both processes can be effectively immobilized and the toxicity of the reaction solution dramatically reduced by adjusting solution pH to 6.0. UV-LED/PMS/Fe(Ⅲ) process was found to be more cost-effective than UV-LED/PS/Fe(Ⅲ) process at the low oxidant dosages.

Degradation of sulfadiazine by UV/Oxone: roles of reactive oxidative species and the formation of disinfection byproducts

Sulfadiazine (SDZ) is a typical persistent sulfonamide antibiotic, which has been widely detected in natural drinking water sources. The degradation of SDZ by UV/Oxone (potassium monopersulfate compound) was explored in this study. The results showed that Cl^- can effectively activate PMS to promote rapid degradation of SDZ in the Oxone process by forming chlorine in the system. Radical quenching tests suggested that radical oxidation, including HO^•, SO₄^•-, and reactive chlorine species (RCS), played an important role by UV/Oxone. It further verified that concentration and distribution of HO^•, SO₄^•-, and RCS were pH-dependent; RCS act as a major contributor at pH 6.0 and pH 7.0 to degrade SDZ in this process. The SDZ degradation rate was firstly increased and then decreased by Cl^- and HCO₃^- (0-10 mM); HA (0-10 mg L^-1) exhibited insignificant influence on SDZ degradation. The degradation pathways of SDZ during UV/Oxone and formation pathways of five disinfection byproducts during subsequent chlorination were proposed. The possible DBP precursors formed by SO₂ extrusion, hydroxylation, and chlorination of SDZ during UV/Oxone pre-oxidation.

Generality and diversity on the kinetics, toxicity and DFT studies of sulfate radical-induced transformation of BPA and its analogues

The international campaign to ban bisphenol A (BPA) has resulted in increasing application of BPA substitutes. However, investigations have mainly been confined to the removal of single contaminant from the water, resulting in an inefficient burden. Furthermore, systematic study and synthetical discussion of bisphenol analogues (BPs) kinetics and transformation pathways were largely underemphasized. Chemical oxidation of BPA and four typical alternatives (i.e., bisphenol AF, bisphenol E, bisphenol F and bisphenol S) in a UV-activated persulfate system was examined in this study. The effects of persulfate (PS) dosage, pH and water matrix constituents (i.e., bicarbonate, chloride and natural organic matter) were comprehensively examined using a combination of laboratory experiments and mathematical modeling. According to our findings, the removal characteristics of different BPs employing SO₄•^--induced removal technology, including degradation mechanisms and influencing trends by water matrix, revealed similarly. The second order-rate constants of SO₄•^- reacting with BPs served as the main variables mediating the variation in degradation kinetics. Frontier molecular orbital theory and density functional theory suggested BPs molecules possessed the same susceptible positions to free radicals. In the UV-activated PS process, transformation pathways included hydroxylation, electron-transfer, substitution, and rearrangement triggered by ortho-cleavage, with certain intermediates exhibiting higher toxicity than the parent chemicals. The findings of this study provided valuable information to estimate potential environmental risks of using BPA alternatives.

Evaluation of N-acetylcysteine and glutathione as quenching agents for the analysis of halogenated disinfection by-products

Disinfection by-products (DBPs), formed from the reactions of disinfectants with natural organic matter and halides in drinking water, were considered to be cytotoxic and genotoxic, and might trigger various cancers. The relatively low concentration of DBPs in finished water (low µg/L or even ng/L levels) and the interference from water matrix inhibited in situ determination of DBPs. Moreover, the further formation and degradation of DBPs by disinfectants during the holding time (several hours to several days) from sample collection to analysis could adversely affect the determination of DBPs. To obtain accurate, precise and reliable data of DBP occurrence and formation, robust and reliable sample preservation is indispensable. However, the commonly used quenching agents (e.g., sodium sulfite, sodium thiosulfate, and ascorbic acid) for sample preservation can decompose reactive DBPs by reductive dehalogenation. This study evaluated the performance of N-acetylcysteine (NAC) and glutathione (GSH) as quenching agents for the analysis of halogenated DBPs by investigating the stoichiometry of the disinfectant-quenching agent reaction, the formation of DBPs during chlor(am)ination of NAC or GSH, and the effects of NAC or GSH on the stability of 18 individual DBPs and total organic halogen (TOX). Based on the results of this study, NAC and GSH were considered to be ideal quenching agents for the analysis of most DBPs and TOX, except halonitromethanes.

Concurrent water- and foodborne exposure to microplastics leads to differential microplastic ingestion and neurotoxic effects in zebrafish

Organisms constantly ingest microplastics directly from the environment or indirectly via trophic transfer due to the pervasiveness of microplastic pollution. However, most previous studies have only focused on waterborne exposure at the individual level, while few studies have investigated the contribution of trophic transfer to the exposure in organisms. We comprehensively evaluated the differences in microplastic ingestion and toxic effects in zebrafish exposed to microplastics via two concurrent routes (waterborne and foodborne). The polyethylene microplastics (40-47 μm, 0.1-10 mg/L) concentration used here was set in a range closed to the environmentally relevant microplastic concentrations, especially considering the extreme high concentration scenarios in wastewater. The concentration of microplastics resulting from foodborne exposure (0.01±0.01 μg/mg; 0.1±0.1 particles/mg) was significantly lower than that through waterborne exposure (0.06±0.02 μg/mg; 0.8±0.3 particles/mg), suggesting the ingestion of microplastics in their tissues occurs mainly through direct environmental uptake rather than food chain transfer (though the initial microplastic concentration was 1000 folds lower). However, more sublethal impacts, including the significant abnormal hyperactive swimming behaviour (107±5% induction; p< 0.05), were observed in the foodborne group than waterborne group. Additionally, ingenuity pathway analysis predicted both exposure routes caused obvious nervous system interference but through opposite modes of action. This was further verified by the alteration of neurotransmitter biomarkers that neurotoxicity mechanisms were completely different for the two exposure routes. The neurotoxic effects of microplastics are non-negligible and can exert together through both water- and foodborne exposure routes, which deserves further attention.

Identification, Occurrence, and Cytotoxicity of Haloanilines: A New Class of Aromatic Nitrogenous Disinfection Byproducts in Chloraminated and Chlorinated Drinking Water

Identifying disinfection byproducts (DBPs) with high health risk is an unresolved challenge. In this study, six members of a new class of aromatic nitrogenous DBPs─2-chloroaniline, 2-bromoaniline, 2,4-dichloroaniline, 2-chloro-4-bromoaniline, 4-chloro-3-nitroaniline, and 2-chloro-4-nitroaniline─are reported as DBPs in drinking water for the first time. Haloanilines completely degraded within 1 h in the presence of chlorine (1 mg/L), while about 20% remained in the presence of chloramine (1 mg/L) after 120 h. Haloanilines showed high stability in the absence of disinfectants, with <30% degradation at pH 5-9 over 120 h. Eight haloanilines were determined in chloraminated finished water and tap water at total concentrations of up to 443 ng/L. The most abundant was 2-bromoaniline, with a median concentration of 104 ng/L. The cytotoxicity of eight haloanilines and regulated trichloromethane and dichloroacetic acid (DCAA) was evaluated using Hep G2 cell assay. The EC₅₀ values of eight haloanilines were 1-2 orders of magnitude lower than those of the regulated DBPs. The lowest toxic concentration of 2-chloro-4-nitroaniline was 1 μM, 500 times lower than that of DCAA. The formation and control of haloanilines in drinking water warrant further investigation.

Recent progress of silver-containing photocatalysts for water disinfection under visible light irradiation: A review

Photocatalysis has emerged as an environmentally friendly approach for microbial disinfection. The development of visible-light-driven (VLD) photocatalysts for water pollution remediation is imperative, considering that visible light constitutes a substantial fraction of the solar spectrum. The modification of photocatalysts by Ag/AgX (X = Cl, Br, I) deposition can be used to improve photocatalytic efficiencies. This is achieved by preventing photogenerated electron-hole pairs recombination through electron trapping mechanisms. With the introduction of silver NPs, visible light absorption can also be increased through its SPR enhancement. Silver also possesses excellent antimicrobial properties. Consequently, a novel class of Ag/AgX-containing hybrid materials has recently emerged as a promising candidate for water disinfection. This review summarizes the latest advances in the synthesis of Ag/AgX-containing photocatalysts using various synthetic methods. The microbial disinfection efficiencies of the as-prepared materials, the main reactive oxygen species and disinfection mechanisms are also reviewed in detail. Finally, some areas that need to be improved are discussed along with new insights as perspectives for future developments in this field.

Comparative Toxicity Analyses from Different Endpoints: Are New Cyclic Disinfection Byproducts (DBPs) More Toxic than Common Aliphatic DBPs?

In recent years, dozens of halogenated disinfection byproducts (DBPs) with cyclic structures were identified and detected in drinking water globally. Previous in vivo toxicity studies have shown that a few new cyclic DBPs possessed higher developmental toxicity and growth inhibition rate than common aliphatic DBPs; however, in vitro toxicity studies have proved that the latter exhibited higher cytotoxicity and genotoxicity than the former. Thus, to provide a more comprehensive toxicity comparison of DBPs from different endpoints, 11 groups of cyclic DBPs and nine groups of aliphatic DBPs were evaluated for their comparative in vitro and in vivo toxicity using human hepatoma cells (Hep G2) and zebrafish embryos. Notably, results showed that the in vitro Hep G2 cytotoxicity index of the aliphatic DBPs was nearly eight times higher than that of the cyclic DBPs, whereas the in vivo zebrafish embryo developmental/acute toxicity indexes of the cyclic DBPs were roughly 48-50 times higher than those of the aliphatic DBPs, indicating that the toxicity rank order differed when different endpoints were applied. For a broader comparison, a Pearson correlation analysis of DBP toxicity data from nine different endpoints was conducted. It was found that the observed Hep G2 cytotoxicity and zebrafish embryo developmental/acute toxicity in this study were highly correlated with the previously reported in vitro CHO cytotoxicity and in vivo toxicity in aquatic organisms (P < 0.01), respectively. However, the observed in vitro toxicity had no correlation with the in vivo toxicity (P > 0.05), suggesting that the toxicity rank orders obtained from in vitro and in vivo bioassays had large discrepancies. According to the observed toxicity data in this study and the candidate descriptors, two quantitative structure-activity relationship (QSAR) models were established, which help to further interpret the toxicity mechanisms of DBPs from different endpoints.