Response of antibiotic and heavy metal resistance genes to the co-occurrence of gadolinium and sulfamethoxazole in activated sludge systems

With the increasing use of antibiotics and rare earth elements(REE)during the coronavirus disease(COVID-19)pandemic,the co-occurrence of sulfamethoxazole(SMX)and gadolinium(Gd)has increased in wastewater treatment plants(WWTPs).However,the effects of SMX and Gd exposure on the transmission of antibiotic resistance genes(ARGs)and heavy metal resistance genes(MRGs)remain unknown.This study investigated the impacts of SMX and Gd on the fate of ARGs and MRGs in an activated sludge system.The diversity and relative abundance of ARGs,MRGs,and mobile genetic elements(MGEs)were detected by metagenomic sequencing.The results revealed an increased abundance of ARGs but a decreased abundance of MRGs under the joint effect of SMX and Gd.In addition,Gd alone exerted adverse effects on the proliferation and spread of ARGs and MRGs.However,SMX alone resulted in an increase in the diversity of ARGs and MRGs and promoted the growth of Pseudomonas,Thauera,and Streptomyces in the activated sludge system.Interestingly,a positive correlation was observed between most ARGs and MGEs.These findings provide comprehensive insights into the effects of co-occurring REEs and antibiotics on the fate of ARGs,MRGs,and MGEs,providing evidence to assist in controlling the spread and proliferation of ARGs and MRGs in activated sludge systems.