How Wastewater Reflects Human Metabolism─Suspect Screening of Pharmaceutical Metabolites in Wastewater Influent
Open accessAbstract
Pharmaceuticals and their human metabolites are contaminants of emerging concern in the aquatic environment. Most monitoring studies focus on a limited set of parent compounds and even fewer metabolites. However, more than 50% of the most consumed pharmaceuticals are excreted in higher amounts as metabolites than as parents, as confirmed by a literature analysis within this study. Hence, we applied a wide-scope suspect screening approach to identify human pharmaceutical metabolites in wastewater influent from three Swiss treatment plants. Based on consumption amounts and human metabolism data, a suspect list comprising 268 parent compounds and over 1500 metabolites was compiled. Online solid phase extraction combined with liquid chromatography coupled to high-resolution tandem mass spectrometry was used to analyze the samples. Data processing, annotation, and structure elucidation were achieved with various tools, including molecular networking as well as SIRIUS/CSI:FingerID and MetFrag for MS2 spectra rationalization. We confirmed 37 metabolites with reference standards and 16 by human liver S9 incubation experiments. More than 25 metabolites were detected for the first time in influent wastewater. Semiquantification with MS2Quant showed that metabolite to parent concentration ratios were generally lower compared to literature expectations, probably due to further metabolite transformation in the sewer system or limitations in the metabolite detection. Nonetheless, metabolites pose a large fraction to the total pharmaceutical contribution in wastewater, highlighting the need for metabolite inclusion in chemical risk assessment.
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The observed relative contribution of trimethoprim appears consistent with the excretion fractions reported in recent environmental studies.
“the relative contribution of trimethoprim that we found appears consistent with the excretion fractions reported in recent environmental studies [2,36].”
From Pharmacometabolomics Study of Sulfamethoxazole and Trimethoprim in Kidney Transplant Recipients: Real-World Metabolism and Urinary Excretion (2025) · cites this paper as [36]
The Results and Discussion section, “Literature vs Monitored Metabolites/Parent Ratios” (page unavailable), compares measured ratios with literature expectations for other pharmaceuticals. Searches for trimethoprim and its excretion fraction returned no passage addressing whether the citing authors’ observed contribution is consistent with a reported fraction. (LLM, conf=0.73)
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- Authors
- Meyer, C., Stravs, M. A., & Hollender, J.
- Affiliations
- ETH Zurich (CH)
- Swiss Federal Institute of Aquatic Science and Technology (CH)
- Corresponding author
- Hollender, Juliane
- Venue
- Environmental Science & Technology
- Publisher
- American Chemical Society (ACS)
- Published
- 2024-05-24
- Volume
- 58
- Issue
- 22
- Pages
- 9828-9839
- ISSN
- 0013-936X (ISSN-L)
- 1520-5851
- PMC
- PMC11154963
- OpenAlex
- W4398768060
- Cited by
- 64
- References
- 46
- Citations by year
- 2026: 33 · 2025: 28 · 2024: 3
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Environmental Science & Technology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DORA Eawag (Swiss Federal Institute of Aquatic Science and Technology (Eawag)) (submittedVersion, cc-by)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by)
- ETH Zürich Research Collection (cc-by)
- Funders
- HORIZON EUROPE Health (101057014)
- Topics
- Physical Sciences › Environmental Science › Pollution › Pharmaceutical and Antibiotic Environmental Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Life Sciences › Agricultural and Biological Sciences › Food Science › Pesticide Residue Analysis and Safety
- Keywords
- drug metabolites, wastewater treatment plant influent, suspect screening, human metabolism, emerging contaminants, molecular networking, chemical risk assessment, wastewater treatment plants
- MeSH terms
- Chromatography, Liquid, Pharmaceutical Preparations, Environmental Monitoring, Humans, Water Pollutants, Chemical, Solid Phase Extraction, Tandem Mass Spectrometry, Wastewater
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