Removal of psychoactive pharmaceuticals from wastewaters using microbial electrolysis cells producing hydrogen

In this study, hydrogen production was analyzed along with methane and carbon dioxide generation using paroxetine, venlafaxine, and o-desmethylvenlafaxine (ODV) as substrates in single-chamber microbial electrolysis cells (MECs). Combinations of all three drugs were examined at concentrations of 750 ng/mL and 170 ng/mL. At the beginning of MEC operations using a 750 ng/mL mixture of drugs, there was no hydrogen or methane, but carbon dioxide was detected. When the concentration of the drug mixture was reduced to 170 ng/mL, MECs produced hydrogen and methane gas. Removal of the drugs during MEC operations was also analyzed using liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS). Paroxetine, venlafaxine and ODV drugs were removed up to 99% by MECs. In conclusion, MECs could offer an alternative treatment method for wastewaters containing psychoactive pharmaceuticals with the added bene ﬁ t of fuel hydrogen generation. MECs could be used for wastewater contaminated with psychoactive drugs. (cid:129) Additionaly, simultaneous hydrogen generation could be achieved. the ef ﬁ ciencies of the and metabolites in in microbial electrochemical of There results indicate that microbial electrolysis be used to drugs in providing a clean approach for support the Jahromi and co-workers investigated the effects of paroxetine on the human adipose-derived stem cells (hAD-SCs) cell line using MTT assay (Jahromi et al. 2016). 1 μ M paroxetine was applied to the cells for 2, 4, and 6 days. As a result, they reported that paroxetine administered at 4 and 6 days signi ﬁ cantly increased cell viability. It was observed that 15 ng/mL of venlafaxine increased cell viability by approximately 10%, while 30 ng/mL increased cell viability by about 20% compared to the control group. Doses of 8 – 60 ng/mL venlafaxine had no effect on cell viability. Wang and co-workers examined the effects of venlafaxine on PC12 cell lines with typical neuronal properties (Wang et al. 2013). The cells were ﬁ rst treated with corti-costerone and then venlafaxine was applied with MTT assay. They reported corticosterone-induced cell death as a protective feature of venlafaxine and enhancing cell viability. Kruk and co-workers investigated the effects of venlafaxine on human mesenchymal stem cells (MSC) with MTT assay (Kruk et al. 2018). They reported that venlafaxine did not change signi ﬁ cantly in the viability of MSC cells. Our results indicate that paroxetine, venlafaxine and ODV have no toxic effects on cell viability of ECV304 cells. However, the toxicity of the metabolites mixed into wastewaters through human urine should be investigated in advance considering the whole ecosystem.


INTRODUCTION
Renewable energy sources are being researched to meet the energy needs of increasing populations, and recent efforts have focused on the production of biohydrogen from wastewaters and organic wastes (Digman & Kim 2008). Hydrogen is a valuable gas, often obtained by different technologies from the most common water, biomass, and fossils. However, using water to produce hydrogen is expensive so hydrogen production from wastewater for sustainable energy generation is of interest (Nath & Das 2004;Obeid et al. 2009). Unlike other fuels, hydrogen is an environmentally friendly energy carrier that has a high energy value and low merit for power consumption, and does not cause environmental pollution. Fossil fuels are not renewed and cause many environmental problems. Hydrogen can also turn into electricity or water when burned. For this reason, hydrogen is thought to be the most attractive alternative fuel to replace fossil fuels (Das & Veziroglu 2001;Wang & Wan 2009). Although hydrogen is renewable and efficient, clean energy source, there are several drawbacks such as production cost and storage.
Microbial electrolysis cells (MECs) represent new technology related to biofuel and microbial fuel cells that treat waste materials while recovering energy (Bermek et al. 2013;Catal 2015;Atasever-Arslan et al. 2020). Whereas MFCs generate electricity using organic materials, MECs partly back the process in order to produce hydrogen from organic compounds by applying a potential (Wagner et al. 2009;Lu & Ren 2016). Agricultural wastes, domestic wastes and food processing wastes have great potential for hydrogen production since they contain high amounts of carbon sources, and contaminants found in wastewaters can be efficiently removed (Digman & Kim 2008;Kumru et al. 2012;Bermek et al. 2013;Abourached et al. 2014;Sen et al. 2019). It is well known that various drug metabolites contaminate wastewaters, and some drugs are discharged into our ecosystem through urine and feces negatively affecting aquatic life. Selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs), which are used in the treatment of diseases such as depression and anxiety, also diffuse into the nature with urine. SSRIs and SNRIs are among the most commonly prescribed drugs in the world for the treatment of recurrent depressive disorder (Galecki et al. 2018;Doron et al. 2019). Hospital wastewater, manufacturing wastewater, domestic wastewater, and leachate contain excreted drugs and their active metabolites (Hernando et al. 2006). SSRI and SNRI group drugs are mixed with wastewater causing bioaccumulation in the long term and damaging the ecosystem. For this reason, it is very important to detect and remove drugs from wastewater (Blaha et al. 2019). However, until now, there is no information about the biodegradation of SSRI and SNRI drugs in microbial electrochemical cells.
In this study, it was aimed (i) to analyze the hydrogen, methane, and carbon dioxide production from the SSRI/SNRI group of drugs consisting of paroxetine, venlafaxine and ODV produced in MECs, (ii) to remove the examined pharmaceuticals simultaneously as an alternative technique to other conventional methods, and (iii) to evaluate the cytotoxicity of the SSRIs/ SNRIs using ECV 304 (human endometrial) cell line. In addition, since there is no data on the possibility of obtaining hydrogen from wastewater contaminated with these drugs, this environmentally important issue has been investigated for the first time.

Chemicals
The following drugs were used in the experiments; paroxetine (Paroxetine hydrochloride hemihydrate, Batch no.

MEC construction and operation of MECs
Single-chamber MECs were set up as described in the literature . Four MECs were used, two main and two controls. MECs were made from narrow-mouthed media bottles sealed with caps (VWR International, LLC) on the butyl septum top. The volume of the MECs was 15 mL. Anodes (Lot: 14032102, FuelCells, Texas, USA, 4 cm 2 ) and cathodes (CTO32414, FuelCells, Texas, USA, 2 cm 2 ) were placed inside the MECs. The anode material of the MECs was coated with carbon. One side of the cathodes were coated with 0.5 mg/cm 2 Pt catalyst (20 wt% Pt/C Vulcan XC-72, FuelCell Store, USA) using Nafion (7 mL per mg of Pt/C catalyst, 5%, Sigma-Aldrich). MECs were inoculated with a mixed microbial culture enriched from local wastewater treatment plant (Pasakoy Advanced Biological Wastewater Treatment Plant, Istanbul, Turkey) using sodium acetate as the sole carbon source. Sodium phosphate buffer (100 mM ionic strength; pH 7.0) was prepared as stock in 2 L according to the literature (Lovley & Phillips 1988). The buffer consisted of the followings; 8.19 g/L Na 2 HPO 4 (CALBIOCHEM, Cat: 567550, Darmstadt, Germany) and 6.601 g/L NaH 2 PO 4 ·2H 2 O (Alfa Aesar, Cat: A11316, Karlsruhe, Germany). For the 50 mM inoculum solution, 0.675 g sodium acetate trihydrate was dissolved in 80 mL 100 mM sodium phosphate buffer (NaPO 4 , pH 7). The inoculum solution (12 mL) was added to each MEC. Then, they were purged with nitrogen (N 2 :CO 2 mixture, 80:20) gas to maintain anaerobic conditions. Voltage (0.7 V) was applied to the experimental groups using a power supply connecting its positive pole to the anode and negative pole to the cathode (Catal et al. 2017). A platinum wire was used to connect electrodes to the power supply. No voltage was applied to the control groups. Combinations of all three drugs were examined at concentrations of 750 ng/mL and 170 ng/mL, respectively. The 750 ng/mL drug sample contained 260 ng/mL paroxetine, 280 ng/mL venlafaxine and 210 ng/mL ODV. The 170 ng/mL drug sample contained 60 ng/mL paroxetine, 60 ng/mL venlafaxine and 50 ng/mL ODV. All operations were performed in a cabinet with temperature control (32 + 2°C).

Analyses and calculations
The voltage data was recorded every 11 min with a data acquisition system (Keithley, KickStart Software, Version 1.9.8.21, Oregon, USA). Analysis of the gas produced by MECs was performed using a gas chromatography (GC) equipment (Agilent, 7820A; J&W Scientific, USA) with a thermal conductivity detector (AGT-64332A) and a column. Argon was used as the carrier gas (113-3133 GS-CARBONPLOT, 30 m, 0.32 mm, 3 mm, J&W Scientific, USA). The following conditions were applied during the gas analysis; column flow 2.8 mL min À1 , 185°C heater .
The Agilent HP-1200 LC series (Santa Clara, CA, USA) system was used for chromatographic separation with an ACE-3 C8 (3 μm, 3.0 mm Â 150 mm) column. The column temperature was maintained at 45°C while the auto-sampler was maintained at 10°C and the sample injection volume was 5.0 μL. Mobile phase A was 2 mM ammonium formate in water, and mobile phase B was 2 mM ammonium formate in methanol: acetonitrile (50:50 v/v). The flow rate was maintained at 0.5 mL/min using gradient conditions. The gradient consisted of linear from 5% B to 95% B (1-5 min), held constant at 95% B (5.1-8 min) and back to 5% B (8.1 min) and held constant at 5% B (8.1-12 min). The chromatographic separation was 12 minutes in total. An Agilent 6,470 tandem mass spectrometer with an electrospray ionization source in positive ionization mode was used to determine ODV, venlafaxine, and paroxetine content. The mass spectrometer parameters were optimized, including capillary voltage (4 kV), source temperature (300°C), gas flow (10 L/min), nebulizer (40 psi), sheath gas temperature (350°C) and sheath gas flow (10 L/min). Quantification was performed using multiple reaction monitoring (MRM) mode to study precursor ion → product ion (m/z) transitions, respectively of ODV, venlafaxine, and paroxetine (264.3 → 107.0), (278.2 → 58.1) and (330.2 → 192.2) (Yang et al. 2014).
The removal rate (R) was calculated using the following formula; where I 1 is drug concentration before added to MECs, and I 2 is the concentration after added to MECs (Catal et al. 2017).

Cytotoxic analyses
Cytotoxic analysis was performed to examine the effect of drugs (paroxetine, venlafaxine and ODV) on healthy cell lines.

Gas production results
MECs were operated in batch modes, and the gas production was measured daily. Figure 1 shows total gas accumulation of in presence and absence of the drugs in MECs. MECs were fed with sodium acetate trihydrate (50 mM), and operated in the absence of drugs for 35 days (Figure 1). On the 17th day, sodium acetate trihydrate (50 mM) was refreshed. Hydrogen production was observed in MECs applied voltage of 0.7 V. Total hydrogen production was 25.8 mL on the 35th day. MECs produced 20 mL of methane (CH 4 ) gas and 15 mL of carbon dioxide (CO 2 ) gas along with hydrogen gas. No hydrogen production was observed in the controls without voltage and only 9 mL of CO 2 gas was accumulated. Hydrogen production was not observed in the control and voltage applied samples when 750 ng/mL drugs were applied to MECs. While 1.3 mL CO 2 accumulated in the voltage applied samples, 1.9 mL CO 2 accumulated in the control. These results indicate that 0.7 V voltage application is suitable for hydrogen production in MECs in the absence of the drugs, but SSRI and SNRI drugs at high concentration may inhibit hydrogen production possibly because of negative impacts on microorganisms. On the other hand, hydrogen production was observed when the concentration was reduced to 170 ng/mL (60 ng/mL paroxetine, 60 ng/mL venlafaxine and 50 ng/mL ODV). MECs were treated with 170 ng/mL drugs for 21 days. 12 mL of hydrogen accumulated until 18th day of the operation, and then MECs stopped producing hydrogen. Additionally, 6 mL of CO 2 gas and 0.06 mL of CH 4 gas accumulated. While producing hydrogen in samples treated with 170 ng/mL drugs, methane production was suppressed.
No hydrogen production was observed in the controls without voltage, and only 6 mL of CO 2 gas accumulated. These results indicate that methanogenesis could be inhibited in the presence of SSRI/SNRI drugs while fermentative activities could be continued in MECs. Studies using human urine containing metabolites as a substrate in microbial electrolysis cells have been reported previously. Microbial electrochemical cells can detect and remove metabolites in wastewater and also produce energy Ozdemir et al. 2019). It was reported that hydrogen production in microbial electrolysis cells Uncorrected Proof using sodium acetate, monosaccharaides, disaccharides and cellulosic wastes as carbon sources (Catal 2015;Catal et al. 2015Catal et al. , 2017. Previously, 18 mL of hydrogen gas was produced using maltose and 20 mL of hydrogen was produced using cellobiose after 14 d of operation (Catal 2015). Possibly, the substrates used on hydrogen production might affect the production yield, Uncorrected Proof and the examined drugs seem to have an impact on the gas profile produced in MECs affecting fermentation and methanogenesis metabolisms. Interestingly, after treatment with antidepressant drugs, suppression of methane production was observed in both the experimental group and the control group. These results suggest that the combination of antidepressant drug administered in the study might have methanogen inhibitor properties. In particular, the methanogen inhibitory properties of venlafaxine, paroxetine and ODV could be investigated in future studies. As a matter of fact, there are reports that the microbiota is affected in individuals using antidepressants used for treatment (Lukićet al. 2019). However, which drug or drug combination has methanogen inhibitory properties should be investigated in more detail.

Removal results of the antidepressant drugs in MECs
All samples were collected before and after the MECs operations to understand the removal ratios of the drugs. The removal of drugs was analyzed using an LC-MS/MS setup (Figure 2). The 750 ng/mL drug sample contained 260 ng/mL paroxetine, 280 ng/mL venlafaxine and 210 ng/mL ODV. In the 170 ng/mL drug sample, there was 60 ng/mL paroxetine, 60 ng/mL venlafaxine and 50 ng/mL ODV. There was no drug in the sodium acetate trihydrate samples. Removal of samples containing 260 ng/mL and 60 ng/mL paroxetine was 99.7% and 99.3%, respectively. The removal of samples containing 280 ng/mL and 60 ng/mL venlafaxine was 99.9% and 99.6%, respectively. The removal of samples containing 210 ng/mL and 50 ng/mL ODV was 100% and 99.8%, respectively. As a result, over 99% of paroxetine, venlafaxine and ODV drugs were removed by MECs.
The results of drug removal and the LC-MS/MS chromatogram results are complementary (Figure 3). These results indicate that SSRI/SNRI drugs could be efficiently removed in MECs, and even control MECs showed high removal ratios. The removal efficiencies of several pharmaceutically active compounds have been compared using membrane biological reactors in previous studies, and showed efficient removal ratios depending on the drugs examined (Cecconet et al. 2017). On the other hand, biological electrochemical systems have shown both good removal efficiencies and simultaneous energy generation to support wastewater treatment plants' operational costs. Previously, the removal efficiencies of the drugs such as cocaine and cannabinoid metabolites found in urine were examined in microbial electrochemical cells, and over 90% of removal rates were reported Ozdemir et al. 2019). There results indicate that microbial electrolysis cells could be used to remove drugs found in urine providing a clean approach for wastewater treatment, and support the operation costs of the wastewater treatment plants generating hydrogen.

. Cytotoxicity results
To investigate the effects of paroxetine, venlafaxine and ODV on healthy cell lines, doses of 8, 16, 30, and 60 ng/mL were studied (Figure 4). The 8 ng/mL dose of paroxetine increased cell viability by approximately 40%, whereas 15 ng/mL increased viability by approximately 10%. The other doses, 30 ng/mL and 60 ng/mL, increased cell viability by approximately 30% compared to the control group (Figure 4).

Uncorrected Proof
Jahromi and co-workers investigated the effects of paroxetine on the human adipose-derived stem cells (hAD-SCs) cell line using MTT assay (Jahromi et al. 2016). 1 μM paroxetine was applied to the cells for 2, 4, and 6 days. As a result, they reported that paroxetine administered at 4 and 6 days significantly increased cell viability. It was observed that 15 ng/mL of venlafaxine increased cell viability by approximately 10%, while 30 ng/mL increased cell viability by about 20% compared to the control group. Doses of 8-60 ng/mL venlafaxine had no effect on cell viability. Wang and co-workers examined the effects of venlafaxine on PC12 cell lines with typical neuronal properties (Wang et al. 2013). The cells were first treated with corticosterone and then venlafaxine was applied with MTT assay. They reported corticosterone-induced cell death as a protective feature of venlafaxine and enhancing cell viability. Kruk and co-workers investigated the effects of venlafaxine on human mesenchymal stem cells (MSC) with MTT assay (Kruk et al. 2018). They reported that venlafaxine did not change significantly in the viability of MSC cells. Our results indicate that paroxetine, venlafaxine and ODV have no toxic effects on cell viability of ECV304 cells. However, the toxicity of the metabolites mixed into wastewaters through human urine should be investigated in advance considering the whole ecosystem.
Investigation of microbial species in microbial electrochemical cells is important for effective removal of drugs from wastewater. The degradation of the antibiotic sulfamethoxazole and microbial community analysis in single-chamber MECs were previously investigated, and Proteobacteria, Bacteroidetes and Chlorobi were reported as the dominant phyla in the anode (Xue et al. 2019). Zhang et al. (2017) analyzed the bacteria involved in the degradation of the antibiotic chloramphenicol using double-chamber MFC reactors separated by cationic exchange membranes, and the dominant genera in the MFC anode biofilm were found as Azonexus, Comamonas, Nitrososphaera, Chryseobacterium, Azoarcus, Rhodococcus and Dysgonomonas. The dominant microbial community changes after antibiotic tobramycin introduction in MFCs, and the antibiotic tobramycin was found to be effective against Geobacter spp., Aminiphilus spp. and Acetoanaerobium spp. (Wu et al. 2014). In the literature research, no study was found in which microbial community analysis of microbial electrolysis cells and microbial fuel cells fed with SSRI and SNRI drugs was performed. Therefore, the identification of microorganisms that play an effective role in SSRI/SNRI removal in microbial electrochemical cells may contribute to the effective removal of such pollutants together with energy production in the future.

CONCLUSIONS
A potential approach for removal of SSRI/SNRI drugs (paroxetine, venlafaxine and o-desmethylvenlafaxine) from wastewaters was demonstrated in single chamber MECs. SSRI/SNRI drugs were almost completely degraded in the MECs. Hydrogen was generated simultaneously using the drugs without pretreatment. The drugs at concentration level of 170 ng/ mL slightly decreased hydrogen production, nonetheless, did not inhibited. Drugs had no significant effect on cell viability. Degradation mechanism of the drugs in the MECs could be investigated individually in future. In conclusion, MECs could offer an alternative treatment method of wastewater containing SSRI/SNRI drug metabolites, with the added benefit of fuel hydrogen generation.

DATA AVAILABILITY STATEMENT
All relevant data are included in the paper or its Supplementary Information.