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International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015
www.aipublications.com Page | 37
Removal of Ciprofloxacin (CIP) by bacteria
isolated from hospital effluent water and
identification of degradation pathways
G.Y. Liyanage and Pathmalal M. Manage*
Centre for Water Quality and Algae Research, Department of Zoology, University of Sri Jayewardenepura, Sri Lanka
Corresponding author:-pathmalal@sjp.ac.lk*
Abstract— Most antibiotics are metabolized incompletely
by patients after administration and enter the municipal
sewage with the patients’ excretion. Therefore, studies
on the biodegradability of some clinically important
drugs can be taken as a very first step of an
environmental risk assessment. The present study reports
the biodegradation of CIP by Lactobacillus gesseri,
Enterobacter sp., Bacillus sp., Bacillus subtilius and
Micrococcus luteus which were isolated as CIP resistance,
non pathogenic bacteria. The presence of antibiotic-
resistant bacteria was identified using the 16s rRNA
sequencing. A 0.5ml of overnight starved bacterial
suspensions was introduced into medium containing CIP at
5 ppm. Triplicate samples were incubated at 28
0
C with
shaking at 100ppm. A 0.5 ml of subsamples was removed at
2 days interval for a period of 14 days. Samples were
subjected to High Performance Liquid Chromatography
(HPLC) analysis. Fourier Transform Infrared Spectroscopy
(FTIR) analyses were carried out for each sample at the
end of the 14 days to find structures of by-products.
Complete degradation of CIP by L. gasserri was detected at
the end of 14 days of incubation with average degradation
rate of 0.182 ±0.15µg /day. Descending degradation rates
were followed by Enterobacter sp. (0.75 ±0.03 d
-1
) and
Bacillus sp. (0.41±0.02d
-1
) at 8 and 6 days respectively.
However, clear cut degradation of CIP was not detected for
B.subtilis and Micrococcus luteus respectively. Further,
FTIR spectrum revealed that incubation of L. gesseri,
Enterobacter sp. and Bacillus sp., changed the piperazine
ring and quinolone part in the CIP structure while
degradation occurred.
Keywords— Ciprofloxacin, Degradation, Fourier
Transform Infrared Spectroscopy (FTIR), High
Performance Liquid Chromatography (HPLC),
Lactobacillus gesseri.
I. INTRODUCTION
Antibiotics are designed to be refractory to
biodegradation and to act effectively even at low doses
(Sarmah et al., 2006). Since recently, the concern about
potential ecological impacts of synthetic antibiotics has
been increasing, because they may inhibit key
environmental processes of nutrient regeneration, carbon
and nitrogen cycles and pollutant degradation mediated
by microorganisms (Rajilic-stojanovic et al., 2013).
However, since mid-1990s, usage of these compounds was
widespread and new analytical technologies were developed
to quantify the amount of antibiotics (Lissemore et al.,
2006).
The introduction of these compounds into the
environment through anthropogenic sources which can
constitute a potential risk for aquatic and terrestrial
organisms was documented (Kummerer, 2009).
Quinolones represent a highly potent group of modern
antibiotics, which were initially employed in the treatment
of urinary tract infections in humans and animals (Avarin et
al., 2013). They are very effective against gram negative
bacteria via inhibition of the DNA gyrase responsible
for preservation of DNA. The 6- fluorinated piperazinyl
derivatives namely fluoroquinolones, are a more effective
second generation of this family (Avarin et al., 2013). At
present, they are broadly used for treatment for a great
variety of respiratory diseases and enteric bacterial
infections in human and food producing animals
(Shaheen et al., 2013). The elimination of
fluoroquinolones mainly occurs as parent compounds
and as a consequence, significant quantities of the
active ingredient are transported to the environment
(Shaheen et al., 2013). The most widely prescribed
fluoroquinolone antibiotic is ciprofloxacillin (CIP),
which is active against a broad spectrum of disease
causing Gram negative and Gram positive bacteria
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015
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(Sahinturak et al., 2016). In fact, the occurrence of CIP in
the output of a treatment water plant, in hospital wastewater
and in surface waters has been reported (Shaheen et al.,
2013).
The physico-chemical properties of antibiotic (eg:-
molecular structure, size and shape) will define their
distribution in the environmental matrices (solids or
water). Most conventional water treatment processes are
not designed for the treatment of wastewater containing
highly polar contaminats such as detergents and
pharmaceuticals (Bergland et al., 2014). Therefore,
practical and economical solutions must be achieved in
order to reduce the daily amounts of antibiotics
discharged into the environment. A wide range of
chemical and physical methodologies can be employed
for the removal of antibiotics (Bergland et al., 2014)
where methods such as absorption, incineration,
oxidation-reduction, photolysis, hydrolysis, reverse
osmosis and chemical degradation are available at present
for removing antibiotics from waste water (Ding et al.,
2016). However, the real applicability of such techniques
are expensive and inaccessible in most part of the world,
especially in developing countries.
Bioremediation is an economically visible, cost effective
green technology which may lead to degradation of
antibiotics that produce simple compounds such as carbon
dioxide, water nitrogen and organic materials during the
microbial degradation processes (Li & Shang., 2010;
(Sturini et al., 2012).
Therefore, many number of scientific reports
showed promising environment-friendly
antibiotic degradation methods using native aquatic
bacteria. Maki et al., (2006) has isolated Flavobacterium
strains responsible for the degradation of a group of
antibiotics including OTC and AMP where recently
Liyanage & Manage., (2015) have reported AMX
and SUF degradation by the bacterium B. cereus. In the
case of CIP, the available information is limited regarding
bacterial degradation ‘in situ’ as well as ‘in vitro’.
Thus, the aims of the present study were to isolate the CIP
degradation bacteria and study the degradation kinetics of
CIP along with determination of structuralchanges during
the degradation pathways. Further, Ciprofloxacillin was
selected to represent flouroquinolones, because they are
the most widely used antibiotic at present in most part of the
world.
II. MATERIALS AND METHODS
Chemicals and reagents
CIP standards (98%), HPLC and Bacteriological grade
chemicals were purchased from Sigma Aldrich, USA.
Sample collection and enrichment study
Triplicate effluent water samples were collected from 75
sampling locations: including teaching hospitals, general
hospitals, base hospitals and divisional hospitals. 50ml
of effluent water from each sampling sites were enriched
spiking, CIP antibiotic at final concentration of 60ppm in
100 ml erlenmeyer flasks and the final volume was topped
up to 100 ml with sterile water and then the flasks were
subjected to incubate at 28
0
C ± 1 with 100rpm for 14 days
in a shaking incubator [Liyanage & Manage., 2016 (a) and
(b)]
After 14 days of incubation, standard pour plate method
was carried out to isolate CIP resistance bacteria. LB
medium which contained 60ppm of CIP was used to
isolate CIP resistant (r) bacteria (CIPr) [Mulaudzi et al.,
2011; Liyanage & Manage., 2016 (a) and (b)].
After three days of incubation at 28
0
C, bacteria colonies
with different morphological characters were picked up
and re-suspended in sterilized liquid LB medium.
Subsequently pure bacterial cultures were sub cultured
and stored in agar slants at -20
0
C in LB-glycerol media
for further studies and identification (Manage et al., 2009;
Liyanage & Manage., 2015)
Identification of CIP resistance bacteria
A total volume of 200μL of gDNA product was sent to
Macrogen, Korea for sequencing. For identification of
bacteria, DNA sequences were analyzed by the Basic
Local Alignment Search Tool at the National Center for
Biotechnology Information website (NCBI, http://www. ncb
i. nlm. nih. go v/).
Screening of CIP degrading bacteria
The identified non pathogenic CIP resistance bacteria
were transferred into 5 ml of liquid LB medium and
incubated overnight at 28
0
C. Then followed centrifugation
to remove carbon source from the LB media and then the
bacteria suspension was subjected to the starvation
procedure, in phosphate buffer solution (PBS).
Thereafter, equalized the turbidities of the bacteria
suspension at A 590 = 0.35 (Manage et al., 2009).
150 μl of equalized bacterial suspension was inoculated into
micro wells of the MT2 plates. The oxidization of the
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015
www.aipublications.com Page | 39
analyte (CIP) would result in a colour reaction taking place
in the well by the reduction of tetrazolium dye which can
be measured and quantified spectroscopically (Garland &
Mills, 1991). Each bacterial strain (150µl) was tested
against 5 ppm of CIP in triplicates. The control wells in
the BIOLOG MT2 plate contained CIP and sterile PBS
in triplicates. Then the plate was wrapped with wet tissue
and incubated at 28
0
C. The absorbance was measured by
ELISA plate reader at 0, 12, 18, 24 and 48 hours interval at
595nm. The results were used to screen potential bacteria
for CIP degradation (Naslund et al., 2008; Liyanage &
Manage 2016.b).
Degradation kinetics of the isolated bacteria
Among 22 bacterial isolates, five bacterial strains namely
Lactobacillus gesseri, Enterobacter sp., Bacillus sp.,
Bacillus subtilius and Micrococcus luteus showed high
absorbance values for the BIOLOG MT2 plate assay.
Further selection for degradation kinetics studies were
based on the results obtained from the BIOLOG MT2
plate assay. A 0.5 μl of equalized bacterial suspension was
inoculated into filter-sterile freshwater, containing CIP
at a final concentration of 5 ppm respectively. All flasks
were incubated at 28°C with continuously shaking at 100
rpm. A 0.5ml of sub samples were collected at two days
intervals for a period of 14 days. Then the subsamples were
centrifuged (12000 rpm) and supernatant of each sample
was subjected to immediate freezing and stored at -20°C.
Then the frozen samples were freeze-dried and
reconstituted in 1 ml of 100% aqueous HPLC grade
methanol and subjected to the HPLC analysis. Control
samples were prepared in triplicates following same
protocol without bacteria inoculation (Liyanage &
Manage., 2014). The degradation rate (h) of CIP by
bacteria was calculated according to the equation given
bellow,
h= ln (C /C0)/t
where C0 and C are the concentrations of CIP at the
beginning and at the end of the time interval t, respectively
(Manage et al., 2000).
Analysis of CIP
Analysis of antibiotics was carried out by using the HPLC
system consisting of Agilent 1200 series following the
modified method of Fernandez-Torres et al. (2010).
The injected volume was 20μl and chromatography was
performed at 30
0
C. The mobile phase consisted of a
mixture of 0.1% Glacial acetic acid in water
(Component A): 0.1% Glacial acetic acid in methanol
(Component B), 55:45 (v/v) was pumped in beginning
at a flow rate of 0.7 ml/min. Concentrations of CIP
was determined by calibration of the peak areas in UV
detection range (230nm) with an external standard. The
HPLC method has a detection limit of 0.5 μg/ml. CIP
recovery was obtained greater than 90% with a relative
precision of 15% (Perez burgus et al., 2012)
The concentration of CIP was analyzed using the
equations given below. The peak area of the sample, (peak
area of CIP = ACIP ), and the slope and intercept of each
calibration curve was used to calculate the concentration
of antibiotic in unknown samples (concentration of CIP
=CCIP ). CCIP = (A CIP – 10.451) / 1.5672
FTIR analysis
The structural analysis of degradation product was obtained
from FTIR in each sample at the end of 14 days of
incubation (Wackerlig, & Schirhagl., 2015).
III. RESULTS AND DISCUSSION
Quinolone antibacterial drugs have many characteristics,
such as broad antibacterial spectrum, high bactericidal
activity, low toxicity and unique mechanism. Norfloxacin,
enoxacin, ciprofloxacilin and ofloxacin are the
representatives of the third generation antibiotics and
have wide antibacterial spectrum (Luo et al., 2011).
Based on 16S rRNA gene sequence analysis with
morphological characteristics and biochemical tests, the
CIP degrading bacterial strains were identified as
Enterobacter sp. (KM504128), Lactobacillus gasseri
(KM4055978), Bacillus sp. (KM504129), B. subtilis
and Micrococcus luteus respectively.
Due to an incomplete elimination, antibiotics have been
introduced to the environment and their residues have been
found both in waste and urban waters. Mathew and
Unnikrishnan, (2012), reported that the CIP concentrations
in the effluents waste water treatment plant was up to
31mg/l in pharmaceutical industries in India. During the
wastewater treatment, 80 -90% of CIP is removed via
sorption to sludge, which stabilizes the substance
(Mathew and Unnikrishnan, 2012). Golet et al., (2003)
found that 83±14% of CIP in the anaerobically digested
sludge and may have resulted in the accumulation of
antibiotics in the bio-solids treated soil.
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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Fig.1: Degradation of CIP at 5 ppm .When error bars are not shown, standard deviation was less than the width of symbol
(Open square; Enterobacter sp., Closed square; L. gasseri, Closed triangle; Bacillus sp., Open triangle; B. subtilis; Closed
circle; M. luteus; Open circle; control)
Table.1: Degradation rates of CIP concentration in 5 ppm along with incubation time (given as mean value of triplicates)
Incubation time
(Day s)
Degradation rate (d-1)
Enterobacter s p. L. gasseri Bacillus sp. B. subtilis M. luteus Control
0 0 0 0 0 0 0
2 0.25 ±0.08 0.35±0.07 0.30±0.11 0.20±0.12 0 0
4 0.25±0.06 0.30±0.04 0.15±0.01 0.20±0.01 0.25±0.01 0.05±0.00
6 0.40 ±0.02 0.70±0.01 0.41±0.02 0.20±0.01 0.20±0.01 0
8 0.75 ±0.03 0.41±0.00 0.31±0.03 0.35±0.02 0.20±0.02 0
10 0.10±0.04 0.33±0.01 0.20±0.00 0.20±0.01 0.30±0.01 0.05±0.00
12 0.35± 0.02 0.21±0.01 0.35±0.04 0.35±0.01 0.30±0.01 0
14 0.30±0.03 0.25±0.02 0.15±0.06 0.35±0.03 0.15±0.03 0.05±0.00
Fig.1 shows the degradation of CIP by Enterobacter sp. (KM504128), L. gasseri (KM4055978),
Bacillus sp. (KM504129), B. subtilis and M. luteus during
14 days of incubation.
Most of the antibiotic compounds have shown low
biodegradable activity (Luo et al., 2011). Similar to
other antibiotics, CIP is not readily biodegradable and it
also strongly sorbs to soil. At present study, CIP was
completely removed within 14 days of incubation by L.
gasseri at average rate of 0.182 ±0.15µg/day. CIP
degradation by M. luteus was initiated following 2 days
of lag period and gradually increased afterwards
achieving 56% of degradation at 14 days of
incubation. Enterobacter sp., Bacillus sp., B. subtilis showed
96%, 74%, 70% removal of CIP at the end of 14 days of
incubation and the degradation was initiated without a
lag phase (figure 1). Comparison of CIP removal
patterns; among five bacterial strains L. gasseri is a most
potent candidate for rapid removal of CIP with a steep slope.
Enterobacter sp. also showed the highest degradation rate
(0.75 ±0.03 d
-1
) after eight days of incubation where L.
gasseri (0.70±0.01d
-1
) and Bacillus sp. (0.41±0.02d
-1
)
showed their maximum degradation rate at six days of
incubation. However, a clear-cut degradation was not
observed in the cultures of B.subtilis , M. luteus even at 14
days of incubation (Table 1).
Analysis of the sterile controls showed no significant loss of
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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CIP during the incubation and only 6% of decrease
was detected. This may be due to natural degradation and
photodegrdation effect.
According to Golet et al., (2003) in soil until day 6, the
degradation rate was relatively high (around 0.03 day-
1
),
thereafter, it was low but constant (0.008 day-
1
). The
accumulation of CIP lead to development of CIP resistance
bacteria which caused a health risk to both humans and
animals (Nasland et al., 2008). Therefore, findings of the
degradation processes are important in order to decrease the
CIP contaminant amount in the waste water before it
reached the natural environment.
Once fluoroquinolones (eg: CIP) reach the aquatic
environment, they are exposed to multiple environmental
factors and may undergo various degradation processes.
Limited number of research studies have found that some
fungus and bacterial species could significantly transform
CIP but at relatively low rates (Prieto et al., 2011; Parshikov
et al., 2001). Prieto et al., (2011) reported that white rot
fungi and brown rot fungi degraded more than 60% of
CIP in tested samples.
Many previous studies reported low biodegradation
rates for antibiotics in their findings
they degraded more than 50% of CIP from the samples
(Kummerer et al., 2000; Rajilic-stojanovic et al., 2013). In
the present study L. gasseri. M. luteus, Enterobacter sp.,
Bacillus sp. and B. subtilius were identified as potent CIP
degradares. Unlike L. gasseri (100%) and M. luteus (96%);
Enterobacter sp., Bacillus sp. and B. subtilis (figure 1) are
unable to degrade the complex cyclic structure of CIP
more than 75% and this has resulted in retarded
degradation rates for CIP. Presence of benzene ring and
piperazinyl ring in CIP could be the possible cause for the
failure of complete removal of the antibiotic. This was
slightly different from the amoxicillin degradability of
the species in same genera. According to Liyanage and
Manage (2015), B. cereus removed amoxicillin (AMX)
completely from the samples after 8 days of incubation.
It was recorded that CIP mainly reduced the microbial
activity at the beginning, because it is a biostatic compound
that targets growing microorganisms (Vasconcelos et al.,
2009; An et al.,
2010). Thus, in the present study, this may be the reason to
get low degradation rates at the beginning and with the time,
degradation rates increased (Table 1).
(a)
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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(b)
(c)
(d)
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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(e)
(f)
Fig.2: FTIR spectrums (a) Initial sample (0 day), (b) Treatment with L. gesseri at 14 days, (c) Treatment with Enterobacter sp.
at 14 days, (d) Treatment with Bacillus sp. at 14 days, (e) Treatment with B. subtilis at 14 days, (f) Treatment with M. luteus
at 14 days [ black arrows showed changing of functional groups from initial spectrum]
The infrared spectra of samples at 0 day and at 14 days are
shown in figure 2. Figure 2 (a) indicated the FTIR spectra
for initial sample. Among the vibrations, those at
1473.82 cm
-1
, 1507.34 cm
-1
and 1628.81 cm
-1
were
assigned to vibration absorption of the CH2 on the benzene
ring. The 1724 cm
-1
and 3403 cm
-1
stretching
vibrations are attributed to carbonyl and hydroxyl in carboxyl
group respectively. The 1396 cm
-1
and 941 cm
-1
vibration
correspond to the bending of O-H and around 800 cm
-1
indicate the absorption peak of secondary amine. Overall,
the spectrum is indicative of CIP, since it is similar to
standard spectrum of CIP containing HCl
(Kummar and Min., 2011; Tan et al., 2012; Yan et. al., 2012)
It can be observed in figure 2 (b) that the peaks in 3403 cm
-1
,
1724 cm
-1
, 1628 cm
-1
disappears while intensity of peaks
in 2921 cm
-1
, 1396 cm
-1
and 941 cm
-1
increased
compared to the initial spectrum, which accounts for
bacteria degradation. Two new stretching absorption peaks
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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of alkyene C (2462 cm
-1
) and C-F (1041 cm
-1
) were
found which indicated the changes of quinolone group due
to bacterial degradation (Kummar and Min., 2011; Tan et al.,
2012; Yan et. al., 2012). Figure 2 (c) shows new stretching
absorption peak of N-H which appears at around 3100 cm
-1
indicating the changes of pyradizine ring whereas new peak
at 1412 cm
-1
(-COO) indicating the changes in
quinolone ring. Other peak changes more similar to
spectrum 2 (b) were found.
Compared with standard spectra, from figure 2 (d), the strong
intensive peak was observed at 2921 cm
-1
indicating the
alkynene bonds and new peaks appeared at around 820 cm
-1
which correspond to C≡N, C≡C and C=O groups [figure
2 (d)]. Those changes ensured the bacteria degradation of
CIP (Kummar and Min., 2011; Tan et al., 2012; Yan et. al.,
2012).
The FTIR spectrums (figure 2.e & f) obtained for B. subtilis
and M. luteus were different from spectrums of figure 2 (b)-
2 (d) whereas less or more similar to initial spectrum [figure
2(a)]. The vibrations correspond to bonds in benzene ring
(1472 cm
-1
, 1628 cm
-1
) and pyrazene ring still appeared in
spetrums of B. subtilis and M. luteus following 14 days of
incubation respectively (Kummar and Min., 2011; Tan et al.,
2012; Yan et. al., 2012).
Thus, from the results it can be explained that two
different degradation processes took place among those 5
bacterial strains. L. gesseri, Enterobacter sp., Bacillus sp.
were shown similar degradation pattern compared to
other bacterium B. subtilis and M. luteus. L. gesseri,
Enterobacter sp. and Bacillus sp. changed the structure of
pyrazine ring and quinolone ring while, other two bacteria
only reduced the quantity of antibiotic with less structural
changes during the incubation process.
Regarding the fluoroquinolones, several studies on
pure water solutions revealed that photodegrdation takes
place mainly via substitution on the piperazinyl ring in the
position 7 (figure 1) (Paul et al., 2010) where, additional
experiments revealed that the presence of organic and
microbiological matter in water
solution significantly affects the degradation of
fluroquinolones (eg: CIP) (Parshikov et al., 1999; Paul et al.,
2010). The compounds containing a β-lactam ring (cefotian
hydrochloride, penicillin G and etc) could have been
degraded chemically by hydrolactic ring opening
without oxygen consumption. Thus, it was clear that the
most common degradation pathways for the CIP, may be
mediated by hydroxyl radical attack.
It is known that the degradation of CIP occurs at least at two
functionalities of the CIP molecule; the piperazinyl
substituents and quinolone moiety (Lissemore et al., 2006;
Dewitte et al., 2008 Santoke et al., 2009; Wei et al., 2013)
The obtained spectrums (figure 2) were compared to
those previously reported results in the literature, and the
spectrums correspond for bacterium L. gesseri, Enterobacter
sp. and Bacillus sp. were found to be very similar to CIP
degradation products recorded by others’ studies (Prieto et
al., 2011; Parshikov et al., 2001). These compounds
correspond to the partial and complete elimination of the
piperazynilic ring of the ciprofloxacin molecule which
were found in the present study (Figure 2 (b), (c), (d)).
The decrease of the vibrations that correspond to
piperazine ring compared with initial FTIR spectrum of
CIP (figure 2 (a)] suggest that multiple sites on the
piperazine ring were oxidized and potentially forming
carboxy groups. Guo et al., (2013), recorded in their
experiment that the antibacterial activity in the sample
was generally decreased by the bacteriological treatment
and the products of the quinolone ring structure
remained. These results also suggested that the cleavage of
the piperazinyl ring is capable of eliminating the
antibacterial activity of CIP. However, complementary
analytical techniques, such as nuclear magnetic
resonance (NMR), and/or use of authentic standards are
needed in future work to further confirm the structure of
CIP transformation product.
IV. CONCLUSION
As one of the third-generation antimicrobial quinolones,
ciprofloxacilin, possessing broad – spectrum of
antimicrobial activity, wide application in clinical
treatment of infections and diseases caused by gram
negative and positive bacteria. L. gasseri efficiently
degraded (100%) CIP resulting in a complete removal of CIP
from the sample while Enterobacter sp., Bacillus sp., B.
subtilius, M. luteus degraded 96%, 74%, 70%, 56%
respectively. The FTIR spectrums of each bacterium showed
the changes in antibacterial active sites (piperazine ring and
quinolone part) of CIP and confirmed the degradation of CIP
by the bacteria isolated. Therefore, it can be concluded that
the five bacterial strains are the potent candidates that can be
introduced into waste water effluents to remove CIP in
effluent water before reaching natural environment.
International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018]
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ACKNOWLEDGEMENT
The authors wish to thank the University of Sri
Jayewardenepura in Sri Lanka for providing the financial
support for the study (ASP/06/RE/SCI/2013/20; Centre
for water quality and algae research).
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Removal of Ciprofloxacin (CIP) by bacteria isolated from hospital effluent water and identification of degradation pathways

  • 1. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 37 Removal of Ciprofloxacin (CIP) by bacteria isolated from hospital effluent water and identification of degradation pathways G.Y. Liyanage and Pathmalal M. Manage* Centre for Water Quality and Algae Research, Department of Zoology, University of Sri Jayewardenepura, Sri Lanka Corresponding author:-pathmalal@sjp.ac.lk* Abstract— Most antibiotics are metabolized incompletely by patients after administration and enter the municipal sewage with the patients’ excretion. Therefore, studies on the biodegradability of some clinically important drugs can be taken as a very first step of an environmental risk assessment. The present study reports the biodegradation of CIP by Lactobacillus gesseri, Enterobacter sp., Bacillus sp., Bacillus subtilius and Micrococcus luteus which were isolated as CIP resistance, non pathogenic bacteria. The presence of antibiotic- resistant bacteria was identified using the 16s rRNA sequencing. A 0.5ml of overnight starved bacterial suspensions was introduced into medium containing CIP at 5 ppm. Triplicate samples were incubated at 28 0 C with shaking at 100ppm. A 0.5 ml of subsamples was removed at 2 days interval for a period of 14 days. Samples were subjected to High Performance Liquid Chromatography (HPLC) analysis. Fourier Transform Infrared Spectroscopy (FTIR) analyses were carried out for each sample at the end of the 14 days to find structures of by-products. Complete degradation of CIP by L. gasserri was detected at the end of 14 days of incubation with average degradation rate of 0.182 ±0.15µg /day. Descending degradation rates were followed by Enterobacter sp. (0.75 ±0.03 d -1 ) and Bacillus sp. (0.41±0.02d -1 ) at 8 and 6 days respectively. However, clear cut degradation of CIP was not detected for B.subtilis and Micrococcus luteus respectively. Further, FTIR spectrum revealed that incubation of L. gesseri, Enterobacter sp. and Bacillus sp., changed the piperazine ring and quinolone part in the CIP structure while degradation occurred. Keywords— Ciprofloxacin, Degradation, Fourier Transform Infrared Spectroscopy (FTIR), High Performance Liquid Chromatography (HPLC), Lactobacillus gesseri. I. INTRODUCTION Antibiotics are designed to be refractory to biodegradation and to act effectively even at low doses (Sarmah et al., 2006). Since recently, the concern about potential ecological impacts of synthetic antibiotics has been increasing, because they may inhibit key environmental processes of nutrient regeneration, carbon and nitrogen cycles and pollutant degradation mediated by microorganisms (Rajilic-stojanovic et al., 2013). However, since mid-1990s, usage of these compounds was widespread and new analytical technologies were developed to quantify the amount of antibiotics (Lissemore et al., 2006). The introduction of these compounds into the environment through anthropogenic sources which can constitute a potential risk for aquatic and terrestrial organisms was documented (Kummerer, 2009). Quinolones represent a highly potent group of modern antibiotics, which were initially employed in the treatment of urinary tract infections in humans and animals (Avarin et al., 2013). They are very effective against gram negative bacteria via inhibition of the DNA gyrase responsible for preservation of DNA. The 6- fluorinated piperazinyl derivatives namely fluoroquinolones, are a more effective second generation of this family (Avarin et al., 2013). At present, they are broadly used for treatment for a great variety of respiratory diseases and enteric bacterial infections in human and food producing animals (Shaheen et al., 2013). The elimination of fluoroquinolones mainly occurs as parent compounds and as a consequence, significant quantities of the active ingredient are transported to the environment (Shaheen et al., 2013). The most widely prescribed fluoroquinolone antibiotic is ciprofloxacillin (CIP), which is active against a broad spectrum of disease causing Gram negative and Gram positive bacteria
  • 2. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 38 (Sahinturak et al., 2016). In fact, the occurrence of CIP in the output of a treatment water plant, in hospital wastewater and in surface waters has been reported (Shaheen et al., 2013). The physico-chemical properties of antibiotic (eg:- molecular structure, size and shape) will define their distribution in the environmental matrices (solids or water). Most conventional water treatment processes are not designed for the treatment of wastewater containing highly polar contaminats such as detergents and pharmaceuticals (Bergland et al., 2014). Therefore, practical and economical solutions must be achieved in order to reduce the daily amounts of antibiotics discharged into the environment. A wide range of chemical and physical methodologies can be employed for the removal of antibiotics (Bergland et al., 2014) where methods such as absorption, incineration, oxidation-reduction, photolysis, hydrolysis, reverse osmosis and chemical degradation are available at present for removing antibiotics from waste water (Ding et al., 2016). However, the real applicability of such techniques are expensive and inaccessible in most part of the world, especially in developing countries. Bioremediation is an economically visible, cost effective green technology which may lead to degradation of antibiotics that produce simple compounds such as carbon dioxide, water nitrogen and organic materials during the microbial degradation processes (Li & Shang., 2010; (Sturini et al., 2012). Therefore, many number of scientific reports showed promising environment-friendly antibiotic degradation methods using native aquatic bacteria. Maki et al., (2006) has isolated Flavobacterium strains responsible for the degradation of a group of antibiotics including OTC and AMP where recently Liyanage & Manage., (2015) have reported AMX and SUF degradation by the bacterium B. cereus. In the case of CIP, the available information is limited regarding bacterial degradation ‘in situ’ as well as ‘in vitro’. Thus, the aims of the present study were to isolate the CIP degradation bacteria and study the degradation kinetics of CIP along with determination of structuralchanges during the degradation pathways. Further, Ciprofloxacillin was selected to represent flouroquinolones, because they are the most widely used antibiotic at present in most part of the world. II. MATERIALS AND METHODS Chemicals and reagents CIP standards (98%), HPLC and Bacteriological grade chemicals were purchased from Sigma Aldrich, USA. Sample collection and enrichment study Triplicate effluent water samples were collected from 75 sampling locations: including teaching hospitals, general hospitals, base hospitals and divisional hospitals. 50ml of effluent water from each sampling sites were enriched spiking, CIP antibiotic at final concentration of 60ppm in 100 ml erlenmeyer flasks and the final volume was topped up to 100 ml with sterile water and then the flasks were subjected to incubate at 28 0 C ± 1 with 100rpm for 14 days in a shaking incubator [Liyanage & Manage., 2016 (a) and (b)] After 14 days of incubation, standard pour plate method was carried out to isolate CIP resistance bacteria. LB medium which contained 60ppm of CIP was used to isolate CIP resistant (r) bacteria (CIPr) [Mulaudzi et al., 2011; Liyanage & Manage., 2016 (a) and (b)]. After three days of incubation at 28 0 C, bacteria colonies with different morphological characters were picked up and re-suspended in sterilized liquid LB medium. Subsequently pure bacterial cultures were sub cultured and stored in agar slants at -20 0 C in LB-glycerol media for further studies and identification (Manage et al., 2009; Liyanage & Manage., 2015) Identification of CIP resistance bacteria A total volume of 200μL of gDNA product was sent to Macrogen, Korea for sequencing. For identification of bacteria, DNA sequences were analyzed by the Basic Local Alignment Search Tool at the National Center for Biotechnology Information website (NCBI, http://www. ncb i. nlm. nih. go v/). Screening of CIP degrading bacteria The identified non pathogenic CIP resistance bacteria were transferred into 5 ml of liquid LB medium and incubated overnight at 28 0 C. Then followed centrifugation to remove carbon source from the LB media and then the bacteria suspension was subjected to the starvation procedure, in phosphate buffer solution (PBS). Thereafter, equalized the turbidities of the bacteria suspension at A 590 = 0.35 (Manage et al., 2009). 150 μl of equalized bacterial suspension was inoculated into micro wells of the MT2 plates. The oxidization of the
  • 3. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 39 analyte (CIP) would result in a colour reaction taking place in the well by the reduction of tetrazolium dye which can be measured and quantified spectroscopically (Garland & Mills, 1991). Each bacterial strain (150µl) was tested against 5 ppm of CIP in triplicates. The control wells in the BIOLOG MT2 plate contained CIP and sterile PBS in triplicates. Then the plate was wrapped with wet tissue and incubated at 28 0 C. The absorbance was measured by ELISA plate reader at 0, 12, 18, 24 and 48 hours interval at 595nm. The results were used to screen potential bacteria for CIP degradation (Naslund et al., 2008; Liyanage & Manage 2016.b). Degradation kinetics of the isolated bacteria Among 22 bacterial isolates, five bacterial strains namely Lactobacillus gesseri, Enterobacter sp., Bacillus sp., Bacillus subtilius and Micrococcus luteus showed high absorbance values for the BIOLOG MT2 plate assay. Further selection for degradation kinetics studies were based on the results obtained from the BIOLOG MT2 plate assay. A 0.5 μl of equalized bacterial suspension was inoculated into filter-sterile freshwater, containing CIP at a final concentration of 5 ppm respectively. All flasks were incubated at 28°C with continuously shaking at 100 rpm. A 0.5ml of sub samples were collected at two days intervals for a period of 14 days. Then the subsamples were centrifuged (12000 rpm) and supernatant of each sample was subjected to immediate freezing and stored at -20°C. Then the frozen samples were freeze-dried and reconstituted in 1 ml of 100% aqueous HPLC grade methanol and subjected to the HPLC analysis. Control samples were prepared in triplicates following same protocol without bacteria inoculation (Liyanage & Manage., 2014). The degradation rate (h) of CIP by bacteria was calculated according to the equation given bellow, h= ln (C /C0)/t where C0 and C are the concentrations of CIP at the beginning and at the end of the time interval t, respectively (Manage et al., 2000). Analysis of CIP Analysis of antibiotics was carried out by using the HPLC system consisting of Agilent 1200 series following the modified method of Fernandez-Torres et al. (2010). The injected volume was 20μl and chromatography was performed at 30 0 C. The mobile phase consisted of a mixture of 0.1% Glacial acetic acid in water (Component A): 0.1% Glacial acetic acid in methanol (Component B), 55:45 (v/v) was pumped in beginning at a flow rate of 0.7 ml/min. Concentrations of CIP was determined by calibration of the peak areas in UV detection range (230nm) with an external standard. The HPLC method has a detection limit of 0.5 μg/ml. CIP recovery was obtained greater than 90% with a relative precision of 15% (Perez burgus et al., 2012) The concentration of CIP was analyzed using the equations given below. The peak area of the sample, (peak area of CIP = ACIP ), and the slope and intercept of each calibration curve was used to calculate the concentration of antibiotic in unknown samples (concentration of CIP =CCIP ). CCIP = (A CIP – 10.451) / 1.5672 FTIR analysis The structural analysis of degradation product was obtained from FTIR in each sample at the end of 14 days of incubation (Wackerlig, & Schirhagl., 2015). III. RESULTS AND DISCUSSION Quinolone antibacterial drugs have many characteristics, such as broad antibacterial spectrum, high bactericidal activity, low toxicity and unique mechanism. Norfloxacin, enoxacin, ciprofloxacilin and ofloxacin are the representatives of the third generation antibiotics and have wide antibacterial spectrum (Luo et al., 2011). Based on 16S rRNA gene sequence analysis with morphological characteristics and biochemical tests, the CIP degrading bacterial strains were identified as Enterobacter sp. (KM504128), Lactobacillus gasseri (KM4055978), Bacillus sp. (KM504129), B. subtilis and Micrococcus luteus respectively. Due to an incomplete elimination, antibiotics have been introduced to the environment and their residues have been found both in waste and urban waters. Mathew and Unnikrishnan, (2012), reported that the CIP concentrations in the effluents waste water treatment plant was up to 31mg/l in pharmaceutical industries in India. During the wastewater treatment, 80 -90% of CIP is removed via sorption to sludge, which stabilizes the substance (Mathew and Unnikrishnan, 2012). Golet et al., (2003) found that 83±14% of CIP in the anaerobically digested sludge and may have resulted in the accumulation of antibiotics in the bio-solids treated soil.
  • 4. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 40 Fig.1: Degradation of CIP at 5 ppm .When error bars are not shown, standard deviation was less than the width of symbol (Open square; Enterobacter sp., Closed square; L. gasseri, Closed triangle; Bacillus sp., Open triangle; B. subtilis; Closed circle; M. luteus; Open circle; control) Table.1: Degradation rates of CIP concentration in 5 ppm along with incubation time (given as mean value of triplicates) Incubation time (Day s) Degradation rate (d-1) Enterobacter s p. L. gasseri Bacillus sp. B. subtilis M. luteus Control 0 0 0 0 0 0 0 2 0.25 ±0.08 0.35±0.07 0.30±0.11 0.20±0.12 0 0 4 0.25±0.06 0.30±0.04 0.15±0.01 0.20±0.01 0.25±0.01 0.05±0.00 6 0.40 ±0.02 0.70±0.01 0.41±0.02 0.20±0.01 0.20±0.01 0 8 0.75 ±0.03 0.41±0.00 0.31±0.03 0.35±0.02 0.20±0.02 0 10 0.10±0.04 0.33±0.01 0.20±0.00 0.20±0.01 0.30±0.01 0.05±0.00 12 0.35± 0.02 0.21±0.01 0.35±0.04 0.35±0.01 0.30±0.01 0 14 0.30±0.03 0.25±0.02 0.15±0.06 0.35±0.03 0.15±0.03 0.05±0.00 Fig.1 shows the degradation of CIP by Enterobacter sp. (KM504128), L. gasseri (KM4055978), Bacillus sp. (KM504129), B. subtilis and M. luteus during 14 days of incubation. Most of the antibiotic compounds have shown low biodegradable activity (Luo et al., 2011). Similar to other antibiotics, CIP is not readily biodegradable and it also strongly sorbs to soil. At present study, CIP was completely removed within 14 days of incubation by L. gasseri at average rate of 0.182 ±0.15µg/day. CIP degradation by M. luteus was initiated following 2 days of lag period and gradually increased afterwards achieving 56% of degradation at 14 days of incubation. Enterobacter sp., Bacillus sp., B. subtilis showed 96%, 74%, 70% removal of CIP at the end of 14 days of incubation and the degradation was initiated without a lag phase (figure 1). Comparison of CIP removal patterns; among five bacterial strains L. gasseri is a most potent candidate for rapid removal of CIP with a steep slope. Enterobacter sp. also showed the highest degradation rate (0.75 ±0.03 d -1 ) after eight days of incubation where L. gasseri (0.70±0.01d -1 ) and Bacillus sp. (0.41±0.02d -1 ) showed their maximum degradation rate at six days of incubation. However, a clear-cut degradation was not observed in the cultures of B.subtilis , M. luteus even at 14 days of incubation (Table 1). Analysis of the sterile controls showed no significant loss of
  • 5. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 41 CIP during the incubation and only 6% of decrease was detected. This may be due to natural degradation and photodegrdation effect. According to Golet et al., (2003) in soil until day 6, the degradation rate was relatively high (around 0.03 day- 1 ), thereafter, it was low but constant (0.008 day- 1 ). The accumulation of CIP lead to development of CIP resistance bacteria which caused a health risk to both humans and animals (Nasland et al., 2008). Therefore, findings of the degradation processes are important in order to decrease the CIP contaminant amount in the waste water before it reached the natural environment. Once fluoroquinolones (eg: CIP) reach the aquatic environment, they are exposed to multiple environmental factors and may undergo various degradation processes. Limited number of research studies have found that some fungus and bacterial species could significantly transform CIP but at relatively low rates (Prieto et al., 2011; Parshikov et al., 2001). Prieto et al., (2011) reported that white rot fungi and brown rot fungi degraded more than 60% of CIP in tested samples. Many previous studies reported low biodegradation rates for antibiotics in their findings they degraded more than 50% of CIP from the samples (Kummerer et al., 2000; Rajilic-stojanovic et al., 2013). In the present study L. gasseri. M. luteus, Enterobacter sp., Bacillus sp. and B. subtilius were identified as potent CIP degradares. Unlike L. gasseri (100%) and M. luteus (96%); Enterobacter sp., Bacillus sp. and B. subtilis (figure 1) are unable to degrade the complex cyclic structure of CIP more than 75% and this has resulted in retarded degradation rates for CIP. Presence of benzene ring and piperazinyl ring in CIP could be the possible cause for the failure of complete removal of the antibiotic. This was slightly different from the amoxicillin degradability of the species in same genera. According to Liyanage and Manage (2015), B. cereus removed amoxicillin (AMX) completely from the samples after 8 days of incubation. It was recorded that CIP mainly reduced the microbial activity at the beginning, because it is a biostatic compound that targets growing microorganisms (Vasconcelos et al., 2009; An et al., 2010). Thus, in the present study, this may be the reason to get low degradation rates at the beginning and with the time, degradation rates increased (Table 1). (a)
  • 6. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 42 (b) (c) (d)
  • 7. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 43 (e) (f) Fig.2: FTIR spectrums (a) Initial sample (0 day), (b) Treatment with L. gesseri at 14 days, (c) Treatment with Enterobacter sp. at 14 days, (d) Treatment with Bacillus sp. at 14 days, (e) Treatment with B. subtilis at 14 days, (f) Treatment with M. luteus at 14 days [ black arrows showed changing of functional groups from initial spectrum] The infrared spectra of samples at 0 day and at 14 days are shown in figure 2. Figure 2 (a) indicated the FTIR spectra for initial sample. Among the vibrations, those at 1473.82 cm -1 , 1507.34 cm -1 and 1628.81 cm -1 were assigned to vibration absorption of the CH2 on the benzene ring. The 1724 cm -1 and 3403 cm -1 stretching vibrations are attributed to carbonyl and hydroxyl in carboxyl group respectively. The 1396 cm -1 and 941 cm -1 vibration correspond to the bending of O-H and around 800 cm -1 indicate the absorption peak of secondary amine. Overall, the spectrum is indicative of CIP, since it is similar to standard spectrum of CIP containing HCl (Kummar and Min., 2011; Tan et al., 2012; Yan et. al., 2012) It can be observed in figure 2 (b) that the peaks in 3403 cm -1 , 1724 cm -1 , 1628 cm -1 disappears while intensity of peaks in 2921 cm -1 , 1396 cm -1 and 941 cm -1 increased compared to the initial spectrum, which accounts for bacteria degradation. Two new stretching absorption peaks
  • 8. International Journal of Medical, Pharmacy and Drug Research (IJMPD) [Vol-2, Issue-3, May-Jun, 2018] https://dx.doi.org/10.22161/ijmpd.2.3.1 ISSN: 2456-8015 www.aipublications.com Page | 44 of alkyene C (2462 cm -1 ) and C-F (1041 cm -1 ) were found which indicated the changes of quinolone group due to bacterial degradation (Kummar and Min., 2011; Tan et al., 2012; Yan et. al., 2012). Figure 2 (c) shows new stretching absorption peak of N-H which appears at around 3100 cm -1 indicating the changes of pyradizine ring whereas new peak at 1412 cm -1 (-COO) indicating the changes in quinolone ring. Other peak changes more similar to spectrum 2 (b) were found. Compared with standard spectra, from figure 2 (d), the strong intensive peak was observed at 2921 cm -1 indicating the alkynene bonds and new peaks appeared at around 820 cm -1 which correspond to C≡N, C≡C and C=O groups [figure 2 (d)]. Those changes ensured the bacteria degradation of CIP (Kummar and Min., 2011; Tan et al., 2012; Yan et. al., 2012). The FTIR spectrums (figure 2.e & f) obtained for B. subtilis and M. luteus were different from spectrums of figure 2 (b)- 2 (d) whereas less or more similar to initial spectrum [figure 2(a)]. The vibrations correspond to bonds in benzene ring (1472 cm -1 , 1628 cm -1 ) and pyrazene ring still appeared in spetrums of B. subtilis and M. luteus following 14 days of incubation respectively (Kummar and Min., 2011; Tan et al., 2012; Yan et. al., 2012). Thus, from the results it can be explained that two different degradation processes took place among those 5 bacterial strains. L. gesseri, Enterobacter sp., Bacillus sp. were shown similar degradation pattern compared to other bacterium B. subtilis and M. luteus. L. gesseri, Enterobacter sp. and Bacillus sp. changed the structure of pyrazine ring and quinolone ring while, other two bacteria only reduced the quantity of antibiotic with less structural changes during the incubation process. Regarding the fluoroquinolones, several studies on pure water solutions revealed that photodegrdation takes place mainly via substitution on the piperazinyl ring in the position 7 (figure 1) (Paul et al., 2010) where, additional experiments revealed that the presence of organic and microbiological matter in water solution significantly affects the degradation of fluroquinolones (eg: CIP) (Parshikov et al., 1999; Paul et al., 2010). The compounds containing a β-lactam ring (cefotian hydrochloride, penicillin G and etc) could have been degraded chemically by hydrolactic ring opening without oxygen consumption. Thus, it was clear that the most common degradation pathways for the CIP, may be mediated by hydroxyl radical attack. It is known that the degradation of CIP occurs at least at two functionalities of the CIP molecule; the piperazinyl substituents and quinolone moiety (Lissemore et al., 2006; Dewitte et al., 2008 Santoke et al., 2009; Wei et al., 2013) The obtained spectrums (figure 2) were compared to those previously reported results in the literature, and the spectrums correspond for bacterium L. gesseri, Enterobacter sp. and Bacillus sp. were found to be very similar to CIP degradation products recorded by others’ studies (Prieto et al., 2011; Parshikov et al., 2001). These compounds correspond to the partial and complete elimination of the piperazynilic ring of the ciprofloxacin molecule which were found in the present study (Figure 2 (b), (c), (d)). The decrease of the vibrations that correspond to piperazine ring compared with initial FTIR spectrum of CIP (figure 2 (a)] suggest that multiple sites on the piperazine ring were oxidized and potentially forming carboxy groups. Guo et al., (2013), recorded in their experiment that the antibacterial activity in the sample was generally decreased by the bacteriological treatment and the products of the quinolone ring structure remained. These results also suggested that the cleavage of the piperazinyl ring is capable of eliminating the antibacterial activity of CIP. However, complementary analytical techniques, such as nuclear magnetic resonance (NMR), and/or use of authentic standards are needed in future work to further confirm the structure of CIP transformation product. IV. CONCLUSION As one of the third-generation antimicrobial quinolones, ciprofloxacilin, possessing broad – spectrum of antimicrobial activity, wide application in clinical treatment of infections and diseases caused by gram negative and positive bacteria. L. gasseri efficiently degraded (100%) CIP resulting in a complete removal of CIP from the sample while Enterobacter sp., Bacillus sp., B. subtilius, M. luteus degraded 96%, 74%, 70%, 56% respectively. The FTIR spectrums of each bacterium showed the changes in antibacterial active sites (piperazine ring and quinolone part) of CIP and confirmed the degradation of CIP by the bacteria isolated. Therefore, it can be concluded that the five bacterial strains are the potent candidates that can be introduced into waste water effluents to remove CIP in effluent water before reaching natural environment.
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