Breaking antibiotic resistance: Sunlight-powered calcium peroxide for dual bactericidal and genetic elimination

Antibiotic-resistant bacteria (ARB) and associated antibiotic resistance genes (ARGs) have emerged as critical waterborne contaminants, posing serious public health risks. This study proposes a disinfection strategy through sunlight powered calcium peroxide (CaO₂) treatment that simultaneously inactivates ARB and degrades ARGs in aquatic environments. Solar irradiation combined with CaO₂ (3.0 mM) activates dual mechanisms: alkaline-driven microbial inactivation (pH increase from 6.4 to 8.2 within 30 min) and ROS-mediated oxidative damage (ROS: ^•OH, H₂O₂, ¹O₂ and O₂^•-), achieving complete 5-log inactivation of tetracycline and sulfonamides-resistant E. coli (TSRE). ARGs (tetA and sul2) showed 70-80 % reduction in absolute abundance, although the log removal did not exceed 1-log. Compared to sunlight alone, the addition of CaO₂ significantly enhanced disinfection efficiency. Alkaline and ROS-induced oxidative stress caused membrane lipid breakdown, protein denaturation, and suppression of antioxidant enzymes, along with DNA damage, lipid peroxidation, and enzyme inactivation. These effects increased membrane permeability, impaired bacterial recovery by downregulating DNA repair genes, and disrupted cellular integrity, ultimately limiting ARGs persistence. These findings highlight the synergistic effect of alkaline and oxidative stress in effectively inactivating ARB and degrading ARGs, positioning sunlight powered CaO₂ as a promising, highly efficient disinfection strategy for environmental water treatment.