“…Based on the criteria by Schymanski et al, 33 24 compounds were validated (level 1, Table S6) using authentic standards, and 4 and 17 compounds were assigned to levels 2 and 3, respectively. Overall, 45 compounds were observed in the 19 MMWTPs from 4 cities Of the 45 compounds, 17 sulfonamides and 3 acetylation products have been reported in sewage water and river water, including β-blockers (i.e., sotalol 45 ), D2 antagonists (i.e., sulpiride 18 ), antidiabetic compounds (i.e., glipizide 13 ), 2 human antibiotics (i.e., sulfadimethoxine 46 and trimethoprim), 12 veterinary antibiotics (i.e., sulfanilamide, sulfacetamide, sulfadiazine, sulfamethazine, sulfamethoxazole, 47 sulfapyridine, sulfabenzamide, sulfisomidine, sulfamonomethoxine, sulfaclozine, sulfaguanidine, and sulfamerazine), and 3 acetylation products 25 (i.e., NAc-sulfadiazine, NAc-sulfapyridine, and NAc-sulfamethoxazole), which were consistent with our findings (Figure 2a). By combining the established database with R programming in suspect analysis, 25 compounds (Figure 2b,c) have been first recognized in the aquatic environment, such as dronedarone (antiarrhythmic drug 19 ), tirofiban (antiplatelet drug 48 ), and amsacrine (antileukemic drug 49 ).…”