Abstract Antibiotics, various environmental factors, and suspended particulate matter (SPM) exert a significant influence on the occurrence and dissemination of antibiotic resistance genes (ARGs). However, the current research on the mechanisms underlying the environmental factor-driven ARG dissemination in sediment-laden rivers, particularly the role of SPM, remains incomplete. This study systematically examined the distribution and interaction mechanisms among environmental factors, antibiotics, and ARGs in the Fenhe River Basin, a vital river traversing urban and agricultural areas of Shanxi Province, China. The research aims to fill the knowledge gap regarding the driving role of environmental factors in ARG spread within sediment-laden river systems. Surface water samples were collected from 6 sites across the basin, and the characteristics and relationship between antibiotics, ARGs mobile genetic elements (MGEs), and environmental factors were analyzed. Results showed that macrolide antibiotics (MLs) were dominant, with azithromycin reaching the highest concentration (584 ng/L, 23% of total antibiotics). Spatially, antibiotic and ARG levels peaked in the midstream; sulfonamide resistance genes sul2 and sul1 were the most abundant ARGs. Tetracycline resistance genes correlated positively with tetracyclines (TCs), MLs and sulfonamide antibiotics, while Quinolone Efflux Pump A (QepA) showed negative correlations with quinolone antibiotics and TCs. Mobile genetic elements (e.g., intI-1LC) promoted ARG propagation. Thirteen environmental factors showed variable correlations with ARGs: sand content positively correlated with 78% of ARGs, while flow velocity and pH negatively correlated with 72% of ARGs. This study clarifies the combined effects of urban-agricultural activities on antibiotic-ARG in multi-sediment-laden rivers, offering insights for river ecological risk management.
Ma et al. (2026) studied this question.