Sulfur-based mixotrophic denitrification has significant potential as a promising denitrification technology for treating low ratio of carbon-to‑nitrogen (C/N) wastewater. This paper provided an in-depth and comprehensive overview of the sulfur-based mixotrophic denitrification process and discussed the underlying mechanisms and functional microorganisms. Possible electron transfer pathways involved in the sulfur-based mixotrophic denitrification process are also analyzed in detail. This review focused on the various sulfur-based electron donors used in the sulfur-based mixotrophic denitrification process, including S0, S2-, S2O32-, and pyrite (FeS2), and their performances when combined with various carbon sources (such as methanol, ethanol, glucose, and woodchips) were also explored. The analysis of the contribution proportion between autotrophic and heterotrophic denitrification suggested an appropriate C/N ratio can emphasize the dominance of autotrophs, thus exerting synergistic effects and reducing the consumption of carbon sources. Additionally, three strategies, including developing new composites, new bioreactors, and new sulfur sources, were proposed to improve the performance and stability of the sulfur-based mixotrophic denitrification process. Finally, the applications (such as secondary effluent, groundwater, and agricultural/urban storm water runoff), challenges, and perspectives of the sulfur-based mixotrophic denitrification were highlighted. This review provided an in-depth insight into the coupling mechanism of sulfur-based autotrophic and heterotrophic denitrification and guidance for the future implementation of the sulfur-based mixotrophic denitrification process.
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