The growing utilization of anticancer drugs in recent years has resulted in their presence in surface water and sewage, which could have ecological consequences. In this work, ferrate (Fe(VI)) was utilized to oxidize capecitabine (CAP), a frequently used anticancer drug that has gained attention lately. The experiments have demonstrated that Fe(VI) was quite reactive with CAP at pH 7. The addition of humic acid (0.1–10 mg L−1) significantly inhibited the oxidation process. Then, four reaction pathways, mainly including hydroxyl substitution, direct oxidation and cleavage of CO and CN bond were proposed based on twelve products detected by high-resolution hybrid quadrupole time-of-flight mass spectrometer. These pathways were further validated by theoretical calculations. Experiments conducted in water matrices assessed the applicability of Fe(VI) technology. Toxicity assessments of CAP and its intermediates were performed using the TEST program, and predictions indicated that the intermediates were generally less toxic than CAP. Overall, this work revealed that Fe(VI) has great potential to solve the environmental pollution problems associated with capecitabine in water.
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