The present study was performed to determine the distribution of pro-inflammatory effects to inland waters.
Three different wastewater treatment plants and their recipient lakes were studied.
The levels of pharmaceuticals in the WWTPs and lakes were determined and compared to the immune response elicited by urinary bladder and immune cells.
The results of the present study indicate that the cytokine profiles of exposed cells correlate to the endotoxin load of the waters rather than to the levels of pharmaceuticals or live bacteria load.