The World Water Development Report (2020) [1] underscores the critical environmental priority of protecting water reserves amidst global climate change challenges. Currently, natural aquatic environments face vulnerability to various hazardous substances from multiple sources, including civic society, the public sector and, notably, industrial activities.

Various industries (textile, pharmaceutical, agricultural, papermaking, printing, cosmetics, and food processing) generate extensive wastewater laden with diverse organic pollutants, such as pharmaceuticals, dyes, heavy metals, endocrine disruptors (EDCs), pesticides, and herbicides, leading to contamination. Additionally, water contamination results from a multitude of microorganisms thriving in raw household sewage, containing fecal matter and other decomposable substances. This conducive environment for microbial proliferation contributes to the onset and transmission of diseases. Notably, prevalent waterborne bacteria, like Escherichia coli, originating from the excrement of both farm animals and humans, cause ailments like diarrhea, renal failure, colitis, and hemolytic uremic syndrome [2]. Salmonella, inducing illnesses such as typhoid fever and salmonellosis [3], and cholera, caused by Vibrio cholera’s cholera toxin production [4], are severe diseases. Bacterial pathogens, like Pseudomonas aeruginosa, contribute to conditions like diarrhea and Shanghai fever [5], while Legionella, a primary agent in transmitting Legionnaire’s disease [6], can proliferate in water sources.

Several treatment methods, including chemical precipitation, separation, adsorption, coagulation, biological treatment, and Fenton oxidation techniques, are currently employed [7]. Despite their application, these methods often result in partial pollutant degradation, transferring contaminants between phases and producing secondary by-products requiring additional treatment [8,9]. Biological treatment, reliant on microbial metabolism [10,11,12], is reliable, cost-effective, and safe but exhibits lower efficacy in suspended solids removal, necessitating improved operational management. Coagulation and precipitation methods form flocs using polymer or inorganic coagulants (e.g., Fe, Al), aiding pollutant coagulation for subsequent removal through water-soluble metal salts, pH adjustment, or polymer coagulants producing sludge flocs to effectively precipitate or separate solids from wastewater [13,14,15]. While these techniques enhance treatment effectiveness, chemical use raises environmental concerns, and the resulting biological sludge contributes to pipe blockages and water quality deterioration. Fenton oxidation, leveraging Fenton’s reagent for oxidative capabilities, generates hydroxyl radicals (•OH) through hydrogen peroxide and iron salt reactions [16,17,18,19,20]. This involves minimal additional device use compared to other oxidation methods, making it easy to implement. However, drawbacks include significant sludge generation and increased operating expenses for subsequent processing.

Currently, there is a growing emphasis on advanced oxidation processes (AOPs) utilizing semiconductor materials as a promising alternative to conventional methods [21]. These processes offer advantages, such as simplified equipment requirements, indiscriminate oxidation, straightforward operational management, cost efficiency, and comprehensive decomposition of organic dyes into harmless byproducts [22]. A unique aspect of AOPs involves the generation of reactive species, like •OH radicals, enabling rapid and indiscriminate oxidation of organic, inorganic, and biological contaminants. Heterogeneous photocatalysis, employing oxide-based nanomaterials, is particularly effective in eliminating water-soluble pollutants from both water and wastewater under light exposure [23].

Metal oxide semiconductors, like titanium dioxide (TiO₂), demonstrate enhanced adsorption ability and act as effective catalysts due to increased reactivity, high photosensitivity, extensive specific surface area, cost-efficiency, non-toxicity, and biocompatibility [24]. TiO₂, notably one of the most widely used photocatalysts, owes its extensive utilization to advantageous characteristics, including heightened photocatalytic activity, chemical stability, cost-effectiveness, and abundance [25,26]. Existing in crystal structures. like anatase and rutile, TiO₂ exhibits distinct band-gaps and surface attributes, significantly influencing its photocatalytic activity and selectivity. Anatase TiO₂ is generally recognized as the most active among these structures [26,27]. Given their widespread application and exploration, TiO₂-based nanostructures have undergone diverse means of optimization and chemical modifications to enhance efficiency and broaden their application scope. Efforts have particularly focused on improvement in TiO₂’s absorption of visible light through doping with non-metal or transition metal ions, combination with other semiconductor materials or deposition of noble metal nanoparticles with a surface plasmonic resonance (SPR) effect [28,29,30].

During the last few years, numerous new organic pollutants have emerged in the environment [184,185,186]. Various sources contribute to the environmental occurrence of drug residuals, including hospital and manufacturing wastewater, as well as landfill leachates [187,188]. The rapid increase in human population, accelerated industrialization, as well as increased pharmaceutical dependence, have remarkably enhanced environmental pollution [189,190]. Even though the release of pharmaceutical remnants into the environment may seem negligible initially, they tend to accumulate over time and pose severe threats to humans and both terrestrial and aquatic organisms. Such compounds have been detected in multiple origins, as hospital effluents, municipal wastewater treatment plants, groundwater, surficial water, as well as drinking water [191]. Due to their robust nature, these compounds resist degradation through the typical biological procedures used in municipal wastewater treatment plants. As a consequence, they remain untreated for prolonged periods, posing hazards to ecosystems [192]. Previous studies have indicated that even at extremely low concentrations (50 ng/L), the occurrence of pharmaceutical agents in surficial water and groundwater systems implies a significant risk to humans and animals by contaminating their main source of drinking water [193]. In addition, the increase in various types of antibiotics notably adds to the escalation of resistance among bacteria and microbes against medicinal substances, consequently raising the likelihood of increased risk to human populations [194]. Pharmaceutical substances enter aquatic environments, like wastewater, through various mechanisms subsequent to their usage, whether in their original state or as by-products of metabolism. The illustration in Figure 10 depicts the pathways through which these substances are released during the phase of drug administration.

The utilization stage in the pharmaceuticals’ lifecycle significantly contributes to their environmental release. Distinguishing if residuals found within the environment originate from human or veterinary usage can be challenging, particularly when certain products are used by both, due to specific product characteristics or misuse. The primary avenue for pharmaceuticals entering the environment during consumption is through human and agricultural animal waste, like urine and feces, which consistently find their way into sewage or soil. Despite the fact that excretion constitutes the predominant approach, substantial amounts of products administered topically, like anti-inflammatory gels, can be rinsed away during bathing. As a result, the quantity and nature of drug residuals discharged post-consumption vary based on parameters, like the quantity and type of substance ingested, administration method and metabolic degree [195].

Up to now, a variety of methods have been utilized for eliminating pharmaceutical substances from water and wastewater effluents. These techniques encompass activated sludge treatment, membrane reactors, algal and microbial reactors, alongside other biological procedures, like biological aerated filters, sequencing batch reactors, trickling filters, rotating biological contactors, biofilm reactors, membrane bioreactors, constructed wetlands, biological activated carbon filters, anaerobic digestion, bio-electrochemical systems, and phytoremediation [196,197]. Several crucial parameters, entailing physical and chemical properties, contaminants’ biodegradability, solubility, robustness, as well as operational conditions (such as temperature, pH, and duration), significantly influence the fate of pharmaceutical pollutants in water bodies. Furthermore, attempts have been undertaken to utilize indirect optical decomposition methods employing •OH, produced via sunlight-mediated activation of nitrate and humic acid, acting as light sensitizers [198]. The decay of optical properties in wastewater treatment processes depends on various parameters, like intensity of solar irradiation, geographical location, depth of water, climate, and water’s organic composition. High turbidity levels caused by increased sludge concentration limit light penetration, minimizing optical degradation within traditional wastewater treatment plants [199]. In these facilities, impurity removal primarily relies on absorption facilitated by particulate matter and microbial degradation. However, the effectiveness of adsorption in eliminating pharmaceutical compounds is limited. Adsorption efficacy depends on factors like electrostatic interactions, hydrophobic drug properties, and their interactions with biological substances, like microorganisms. Additionally, factors like the type of reactor (fixed bed or continuous system), flow rate, and adsorbent concentration play significant roles. The literature suggests that acidic drugs (e.g., Ibuprofen, Clo-fibric acid, Phenoprofen, and Bezafibrate) with pK_a ranging between 3.6 and 4.9 have minimal adsorption capacity to activated sludge [200]. While some drugs partially degrade and get removed from water and wastewater, others undergo complete degradation, forming various by-products [201]. Biodegradation includes the use of anaerobic or aerobic digestion by varied microorganisms found in sewage sludge, typically used for handling it. This process facilitates the breakdown of pharmaceutical substances present within the sludge. However, some medications may persist without changing, leading to potential contamination of water bodies, like surface or groundwater. Additionally, the membrane process is being considered as a biological treatment method. Ongoing research is exploring various biological approaches to eliminate pharmaceutical pollutants. For instance, a previous study found that activated sludge had the capability to remove steroid hormone E2 at a percentage equal to ≈70–80% [202].

Given the limitations of traditional techniques in eliminating pharmaceutical pollutants, such as low effectiveness, substantial energy usage, and the generation of detrimental by-products, researchers have introduced advanced oxidation processes as an auspicious and efficient alternative approach [203]. AOP methods include ozonation, photocatalysis and Fenton/photo-Fenton approaches. The aforementioned methods aim to thoroughly degrade and mineralize various pharmaceutical compounds, as per the available literature [204]. AOPs involve generating extremely reactive species as free radicals (•O₂⁻, •OH and •HO₂), focusing particularly on •OH. The as-mentioned radicals, especially •OH, possess significant ability in eliminating pollutants’ molecules [205]. Based on the drug effluent’s characteristics, as well as the preferred treatment goal, AOPs are able to be utilized either separately or along with other biological and physical processes [206]. Among AOP methods, TiO₂-based photocatalysis has arisen as a hopeful and effective method for eradicating pharmaceutical contaminants from water-based settings [207,208].

Manasa and his team investigated the effectiveness of four distinct titanium dioxide photocatalysts doped with boron and cerium (0.1 wt.% and 1 wt.% Ce-TiO₂, as well as 1 wt.% and 2 wt.% B-TiO₂), prepared via the EDTA-citrate approach, for breaking down typical fluoroquinolone-based antibiotics (ciprofloxacin and norfloxacin) using sunlight irradiation. The observed band-gap values ranged from 2.5 to 2.9 eV, indicating the presence of a new energy level towards efficient charge separation and recombination’s decrease. At optimized conditions, 1 wt.% Ce-TiO₂ and 1 wt.% B-TiO₂ exhibited superior photocatalytic performance, potentially because of enhanced cerium adsorption rate and the boron occupying interstitial lattice positions, along with a reduced band-gap. These catalysts showcased 93% decomposition for both ciprofloxacin and norfloxacin, coupled with increased disinfection effectiveness of the order of 95–99.99% [209]. Conversely, Suwannaruang and co-researchers investigated the impact of several N-doping concentrations on surficial features, crystalline phase structure, optical and textural attributes, chemical state, and photocatalytic performance of N-doped titanium dioxide nano-rice particles. Under the examined parameters, the highest and lowest decomposition percentages of ciprofloxacin were 94.3% and 70% for 12.5 wt.% N and 1 wt.% N, respectively, upon UV irradiation for 4 h, indicating an enhancement of photocatalytic activity with increasing nitrogen dopant concentrations [210].

Furthermore, Martins and co-researchers examined the decomposition of ciprofloxacin through photocatalysis upon UV and visible light irradiation, utilizing high-efficiency Au@TiO₂ photocatalytic nanostructures. They achieved this by refining synthetic factors, adjusting photocatalysis parameters, and employing computational modeling. They observed that the resulting nanocomposites absorbed 40–55% more irradiation within the visible spectrum compared to pure TiO₂. Experimental assessments revealed a higher decomposition of ciprofloxacin (91%) under UV light irradiation, while a percentage equal to 49% was achieved under visible light irradiation [211]. In another study, Cabrera-Reina and colleagues investigated the elimination of the antibiotics imipenem and meropenem from various aqueous solutions (distilled water, river water, and simulated wastewater treatment plant effluents) using TiO₂ photocatalysis at a pilot plant scale. They demonstrated favorable decomposition rates under the specific experimental conditions employed [212].

Moreover, Truppi and his team developed a photocatalytic nanocomposite (Au@TiO₂ nanorods) via a co-precipitation approach, followed by calcination at ascending temperatures (250–650 °C). Their research focused on investigating the photocatalytic efficiency of the as-mentioned nanocomposites in degrading an antibiotic molecule (nalidixic acid) utilizing visible light irradiation [213]. Notably, nanocomposites calcined at 450 °C exhibited degradation rates up to 3.2 times more rapid than that of TiO₂ Evonik P25, a commercially available reference material, towards decomposing the targeted compound.

In addition, Gomez-Aviles and co-researchers achieved total decomposition of acetaminophen using C-TiO₂ nanotubes calcined at 400 and 500 °C under solar light irradiation in 1 h. They utilized lignin as a carbon precursor, in order to alter the anatase TiO₂ lattice via a hydrothermal process followed by thermal treatment. The hydrothermal method allowed the production of TiO₂ nanotubes possessing a relatively well-developed surface area, while the resulting C-TiO₂ exhibited an E_g value equal to 2.95 eV, given the existence of the lignin-derived material [214]. Lately, Penas-Garzon and co-researchers studied activated carbon-TiO₂ heterostructures prepared via different methods (solvothermal, microwave-assisted, and sol–gel) utilizing lignin as the carbon source. Among these methods, the microwave-assisted route demonstrated superior performance towards the photocatalytic degradation of acetaminophen, ibuprofen and antipyrine upon solar light irradiation [215].

Additionally, Ahmadpour and colleagues showcased the efficacy of a TiO₂@Zn-Fe₂O₄/Pd photocatalyst produced via the photo-deposition method. They optimized pH, catalyst concentration, and diclofenac’s initial concentration, demonstrating its excellent performance in degrading this pharmaceutical substance under solar light exposure. The catalyst exhibited super magnetic properties, facilitating its magnetic separation for facile recovery from the reaction mixture [189].

In a pioneering effort, the same researchers developed ZnFe₂O₄@TiO₂/Cu nanocomposites for naproxen removal, achieving an 80.7% degradation efficiency under sunlight irradiation. DRS analysis of the nanocomposites revealed heightened light absorption in the visible spectrum, resulting in reduced electron-hole recombination. Copper’s inclusion, possessing an enhanced specific surface area, fostered increased Cu-semiconductor charge and energy transfer. The nanocomposites displayed notable stability and recyclability, maintaining a 72.3% removal rate after 5 cycles of catalyst use [187].

Then, Murgolo and his team investigated a photocatalyst composed of hydroxyapatite and TiO₂ for eliminating diclofenac in water. Their findings indicated a remarkable 95% degradation of the targeted compound within 24 h using the as-mentioned catalyst under UV light exposure [216].

In a separate study, Czech and colleagues examined novel TiO₂ nanocomposites integrating pristine carbon nanotubes (MWCNTs) at varying concentrations (0.15–8.78 wt.%) for the removal of acetaminophen from water. The most effective photocatalytic performance was observed with the nanocomposite containing 1.72 wt.% MWCNTs, enabling 81.6% elimination of acetaminophen elimination from water [217].

Payan and his team also conducted a synthesis of Cu-doped TiO₂ functionalized with SWCNTs using a novel process combining sol–gel and hydrothermal methods. The characterization analysis confirmed the successful integration of Cu ions into the TiO₂ structure and surficial attachment of nanoparticles onto SWCNTs without altering the TiO₂ lattice structure. Regarding photocatalytic performance, total decomposition of sulfamethazine was accomplished under a pH value equal to 7, 10 wt.% SWCNT content, 4 wt.% Cu content, sulfamethazine concentration equal to 30 mg/L and duration of reaction equal to 135 min [218].

Furthermore, Abdelraheem and colleagues carried out a comprehensive study involving the solar light-mediated remediation of domestic wastewater effluents using N,B-co-doped TiO₂. This study focused on the decomposition of bisphenol A, ibuprofen, triclosan, diclofenac, and estrone in double distilled water and various treated wastewater samples. The investigation also considered the impact of typical wastewater components, such as NO₃⁻, Cl⁻, Br⁻ and HCO₃⁻ characterized by recognized ROS quenching attributes. The obtained data demonstrated the successful removal of all examined compounds from individual and combined systems, even in the occurrence of naturally present, typical inorganic quenching agents [219].

Carbuloni and his team explored metformin’s decomposition using TiO₂@ZrO₂ nanocomposites upon UV light irradiation. Their study revealed the effective removal of metformin from water under optimized conditions of pH and concentration of the utilized catalyst. The enhanced performance of the TiO₂@ZrO₂ nanocomposites towards the photocatalytic degradation of the model pharmaceutical pollutant was linked to the textural and structural characteristics’ alteration, like increased specific surface area, reduced size of the particles, enhanced anatase phase concentration and E_g variations [220].

Additionally, Escudeiro de Oliveira and colleagues employed nanotubes developed on a Ti-0.5 wt.% W alloy for eliminating estrone (E1) and 17a-ethinylestradiol (EE2), which constitute important drugs listed in the EU Watch List, upon both UV and visible light irradiation. Based on their results, the doped samples presented enhanced photocatalytic activity in comparison to samples without doping, as well as other semiconductors, when subjected to both types of light irradiation. This superiority was attributed to reduced recombination rates of photo-produced charges and a flat-band potential’s shift towards more negative values [221].

Finally, Gurung and his team investigated the elimination of typically utilized pharmaceutics (carbamazepine and diclofenac) utilizing a Ag₂O@TiO₂ (P25) photocatalyst. Optimal removal percentages of the order of 89.10% for carbamazepine and 93.5% for diclofenac were achieved after 180 min under UV irradiation and a photocatalyst dose equal to 0.4 g/L in distilled water [222].

It is widely accepted that the formation of a Schottky heterojunction through the combination of noble metals with TiO₂ can effectively boost photocatalytic activity [223]. To elaborate, the majority of noble metals possess Fermi levels lower than TiO₂’s conduction band, leading to the suppression of charge carrier recombination [224]. Simultaneously, the surface plasmon resonance (SPR) effect exhibited by nano-sized metals, such as Cu, Ag, and Au, enhances the material’s absorption of visible light [225]. This SPR effect is characterized by the collective oscillation of electrons on the surface of nano-sized metals, and the controllable manipulation of SPR further augments photocatalytic activity [226]. More precisely, semiconductors loaded with plasmonic metals can significantly boost the generation of photogenerated carriers while concurrently elevating the concentration of superoxide or hydroxyl radicals on the semiconductor’s surface. Consequently, this results in a robust capability to degrade various pollutants [227].

Generally, it is proposed that plasmonic metals share common features in their ability to enhance semiconductors through three mechanisms. Initially, metal nanoparticles exhibit a robust light absorption capacity within the visible spectrum and possess a significant scattering cross-section at the resonant wavelength. Both these characteristics substantially amplify the catalytic efficiency of proximal semiconductors. Secondly, the presence of metal nanoparticles on semiconductors results in a more potent electromagnetic field when subjected to localized surface plasmon resonance (LSPR) excitation compared to individual nanoparticles. This intensification facilitates the generation and separation of photogenerated electron-hole pairs within the semiconductor. Finally, the LSPR absorption wavelength of metal nanoparticles can be adjusted by manipulating particle size and shape. Consequently, catalyst performance can be enhanced by modifying the metal composition, morphology, and the contact interface between semiconductors [227].

Kaur and his team [228] fabricated Ag-modified TiO₂ catalysts with distinct morphologies and examined the effect on salicylic acid degradation. It was proposed that the morphological variations led to the difference in both interface and contact areas, which affected the performance of the catalyst.

Moreover, Gang and co-researchers [229] synthesized Ag nanoparticles of 24, 27 and 30 nm through a controlled chemical reduction and these were subsequently loaded onto TiO₂. The Ag/TiO₂ plasmonic photocatalysts displayed superior stability and exceptionally improved the photocatalytic efficiency for visible-light degradation of tetracycline. Ag nanoparticles played a significant role and indicated size-dependent SPR effects, while Ag nanoparticles of 30 nm presented the highest photocatalytic efficiency (90 %) within 90 min.

Metal ions present in water can undergo reduction to their lower energy state when electrons generated via TiO₂ photo-excitation are available, particularly when the reduction potentials align favorably (Equation (9)). Alternatively, enhancing the reductive elimination of metallic ions can occur indirectly by introducing sacrificial electron donors, like methanol or formaldehyde (Equations (10) and (11)). Moreover, under specific circumstances where the existing oxidation state of the metal ions is not the highest attainable, they can be further oxidized to higher states through the influence of •OH or h⁺ (holes) (Equation (12)) [230].

Heavy metals are typically characterized by their increased atomic weight and density, far surpassing that of H₂O. Due to their relatively lower reactivity and strong properties, they have been extensively utilized across various industries. Nevertheless, noxious heavy metals, like Pb, tend to accumulate swiftly in the environment, proving resistant to biological degradation [231]. Extensive reports highlight the severe toxicity of heavy metals to various human organs, leading to severe consequences, like mutations and cancer [232]. It is crucial to note that, while heavy metals are essential for proper bodily functions in specific quantities, their excess presence can be detrimental. Studies indicate significant adverse effects of heavy metals on plants, involving decreased uptake of nutrients and reduced productivity, when grown in soil where these metals are present [233]. Titanium dioxide has emerged as a cost-effective and time-effective method for heavy metal removal, with primal research proposing their reduction to decreased oxidative states subsequent to their surficial deposition onto the photocatalyst [234].

Titanium dioxide has been effectively employed in the reduction of heavy metal ions through photocatalysis, such as Ni²⁺, Cd²⁺, Pb²⁺, and Cu²⁺, following first-order kinetics. Enhanced removal of these metals was observed in more acidic conditions, suggesting TiO₂’s adaptability to function in such environments. Research indicates that the mechanism primarily involved in heavy metal removal was adsorption, facilitated by the substantial specific surface area of the nano-TiO₂ particles [235]. These nano-TiO₂ particles demonstrated promise for reusability and operation under room temperature conditions. Their adsorption capacity conformed to established isotherms, like the Langmuir isotherm, showcasing TiO₂ nanoparticles as a promising alternative for the removal of heavy metal ions from wastewater [236].

Moreover, titanium dioxide has exhibited effectiveness in photo-catalytically eliminating As from industrial wastewater. The material displayed capability for multiple cycles and retained its effectiveness after regeneration. Simultaneously, other heavy metal ions, like Cu²⁺, Cd²⁺, and Pb²⁺, also presented reduced concentrations, indicating the potential for simultaneous removal without sludge generation [237].

Ti nanotube arrays, altered with the coupling agent KH-570, proved highly effective in degrading Pb²⁺, Cu²⁺, and Cr⁶⁺ present in water. The array’s arrangement enhanced specific surface area, as well as photocatalytic effectiveness, while the coupling agent augmented interaction between Ti and the heavy metals’ ions. Nevertheless, this altered photocatalyst necessitated UV irradiation for effective operation, while its performance was influenced by wastewater turbidity [238]. Despite these limitations, further evaluation of this catalyst is warranted due to its beneficial aspects.

Titanium dioxide has established a significant history in eliminating Hg (Hg²⁺ to Hg⁰) from wastewater, serving as both a photocatalyst [239] and an assisting agent [240]. Research indicates photocatalytic efficacy within a pH range of 3 to 7, notably highlighting the effectiveness of the sol–gel method in producing particles with substantial surface area. Enhancements in catalyst efficiency were observed when increasing pH levels in this range, displaying considerable kinetics [241].

TiO₂ nanotubes have proven remarkably efficient in eliminating Cu²⁺ ions from water while concurrently generating hydrogen. Their enhanced catalytic activity stems from the significantly larger surface area compared to traditional nanoparticles, attributed to their distinctive shape and structure. The volume of hydrogen produced correlates with the quantity of Cu²⁺, with an initial concentration of 10 mol % of Cu²⁺ in titanium dioxide demonstrating optimal performance [242]. Furthermore, the transformation of Cr⁶⁺ ions to Cr³⁺ is achievable using doped TiO₂ photocatalysts. Achieving >99% elimination effectiveness was possible by doping with Fe and exposing the catalyst to visible irradiation. Enhanced electron transfer among the doped titanium dioxide and the ions of heavy metal, compared to pure TiO₂, significantly contributed to the supreme performance [243].

Another method for Cr³⁺ ion removal involved doping TiO₂ developed on graphene oxide with Mn. This process commences with electron transfer from Cr⁶⁺ towards the photocatalyst, yielding Cr³⁺, accompanied by subsequent electron transfer resulting in Cr⁰ atoms [244]. The co-doping process involving Ag and Mn in TiO₂ has demonstrated remarkable effectiveness in eliminating Cr⁶⁺ and Cu³⁺ ions from water using a thermodynamically spontaneous adsorption mechanism. The as-mentioned photocatalyst exhibited the ability to eliminate even negligible quantities of these heavy metal ions [245]. Another approach, that of doping with Gd, also displayed positive outcomes in removing Cr⁶⁺ ions. However, the observations were not as encouraging as those acquired from Fe and Ag@Mn-co-doped TiO₂ photocatalysts [246]. Furthermore, the elimination of Cr⁶⁺ from wastewater was attained by creating a composite material consisting of titanium dioxide with EDTA on a carbon sheet substrate, showcasing exceptional photodegradation efficiency. This composite exhibited enhanced coordination, while the carbon sheet substrate acted as a dispersion matrix both for nano-TiO₂ particles and EDTA molecules [247].

The inclusion of MnO₂ alongside TiO₂ remarkably enhanced the elimination of Pb²⁺ ions, despite a reduction in surface area. This alteration fostered appealing interactions between the dopant and ions, resulting in heightened ion adsorption by the photocatalyst [248]. Furthermore, the elimination of heavy metals present in nuclear wastes, like Cs⁺ and Sr²⁺, was achieved through doping titanium dioxide nanotubes with chromium ions. The charged nanotubes significantly bolstered removal efficiency, capitalizing on the increased specific surface area [249,250]. In addition, studies indicate the effective reduction of arsenic, a common groundwater contaminant, through iron-doped TiO₂. The incorporation of Fe ions enabled both adsorption and photocatalytic activity under visible irradiation through decreasing the E_g value. Optimal results were achieved with 1 wt.% of Fe at a pH value equal to 7, showcasing its potential as a promising agent for As removal [251].

Nanocomposites have emerged as viable solutions for removing heavy metal ions from water. One proposed method towards the elimination of Pb from wastewater involved the utilization of TiO₂ bio-nanocomposites, crafted through a procedure combining sol–gel fabrication of nano-TiO₂ particles and mixing with a polymeric solution. The as-proposed method presented a notable benefit, as it avoided introducing any by-pollutants into the treated water [252].

The photo-electrocatalytic elimination of Cr⁶⁺ was found to proceed nearly thrice faster compared to the conventional photocatalysis using TiO₂. Incorporating spherical nanostructures greatly expanded the reaction area, resulting in additional improvements [253]. Another effective approach for Cr⁶⁺ removal involved integrating Ag₃PO₄ into TiO₂ nanotube arrays, which exhibited equal efficacy in removing organic dyes [254].

The combination of mesoporous hollow TiO₂ nanospheres with 3-aminopropyl triethoxy-silane significantly enhanced the photodegradation effectiveness towards Cu²⁺, Cd²⁺, and Pb²⁺. The resulting composite demonstrated degradation efficiencies 12.7, 17.5, and 1.8 times higher, respectively, than those achieved by bare hollow nano-TiO₂ spheres [255]. Furthermore, the integration of reduced graphene oxide (rGO) with titanium dioxide nanospheres effectively removed Ag⁺ ions from water, where rGO contributed to increased charge carrier recombination. The maximum adsorption efficiency recorded was equal to 34.8 mg/g [256]. Additionally, a graphene-like TiO₂@C nanocomposite was utilized to eliminate Pb²⁺ ions from water, displaying an adsorption efficiency of the order of 331.7 mg/g [257].

A method of removing dyes from the water is photodegradation. There are two potential mechanisms that explain the process. One is the indirect path, where the dye molecule is excited by visible light energy, causing it to enter its triplet excited state. Subsequently, it is further transformed into a semi-oxidized radical by injecting electrons into the conduction band of titanium dioxide (Equations (13) and (14)) [258].

The second proposed mechanism is direct. In this process, dye molecules interact with the hydroxyl radicals produced, as well as with the electrons and holes formed due to excitation in the conduction band. This interaction leads to the reduction and oxidation of the dyes, respectively [259]. The indirect mechanism is observed to predominate over the direct mechanism, and the photodegradation is higher and requires less time [260] (Figure 11).

The pollution of water sources by dyes has been increasing over the years, mainly because of industrial processes, endangering aquatic organisms and indirectly affecting humans. These dyes are frequently non-biodegradable, accumulating in the body over time [261]. Very often, industrial waste contains both dyes and heavy metals, which meaning that it is impractical to remove them with different processes [262]. It would be ideal to find an efficient and cost-effective way to remove both [263]. A type of dye that is dangerous and difficult to decay is azo [264]. Accumulation of dyes in the water and soil alter their characteristics, which presents a significant problem, being responsible for significant degradation of the water and soil.

Traditionally, techniques like flocculation, adsorption filtration, and dialysis have been employed to eliminate dye molecules from solution. Nevertheless, these techniques frequently lack consistency and reliability, often resulting in incomplete structural degradation and color removal. The discharge of inadequately processed waste into the environment contributes to higher pollution levels [265]. TiO₂ nanomaterials have also drawn attention, in the case of water pollution, as possible solution.

The immobilization of TiO₂ nanomaterials on a matrix has been identified as an effective catalyst. Different azo dyes have been degraded with this type of catalyst. The process resulted in complete removal of color, with dye type AO10 being the easier to degrade. The concentration of organic carbon was significantly reduced in a few hours. TiO₂ nanoparticles proved to be very promising for industrial waste degradation. The degradation is caused by the conversion of the double bond between two nitrogen atoms in the dye molecule to an NH₄⁺ ion [9].

Using Rhodamine blue as a pollutant, researchers tested the viability of a zeolite matrix containing TiO₂. They noted higher efficiency, while the composite was easier to recover and reuse [266]. Similar dyes, like methylene blue, have been used to test the difference between the use of micro-sized particles of TiO₂ and nano-sized ones. As expected, the nanosized particles are much more efficient. There are also reports that solutions with higher pH are favorable for the degradation reaction [267]. A composite using a naturally sourced support matrix for the nanoparticles was synthesized using eggshells. The composite was tested on the same dyes as in the previous examples and had positive results. The synthesis was based on the solvothermal method, which is found to play a role in the performance of the produced nanoparticles [268].

Simple TiO₂ nanoparticles have been used to degrade different dyes under sunlight. Solar radiation contains a percentage of UV light, making pure nanoparticles an effective option, if not the most efficient. Nevertheless, complete removal of the dyes was achieved [269]. Other nanostructures, like nanotubes, have also been tested yielding significant results. These can vary depending on the synthetic method and the target dye. For Orange II, the hydrothermal method had better results. Physical adsorption is the mechanism of degradation. Elevating the temperature lowered the time needed [270].

Doping is an easy method to increase the performance of the photocatalyst. Nickel and platinum as doping agents produce remarkable results. It should also be noted that, these metals make the nanoparticles magnetic, which helps recovery. They also proved to be very stable when they were reused [271]. Making the TiO₂ photocatalyst work effectively under visible light irradiation is often the point of the doping, by lowering the band-gap value. Manganese proved to be very effective as dopant, while zirconia and cobalt had negative results [272]. An increase in surface area with doping is also an important consideration. Metals like iron, copper and chromium have been tested. Doping with copper was found to be most effective at removing methylene blue. The surface area and the lower band-gap are both important factors in this result [273]. Reactive Red dye 198 was successfully degraded, using TiO₂ doped with Fe and N. A first-order reaction was observed, and the improved activity of the catalyst is attributed to the generation of superoxide species, as suggested by Kaur and colleagues [274]. Another doping element which has been tested is strontium. The doped TiO₂, successfully degraded brilliant green, which is an antiseptic and antibacterial dye [275].

The incorporation of elements that are not metals, such as nitrogen and sulfur, has proven to enhance the photocatalytic efficiency of TiO₂, improving the performance under visible light irradiation. The band-gap is reduced by the creation of N²⁺ and S²⁺ levels. A graphene matrix, containing TiO₂ nanoparticles co-doped with these, proved to be a very efficient catalyst for a number of different dyes [276,277].

Carbon doping has also been tested with TiO₂ nanorods. This resulted in a very efficient photocatalyst for dye removal, although the very high temperature requirements limit the potential for large scale applications [278]. The rare earth ytterbium, recovered from waste cathode ray tubes (CRT), was used to dope TiO₂ nanosheets. Recycling the material is an efficient way to make the process more environmentally friendly. The experiments proved that dye degradation is possible, while also degrading heavy metals (chromium) as reported by Zhang and his team [279].

MgO/TiO₂ nanocomposites are used in the photocatalytic methanation of CO₂ through reduction [280], as well as in the production of biodiesel [281]. These composites can be used in dye removal applications. Transition metals can also enhance the photocatalytic behavior of TiO₂. Using sol–gel synthesis, TiO₂ nanoparticles doped with iron were produced and demonstrated high efficiency under visible light irradiation, at basic conditions [282].

Pure TiO₂ nanoparticles, which work under UV light irradiation, have been immobilized on polymer matrixes, retaining their efficiency, while exhibiting enhanced reusability. The incorporation is achieved using a dehydration reaction [283].

Electro-spinning has been used to synthesize nanofibers from TiO₂/CuO. The photodegradation of an azo dye was tested, using the nanofibers. Enhanced adsorption capabilities and the ability to work under visible and UV light were noted. A TiO₂ nanocomposite with zinc sulfide has proven to be a potent photocatalyst. Even at small doses, it can degrade many different dyes when irradiated with ultra-violet light [284].

A TiO₂/SiO₂ nanocomposite, characterized by a high anatase content, has been developed. There are many experiments using methylene blue which test this composite, with some studies using green synthetic methods [285].

Furthermore, a TiO₂/SiO₂ nanocomposite, doped with copper, was created using a simple sol–gel technique. The presence of SiO₂ in the composite enhances the adsorption of organic compounds, while the addition of copper reduces the band-gap. High efficiency in the degradation of Rhodamine B was reported [286]. In order to create TiO₂/SiO₂ aerogels that work under visible light irradiation, researchers used tungsten and fluorine as doping agents. The high pore capacity and lower band-gap helped in the degradation of Rhodamine B [287]. Composites that use the same oxides, immobilized on the polymers polydimethylsiloxane and chitosan, have also been tested [288].

Phosphor-containing nanocomposites have been synthesized for UV and visible light photocatalysis. These NaYF₄:(Gd, Si)/TiO₂ nanocomposites exhibited enhanced absorption of UV/visible light and the separation of electron and hole pairs for efficient photocatalysis. Similar NaYF₄:Yb,Tm-TiO₂ nanocomposites exhibit photocatalytic activity under near-infrared irradiation [289].

Palygorskite, a fibrous clay material, has also been used. Another usable clay is montmorillonite, a cheap and non-toxic way to add a support structure to TiO₂ nanoparticles. Under ultra-violet light irradiation, the composite proved effective for dye degradation [290].

Other nanocomposites that have been tested are based on TiO₂@SnO₂. Their mesoporous structure and high surface area make them efficient catalysts for photodegradation [291]. Combining two catalysts often results in an improved composite material. Researchers also noted that this material exhibits anti-microbial activity [292]. The conditions of synthetic process can affect the properties of the resulting material. This was demonstrated by researchers using a microwave hydrothermal process to synthesize CdS/CdTiO₃-TiO₂ nanocomposites [293].

A novel TiO₂ composite consisting of anatase interacting with a rutile phase containing Ti³⁺ was synthesized by heating a mixture of TiO₂ and Ti₂O₃ at high temperatures. For this composite to degrade some dyes, requires other elements as co-catalysts, like Cu or Pt [294]. A nanocomposite that exhibited great photocatalytic performance under both UV and visible light irradiation was based on a zeolite matrix, which has the ability to adsorb dyes. The composite was made by BiVO₄/TiO₂-NaY [295].

Graphene nanoplates incorporated with Ag₂O/TiO₂ were tested under visible light and UV conditions. Hydrogen peroxide was used to enhance the catalysis. Anions, like carbonate, nitrate, hydrogen phosphate, chloride, and sulfate, can affect the reaction [296].

TiO₂ was used to enhance the surface area of fly ash by a factor of ten. This novel material was used to successfully remove a heavy metal, a dye and a hazardous chemical used in detergents, under ultra-violet light irradiation [297].

Titanium dioxide immobilized onto electro-spun fibers from PVA was employed for the selective removal of methylene blue from a mixture of two dyes [298]. The polymer structures make possible the recovery and reuse of the nanoparticles. This composite demonstrated high photocatalytic efficiency in the decomposition of dye, attributed to the rapid swelling of the hydrogel in acidic conditions [299].

Enzymes have also been used alongside nanomaterials for water treatment. Researchers synthesized polydopamine tethered CPO/HRP-TiO₂ nanocomposites with high biocatalytic activity, stability and reusability. The synthetic method used was in situ polymerization along with an ultrasound bombardment size reduction technique. The enzyme is responsible for the biochemical degradation of the chromophore part of the dye. It has been employed in the degradation of aniline blue, crystal violet, and 2,4-dichlorophenol [300].

Multi walled carbon nanotubes have also been impregnated with TiO₂ nanoparticles. The composite has similar positives as other immobilization matrixes [301]. TiO₂ nanoparticles have also been used in combination with activated carbon. This composite has been successful in degrading various dyes, in batches or with continuous flow [302]. Enhanced photocatalytic properties have also been achieved with silver doping on C-TiO₂ [303].

Graphene oxide (GO) has also been investigated when combined with TiO₂, as water filter, in order to remove dyes [304]. Higher presence of graphene oxide seems to positively affect the removal capabilities [305]. Reduced graphene oxide (rGO) has also been employed alongside TiO₂ for dye degradation. Researchers utilized car bumpers as a recycled source of carbon, showcasing a method of upcycling waste into a novel and high-performance carbon-based photocatalyst. The technology holds the potential for improvement by investigating the possibility of using different plastics for their carbon [306]. A hybrid rGO-TiO₂/Co₃O₄ nanomaterial was synthesized through co-precipitation and utilized for dye removal from wastewater. Reduced graphene oxide proved effective in narrowing the TiO₂/Co₃O₄ band-gap, allowing reaction under visible light. Furthermore, the rGO component inhibited electron-hole recombination, promoting dye degradation [307].

The g-C₃N₄/TiO₂ nanocomposite was able to perform under visible light irradiation. The nanotube-shaped nanomaterial exhibited the highest level of degradation compared to other structures and shapes derived from the experiments [308]. A graphitic carbon nitride-titanium dioxide-graphene aerogel was also an efficient catalyst under visible light irradiation [309,310]. A membrane made by g-C₃N₄/TiO₂/PAA/PTFE was successfully used to filtrate waste under UV and visible light [311]. Another way to immobilize TiO₂ nanoparticles is on glass beads. These methods have been tested for dye and phenol removal [312,313].

Nanosheets of TiO₂/g-C₃N₄ with dispersed Fe₃O₄ particles demonstrated high photocatalytic activity [314]. Similar results were observed for g-C₃N₄-TiO₂ composites independently [315]. Additionally, a composite of TiO₂ (MNTC nanosheets) formed from nanorods co-doped with Mo/N on carbon nanofibers was relatively successful [316]. Carbon nanosheets, similar to graphene with TiO₂, demonstrated high adsorption capacity [257]. TiO₂ nanosheets also served as the foundation for a composite with Cu-biphenyl-amine, which achieved complete degradation of the dyes in under 3 h [317]. Another composite of TiO₂ nanosheets with silver completely removed the dye in 20 min [318].

Carbon dots are a zero-dimensional nanomaterial. SnO₂ carbon dots have been attached onto TiO₂ nanospheres to create a highly effective catalyst [319]. Three-dimensional nanomaterials containing nanorods have been used to create nanospheres of TiO₂ doped with platinum towards the visible light-assisted degradation of dyes [320].

Fe₃O₄ has also been tested with TiO₂. The experiments were performed under ultrasound to enhance performance [321]. In addition, the embedding of Fe₃O₄ has been proven to be extremely useful, in order to provide TiO₂ with magnetic separation ability [322]. Moreover, the combination of oleic acid with TiO₂ was tested [323].

Photo-electrocatalysis has proven to be an efficient method for treating water containing methylene blue. Doping TiO₂ with fluorine enabled degradation under visible light and improved the generation of electron-hole pairs, enhancing performance [324]. In another study, met-anil yellow and Remazol red B dyes were successfully degraded through photo-electrocatalysis [325]. Furthermore, Pd-doped TiO₂ nanorods showed the ability to produce hydrogen as a byproduct during the removal of Rhodamine B through photo-electrocatalysis under solar irradiation. The unique structure of platinum atoms in the rod configuration contributed to its enhanced performance, particularly in retaining charges [326].

The use of TiO₂ as a photonic crystal has been demonstrated to enhance the degradation ability of catalysts in various studies. Titanium dioxide inverse opals have been proven to be effective in degrading dyes and phenols under ultra-violet light [327]. Photonic crystals coated with gold nanoparticles were able to remove phenols using visible light [328]. Inverse TiO₂ opal photonic crystals coupled with TiO₂/poly(3-hexylthiophene) have demonstrated the ability to remove dyes with visible light sources [329]. TiO₂@SiO₂ photonic crystals have been employed for the degradation of acetaldehyde and dyes [327,330]. An nc-TiO₂/SnO₂ inverse opal composite membrane and Cu₂O/TiO₂ have also been used as photocatalysts [331]. Inverse TiO₂/Pt opals Schottky structures on the Ti substrate have proven effective in degrading phenols [332]. Additionally, a novel photonic crystal structural-induced Cu₃SnS₄/Ti³⁺-TiO₂ p-n coaxial heterojunction array was proved able to degrade dyes [333].

The imperative need to remove pesticide residuals from water stems from their remarkably enhanced toxicity. One method for achieving this is mineralization, a process that involves the complete release of all inorganic components from organic pesticides through degradation. TiO₂ demonstrates the capacity for photocatalytic degradation of pesticides. Resulting radicals from this reaction subsequently interact with dissolved oxygen, generating organic peroxyl radicals (ROO•), crucial for achieving total pesticide mineralization (Equations (15) and (16)) [334].

The use of pesticides in the agriculture sector has proved extremely necessary, in order to fulfill the rising food requirements driven by a significant enhancement of the population globally. While pesticides effectively enhance production and prevent agricultural losses, they come with various environmental drawbacks [335]. Similar to dyes and pharmaceuticals, pesticides pose significant threats to aquatic organisms, given their exceptionally increased biological toxicity. These substances not only cause fatalities but also lead to a notable reduction in aquatic organisms’ activity [336]. Moreover, their non-biodegradable nature contributes to their accumulation within various organisms. Pesticides can induce acute and chronic health effects, ranging from immune system disruption to improper endocrine function [337]. Moreover, there has been significant attention paid to the potential carcinogenicity of pesticides [338]. Like dyes and pharmaceuticals, traditional wastewater treatment approaches are unable to thoroughly eliminate pesticides, resulting in the potential accumulation of noxious substances in various organisms within the environment [339]. Nevertheless, titanium dioxide has exhibited remarkable effectiveness in degrading pesticides, both in its pure form and when doped.

For instance, chlorpyrifos, a phosphate-based pesticide, underwent photocatalytic degradation utilizing TiO₂ nanoparticles. Approximately 80% of the pesticide was decomposed within 24 h, while the photocatalyst proved effective whether bacteria were present or not, although bacterial presence slightly reduced the degradation rate of the examined pesticide. The as-mentioned photocatalytic procedure necessitated UV light irradiation, as visible irradiation lacked sufficient energy for the utilization of the reaction [340]. Similarly, profenofos and quinalphos have been reduced by TiO₂ nanoparticles using a comparable mechanism upon UV light irradiation. The photocatalyst displayed promising reusability potential under multiple cycles without substantial activity decrease. Its performance was influenced by various factors, such as TiO₂ concentration, radiation duration, and system pH [341]. Additionally, titanium dioxide has demonstrated effectiveness in treating a stream, including a pesticide combination (diuron, alachlor, isoproturon and atrazine).

The efficiency of TiO₂ as a photocatalyst was observed in treating pure, as well as ordinary, water. However, when additional pollutants in normal water were present, there was a notable decline in TiO₂′s effectiveness, attributed to the hindrance of radical formation that accelerates the photocatalytic reaction [342]. The exceptional efficacy of TiO₂ nanowires in atrazine degradation has been evidenced because of their significant specific surface area, as well as pore volume. These nanowires also present advantages such as cost-effectiveness in synthesis and potential reusability across multiple cycles [343].

Imidacloprid degradation by nano-TiO₂ particles within a cylindrical reactor has been reported as highly effective. The reactor’s structure, featuring coaxial cylinders, facilitated enhanced contact among the photocatalyst and polluted water, thereby enhancing photocatalytic performance. Additionally, the reactor demonstrated applicability in both batch and continuous modes, underscoring its adaptability and effectiveness [344]. TiO₂ P25 has been widely recognized as a photocatalyst for pesticide elimination. In one research project, typically found pesticides and insecticides, such as malathion, fenitrothion, quinalphos, vinclozolin, dimethoate and fenarimol, have been decomposed utilizing TiO₂ P25 under solar light irradiation. Another commercially available form, Kronos VLP 7000, was examined but proved to be less efficient than P25, because of inferior specific surface area and pore volume attributes [345]. Additionally, TiO₂ P25 has demonstrated increased efficacy in removing diazinon from water, achieving >99% pesticide decomposition at a pH value equal to 6.

The reaction primarily depended on the supplied UV amount and reaction time. Additionally, TiO₂ concentration and aeration have been identified as improving the photocatalytic process [346]. Altering the structure of titanium dioxide nanotubes significantly improved the elimination effectiveness of simazine pesticide. The proposed approach involved structural modification by varying the anodization time, with a time equal to 10 min yielding the optimal outcomes [347].

Incorporating Fe into TiO₂ demonstrated exceptional performance in diazinon decomposition, achieving an optimal decomposition efficiency of ≈85%. The presence of Fe notably accelerated the reaction under UV light and ultrasonic irradiation. Ultrasonic irradiation demonstrated better degradation efficacy when used individually. However, the highest efficiency was achieved when both UV and ultrasonic irradiation were combined with Fe-TiO₂ [348]. Introducing cerium (Ce) doping yielded excellent outcomes in removing metolachlor, a typically used pesticide. The magnetic properties of Ce facilitated the dopant–TiO₂ separation. Cerium doping enhanced porosity and decreased charge carrier recombination, significantly enhancing effectiveness [349]. Ce dopant also proved effective in removing another common pesticide, glyphosate. A Ce loading of 0.45 wt.% was determined as optimal. In addition, Mn and La were studied as potential dopants towards glyphosate elimination. Among the three, Mn exhibited the optimal performance, followed by Ce and then La, all with an optimal loading of the order of 0.45 wt.%. Concentrations surpassing the optimum value led to a great efficiency loss [350].

Ce has been utilized as a dopant in the photocatalytic elimination of dicamba pesticide under visible light irradiation. An optimal loading of Ce equal to 1 wt.% led to complete degradation within 2 h, particularly effective in conditions where pH values were greater than 7, generating non-toxic by-products easily removable from water. Ce aggregation increased specific surface area and pore volume, enhancing the photocatalytic effectiveness of Ce-TiO₂ compared to the bare photocatalyst [351]. Boron (B) doping exhibited superior degradation of various pesticides compared to the undoped photocatalyst, significantly enhancing robustness and reusability. The presence of B atoms within the TiO₂ lattice contributed to improved functionality and stability of the doped photocatalyst. Combining photocatalysis with ozonation accelerated pesticide elimination [352]. Furthermore, doping TiO₂ with non-metals, like C, N, and F, enhanced its degradation capability, notably preventing electron and hole pair recombination under visible light. Thiamethoxam and imidacloprid insecticides were completely degraded using doped photocatalysts under different wavelengths, showing stability across multiple cycles, promising for industrial applications [353].

Finally, the method of TiO₂ photo-electrocatalysis has proven effective in eliminating the herbicide atrazine from water samples. Almost total elimination of the contaminant occurred within 30 min reaction time, displaying a first-order kinetics trend [354]. Atrazine removal from groundwater has been also accomplished through employing TiO₂-graphite photo-electrocatalysts, exhibiting an impressive reduction effectiveness of up to 99.7% [355], slightly surpassing the efficacy observed in the earlier study.

TiO₂ has been studied extensively for its anti-microbial activity [356]. It can be used on surfaces or to disinfect water. When the bacteria E. coli suffers membrane damage, malondialdehyde is produced, due to lipid peroxidation. Bactericidal activity can be measured in this way. TiO₂ activated by light, can cause cell death after a short time (30 min), by damaging the cell membranes. The creation of radicals causes lipid peroxidation. The by-product malondialdehyde is also oxidated further facilitating the easy cell access [357]. Cancer cells are also vulnerable to this type of damage [358].

The efficiency of bactericidal methods depends on their effective disinfection time (EDT), representing the duration needed for complete bacterial inactivation in the absence of irradiation, and without the possibility of regrowth. In the case of TiO₂, no regrowth is observed within the subsequent 60 h in the absence of irradiation, as the bacterial concentration continues to decrease in the dark [359].

Photo-induced bactericidal methods have attracted research attention. TiO₂ nanoparticles are very effective, due to their decreased size [360]. In order for the nanoparticles to be reused, they need to be recovered. Immobilizing them on a matrix is a good solution, but decreases their efficiency. Enhanced permeability of ions through cell membranes has been proposed as a potential disinfection method. TiO₂ has also been shown to degrade the toxins that are released from the dying bacterial cells [361].

Various harmful microorganisms, including Escherichia coli, constitute a threat to water bodies worldwide. In general, these microbes produce noxious substances upon entering the human body [362]. Temperature, water turbidity, pH, and the presence of competing microorganisms affect their lifespan [363]. While sunlight has been found efficient in inactivating a plethora of microorganisms, scaling up this method for industrial use presents significant challenges. Alternative approaches, like chlorine treatment, have been explored; however, impracticality arises from the production of noxious substances associated with these approaches [364].

Microbes in aquatic bodies, can negatively affect the fish population [365]. Infected water has also been a major factor for the spread of diseases throughout history, like cholera caused by Vibrio cholerae, and typhoid caused by Salmonella typhi [366].

In this context, it is essential to research and develop photocatalysts that are efficient and environmentally friendly. Utilizing thin films consisting of TiO₂ nanoparticles has demonstrated remarkable efficacy in the elimination of E. coli from water through photocatalysis. The swift and efficient inactivation of cells is attributed to the expansion of the cell membrane upon adsorption by titanium dioxide and illumination. The potential effects include the loss of protoplasm, speculated to result from membrane expansion and cell distortion. Additionally, acids’ fast degradation further contributes to the membrane’s expansion [367]. TiO₂ nanotubes have also demonstrated comparable anti-microbial applications in water purification, targeting organisms such as E. coli and Staphylococcus aureus. Exposure to UV irradiation for 24 h in the presence of the photocatalyst resulted in the degradation of both organisms by more than 97%. The effect was greater than that exhibited by simple TiO₂ P25 nanoparticles. The shape of the nanomaterial seems to be an important factor for anti-microbial capabilities [368].

Nevertheless, TiO₂ P25 has proven exceptionally efficient against microbes under specific parameters. Salmonella typhimurium and Listeria monocytogenes were both inactivated by the photocatalyst when exposed to UV irradiation. Listeria was proven to be more resistant than Salmonella. The mechanism seems to be membrane damage, as in other cases. The catalytic reaction was significantly influenced by the concentration of the nanoparticles, with the most favorable results obtained at a concentration equal to 1 g/L [369].

Doping of the nanoparticles has also been extensively studied. Nitrogen doping is an easy and effective way to increase the bactericidal properties. Different nitrogen containing compounds have been used and, depending on the target microorganism, the optimal chemical can differ. For example, the removal of B. cereus was achieved completely when triethyl amine was used. In other cases, urea was better [370]. Nitrogen doping lowers the band-gap, making the photocatalyst more effective even when irradiated with visible light. Doping with fluorine has also bene investigated, yielding a comparable outcome in terms of the E_g. However, a distinction was observed in the distribution of atoms. More specifically, N atoms were detected in the interstices, while F atoms were observed surficially [371].

Research has demonstrated that TiO₂ doped with Fe, Mn and Mg is an extremely effective method for eliminating the virus H1N1 from water. The catalytic process proved viable even in the presence of a weak source of visible light irradiation, achieving over 99% elimination effectiveness within 30 min. Additionally, elimination utilizing UV irradiation was also feasible, but it is considered less practical, since the reaction can be conducted utilizing visible irradiation [372]. Likewise, TiO₂ nanofibers doped with Cu exhibited impressive capabilities in removing the f2 virus and E. coli. The concurrent elimination of both microorganisms was demonstrated upon visible light irradiation and the reaction proved to be unaffected by pH variations. The elimination of the virus was directly correlated with the photocatalyst’s concentration, as well as the light’s intensity, showing an inverse relationship with the quantity of the virus. Nevertheless, it was observed that the elimination of the virus was more enhanced when present alone, compared to its presence alongside bacteria, indicating competition for adsorption spaces as a contributing factor [373].

Silver, which itself is considered to have anti-microbial properties, can be used to greatly enhance the TiO₂ efficiency. Nanowires doped with silver demonstrated superior performance to other doping elements against the bacteria E. coli. The processed water was determined as safe to drink, therefore this nanomaterial has potential for large scale applications [374].

Other doping agents that lower the band-gap of TiO₂ and make it efficient for visible light photocatalysis are manganese and cobalt. The best results were produced by co-doping, which resulted in a 99% concentration reduction for the viruses that were tested, within 20 min. Sunlight contains the UV spectrum and is superior to artificial light [375].

In general, the mode of toxicity of TiO₂ nanoparticles towards harmful microorganisms is depicted in Figure 12.

Endocrine-disrupting chemicals (EDCs) are natural or human-made chemicals that may mimic, block, or interfere with the body’s hormones, which are part of the endocrine system. These chemicals are associated with a wide array of health issues. They are found in wastewater from some industries and from households. Drugs, pesticides and cosmetics can be a source of these chemicals, as well as living organisms [377]. They can have significant negative effects on humans, especially on the development of children [378]. It is also possible to affect the fetus in pregnant women [379]. Negative effects have also been found on aquatic life. An example of this is the feminization of fish, from high estrogen levels in their environment [380].

Hormones and some drugs are endocrine disrupting compounds. Hormones, even in very small amounts, can affect humans and other organisms [381]. Heavy metals can also affect the endocrine system. Some common chemicals found in the wastes of certain industries are phthalates, which are considered carcinogenic [382], and bisphenol, which is linked to sexual dysfunction in males [383].

It is difficult to completely remove these compounds from water, which means they often end up in the aquatic environment. It is very important to find ways to degrade these chemicals during wastewater treatment. TiO₂ has shown promise as a viable and clean method to remove endocrine disrupting compounds from wastewater [384].

TiO₂ nanomaterials have been used for the degradation of many hormones and other similar compounds. The use of TiO₂ thin films was very effective for the removal of steroidal hormones after light irradiation. Faster degradation was achieved with the addition of hydrogen peroxide [385].

Pure TiO₂ nanoparticles have been used successfully for the removal of estrogens (female hormones: estrone, estradiol, estriol, estetrol) and mimic chemicals, like bisphenol A. UV light is required for efficient degradation and acidic conditions are favorable [386]. The photodegradation often has more than one stage. By-products, like hydroxylated estrones, are produced first and then they are further degraded [387]. From this class of hormones, estradiol seems to be easier to remove with pure TiO₂ nanoparticles [388], while estriol and estrone require higher concentrations of the catalyst to be efficiently removed [389]. Compounds that belong to this class of chemicals have also been degraded with the use of stacked TiO₂ thin films in reactors where the wastewater flows through. The removal of Bisphenol A in comparison to the other chemicals was the most challenging when using this method. The by-products produced are not as similar to estrogens, which means they are much safer [390].

Testosterone, which is a male hormone, can also be degraded be TiO₂ nanoparticles. A study found that the resulting by-products are similar to those produced by natural metabolism [391]. The nanoparticles, under irradiation, can transfer electrons and also cause the formation of hydroxyl radicals in the solution. Both mechanisms are responsible for the degradation of the hormone.

Doping the nanoparticles with silver and adding hydrogen peroxide in the solution during photodegradation resulted in good performance under visible light irradiation. The test was carried out with dexamethasone as a pollutant [392].

TiO₂ has also been used in conjunction with phytoremediation. Phytoremediation is a technique that uses plants to clean polluted ground. By combining these two methods, researchers were able to remove the pollutant decabromodiphenyl ether. The byproducts were nontoxic. The TiO₂ increased its efficiency by helping uptake by the plants [393].

Titanium dioxide has also been used in hybrid composites in an effort to synthesize a more efficient catalyst. Porphyrins are a class of organic compounds that are often used in photodynamic therapy. Researchers used cardanols, a toxic byproduct of the cashew industry, to synthesize porphyrins, that were then impregnated with TiO₂ nanoparticles. Metals such as zinc and iron were also used to create metallo-porphyrins. This conjugate was used to degrade 4-nitrophenol [394].

In general, an effective way to use TiO₂ nanoparticles is to immobilize them into a matrix. In this way, they can easily be used inside a recirculation reactor. TiO₂-coated clay beads were used in this way, to degrade the pollutant monocrotophos [395].

Other TiO₂ nanomaterials that have been tested, are nanotubes, doped with C₃N₄. Using electro-photocatalysis, the researchers reported that the degradation of phenolic compounds was much faster compared to pure TiO₂. The doping lowered the band-gap [396]. Other complex nano-structures that have been synthesized are hydrogels with graphene and TiO₂. The tests showed outstanding performance during photo-electrocatalysis for the degradation of bisphenol A and no significant decline in performance after 10 cycles [309,310]. The method of photo-electrocatalysis has also been used to degrade propyl paraben using TiO₂ nanotubes doped with WO₃ [397].