Anaerobic ammonium oxidation (anammox) was discovered as a new microbial
reaction in the late 1990s, which led to the development of an innovative
energy- and carbon-efficient technologypartial nitritation
and anammox (PN/A)for nitrogen removal. PN/A was first applied
to remove the nitrogen from high-strength wastewaters, e.g., anaerobic
digestion liquor (i.e., sidestream), and further expanded to the main
line of wastewater treatment plants (i.e., mainstream). While sidestream
PN/A has been well-established with extensive full-scale installations
worldwide, practical application of PN/A in mainstream treatment has
been proven extremely challenging to date. A key challenge is achieving
stable suppression of nitrite-oxidizing bacteria (NOB). This study
examines the progress of NOB suppression in both sidestream- and mainstream
PN/A over the past two decades. The successful NOB suppression in
sidestream PN/A was reviewed, and these successes were evaluated in
terms of their transferability into mainstream PN/A. Drawing on the
learning over the past decades, we anticipate that a hybrid process,
comprised of biofilm and floccular sludge, bears great potential to
achieve efficient mainstream PN/A, while a combination of strategies
is entailed for stable NOB suppression. Furthermore, the recent discovery
of novel nitrifiers would trigger new opportunities and new challenges
for mainstream PN/A.