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By evaluating four ECWs operated under varying potential differences treating chloramphenicol (CAP) wastewater via physicochemical metrics, multiomics, structural equation modeling, and comprehensive risk assessment, we identified a potential difference-driven \u201ccathode biofilm\u2013plant physiology\u201d cascade effect governing this \u201cefficiency-energy-risk\u201d trade-off. Specifically, moderate potential differences (0.5 and 0.8 V) achieved superior total nitrogen (79.5\u201380.1%) and substantial CAP (90.9\u201392.5%) removal, driven by the selectively enriched electroactive, dissimilatory nitrate reduction to ammonium and CAP-degrading bacteria (e.g., Geobacter sp., Ectobacillus sp., Defluviilinea sp016789025). These microbiomes provided continuous ammonium supply, activating diverse plant nitrogen pathways and stimulating robust root radial oxygen loss to engineer a microoxic-anoxic microenvironment for comprehensive risk mitigation. Concurrently, relative to the 0.2 V control group, the 0.5 V condition minimized greenhouse gas emissions (a 49.2% reduction), lowered effluent ecotoxicity by 47.4%, and suppressed AMR risk by 56.0%, without incurring excess energy input. Ultimately, the optimal 0.5 V potential difference establishes a sustainable efficiency-energy-risk equilibrium, empowering ECWs as robust biogeochemical barriers under a unified \u201cOne Health\u201d perspective.<\/jats:p>","DOI":"10.1021\/acs.est.6c09157","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:02:08Z","timestamp":1786424528000},"page":"23463-23477","source":"Crossref","is-referenced-by-count":1,"title":["A Potential Difference-Driven\nCascade Effect of Cathode\nBiofilm\u2013Plant Physiology Governs the Efficiency-Energy-Risk\nTrade-Off in Constructed Wetland\u2013Microbial Electrolysis Cells"],"prefix":"10.1021","volume":"60","author":[{"given":"Jiawei","family":"Xie","sequence":"first","affiliation":[{"name":"Tongji University , , ,","place":["Shanghai, China, 200092"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liming","family":"Zhang","sequence":"additional","affiliation":[{"name":"Tongji University , , ,","place":["Shanghai, China, 200092"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Tongji University , , ,","place":["Shanghai, China, 200092"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weicong","family":"Wang","sequence":"additional","affiliation":[{"name":"Tongji University , , ,","place":["Shanghai, China, 200092"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangqi","family":"Wu","sequence":"additional","affiliation":[{"name":"Tongji University , , ,","place":["Shanghai, China, 200092"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianshi","family":"Huang","sequence":"additional","affiliation":[{"name":"Eastern Institute of Technology , , , ,","place":["Ningbo, Zhejiang, P. 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