Photobiochemistry in the dark: photohemolysis of red cells sensitized by chlorpromazine-bioenergized triplet acetone system

Chlorpromazine is decomposed when it is treated with bioenergized triplet acetone from the 2-methylpropanal/red cells/O₂ system, forming chlorpromazine-5-oxide, with a concomitant strong hemolytic effect observed by a spectrophotometric method. Experiments with external superoxide dismutase, catalase, benzoate and bicarbonate indicate the absence of $\text{O}{}_2{}^{\mathrm{<mtext>?</mtext>}}$, H₂O₂ and OH· species as the precursor of the hemolytic effect.Comparison between the 2-methylpropanal/peroxidase/O₂ system and the 2-methylpropanal/red cells/O₂ system in the presence of chlorpromazine, indicate that essentially the same type of mechanism occurs in both cases.These results could explain the $\text{in}$$\text{vivo}$ hemolytic and toxic effect of chlorpromazine in the dark.