Radiation chemistry of physiological saline reinvestigated: evidence that chloride-derived intermediates play a key role in cytotoxicity.

Contrary to common belief, hydrogen peroxide (H2O2) and hypochlorite (HOCl) are not produced continuously and independently during the irradiation of buffer solution containing chloride. Different buildup and decay reactions are involved in a complex interaction of these substances during irradiation. Which of the species predominates is determined by the parameters of the solution. The amount of either compound detectable after irradiation depends on the dissolved gas (O2, N2O or N2), on the pH value and to some extent on the presence of catalytic metals: Under slightly acidic conditions, low oxygen content and high generation rates of OH radicals, the only detectable species is hypochlorite; at high oxygen content and at pH values in the physiological range, hydrogen peroxide is the main detectable product. However, H2O2 and HOCl react with each other in a pH-dependent way, yielding the stable products O2 and Cl-. This reaction limits the expected lifetime of both species in aqueous solution to some tens of seconds. Therefore, analysis of the sample solution after irradiation determines only the substance that was present in greater relative concentration at the termination of irradiation. Such analysis, however, does not allow conclusions about the processes that occurred during irradiation. We have investigated the decay and formation reactions of H2O2 and HOCl under all relevant irradiation conditions and found evidence that the formation and further reaction of HOCl-, the precursor of HOCl, is of central importance even in cases where no significant amounts of H2O2 or HOCl are detectable after irradiation. We discuss the consequences of these results for the cytotoxicity observed after irradiation of cells suspended in physiological saline and conclude that analogous processes must also be relevant for irradiations under in vivo conditions.