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Sonodynamic therapy (SDT) is a promising non-invasive cancer treatment that combines a sensitizer, low-intensity ultrasound, and molecular oxygen to generate reactive oxygen species (ROS) through acoustic cavitation and sonochemical processes. Among these species, singlet oxygen (1O2) has been reported and may contribute to oxidative cellular damage, however, its generation strongly depends on the sensitizer microenvironment. Therefore, detecting ¹O₂ is important for understanding the oxidative mechanisms underlying SDT. This study aimed to evaluate ¹O₂ generation using indirect detection with Singlet Oxygen Sensor Green (SOSG), a probe commonly regarded as specific for 1O2, in biologically relevant media. SOSG (10 μM), which becomes fluorescent upon reaction with 1O2, was prepared in ultrapure water, phosphate-buffered saline (PBS), 1% Triton X-100 and 10% fetal bovine serum (FBS). A second set of experiments was performed using the same SOSG concentration with the addition of 2.5 μM Photogem (PG). Samples were irradiated with ultrasound at 1 MHz, 50% duty cycle, 100 Hz and 1.5 W/cm² in a custom setup using degassed water as the coupling medium. Fluorescence spectra were recorded every 5 minutes of sonication (exc = 488 nm). An increase in SOSG fluorescence was observed during ultrasound irradiation in all evaluated media, including in the absence of PG. The fluorescence increase rates of samples without PG (min-1) were: kwater = (4.7 ± 0.8)x10-3, kPBS = (2.2 ± 0.9)x10-3, kTriton = (0.78 ± 0.45)x10-3 and kFBS = (2.63 ± 0.15)x10-3. In the presence of PG, the corresponding rates (min-1) were: nwater = (5.4 ± 0.8)x10-3, nPBS = (3.1 ± 1.1)x10-7, nTriton = (11 ± 10)x10-3 and nFBS = (3.3 ± 0.6)x10-3. This response may be associated with the activation of SOSG by hydroxyl radicals (·OH) generated via acoustic cavitation, indicating that the probe response is not solely attributable to 1O2 generation under sonication. However, the increase in fluorescence was higher in the presence of PG, suggesting an additional contribution from 1O2 generation. These results highlight the influence of the surrounding medium on SOSG response and demonstrate the importance of considering ultrasound-induced ·OH formation when using chemical probes for indirect 1O2 detection.
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