A new in vitro test for phototoxicity has been developed. Nine substan
ces (eight photosensitizers and one non-photosensitizer) were screened
for their ability to activate human complement in the presence of UV
light, and all photosensitizers were found to be active. Complement ac
tivation was quantified by means of ELISA. In all cases activation was
mediated by alternative, but not by classical, pathways. The results
of a cell culture test performed with 5-methoxypsoralen suggest the ex
istence of two different mechanisms of phototoxicity. This indicates t
hat the battery of in vitro assays for phototoxicity prediction must c
ontain at least two different tests.