## Introduction

Cancer pharmacotherapy is often severely hindered by issues related to poor targeting of the molecular signatures of the cancer type and off-target toxicities1,2. Conversely, photo-therapeutic modalities rely on the delivery and/or activation of drugs at diseased sites while sparing non-malignant cells3,4,5,6.

Light offers unparalleled advantages as a non-invasive regulatory element, including low or negligible toxicity, superior spatial and temporal resolution, and the ability to elicit drug activation by adjusting the wavelength, power, and duration of the irradiation2,7,8,9,10,11.

The utility of phototherapies is highlighted by the success of photodynamic therapy (PDT)3,12,13,14. PDT involves the combination of a photosensitizing agent (PS) and light that together generate cytotoxic reactive singlet oxygen (1O2) that precisely destroys the cancer cells at the targeted tumor sites15,16,17,18,19.

The continuous development in light delivery technologies20 coupled with the rational design of new and efficient PSs15 that absorb in the far-red and NIR21,22,23,24 provide the means to influence cancer biology with an even more exquisite precision.

However, such PSs sometimes feature heavy atoms to foster their triplet yields, causing concerns about dark cytotoxicity, potential high costs, and the difficult of synthesis of such metal complexes25,26,27.

Alternatively, large polyaromatic structures (porphyrins or related derivatives) are most often used in clinical treatments, at the cost of often costly and tedious synthetic procedures, and sometimes significant long-term toxicity because of slow metabolization processes15.

In view of these drawbacks, there is an urgent need to develop new and synthetically accessible heavy-atom-free PSs to better fit the clinical requirements for PDT-mediated cancer treatments (in terms of site-selective accumulation, absorption properties in the biological transparency window, and singlet oxygen photosensitization efficiency).

Thus far, various molecular engineering strategies devoted to design metal-free PSs have been reported15,28. The recent burst of reports with structural variations of the “BODIPY” core combining intense absorption in the red and high singlet oxygen generation efficiency for PDT applications is a particularly significant illustration of the interest of such approaches29,30,31,32,33,34,35,36.

Site-selected thionation in the PS´ scaffold is another even more recent approach used to impart unique structural, photochemical, and therapeutic outcomes26,37,38,39,40,41. Indeed, Yoon´s group reported on the use of thionaphthalimides as efficient ROS generators under both normoxia and hypoxia conditions37. Even more recently, Chou and co-workers reported on the use of thione-derived perylene diimides as promising PDT agents41.

Central to this progress, we report herein a simple and efficient method that converts the ultrabright benzothioxanthene imide (BTI) fluorophore into mono- (hereafter, T1 and T2) and di- (henceforth, T3) thionated heavy-atom-free PSs. Site-selected thionation on the BTI scaffold induces a remarkable fluorescence quenching that is accompanied by an impressive increase of the singlet oxygen quantum yield that reaches a close-to-unit value. Theoretical studies reveal that the sulfur substitution of the carbonyl groups in the BTI structure enhances the spin orbit coupling (SOC) owing to a dual effect: it lowers the level of the singlet n→π* excited state which decreases the singlet-triplet energy gaps, and induces a torsion of its skeleton, relaxing selection rules for the intersystem crossing. These last features are indeed responsible for the efficient population of the triplet state and for the unique spectroscopic and photophysical properties of T1T3. More importantly, we demonstrated that all compounds exert minimal dark cytotoxicity while becoming highly phototoxic at nanomolar concentrations under light irradiation thus exhibiting very large phototherapeutic indices.

## Results and discussion

### Synthesis and structural characterization

The synthesis of T1, T2, and T3 was extremely straightforward. It could be achieved simply by treating the N-alkylated BTI, which seminal three steps synthesis42,43 was recently updated44, with 2 molar equivalents of Lawesson’s reagent as depicted in Fig. 1 (for NMR and HRMS spectra see Supplementary Figs. 110).

In order to determine the degree of sulfur substitution and, in the case of mono-substituted products, the identity of both regioisomers, the three isolated compounds T1, T2 and T3 were subjected to a set of structural characterizations. High resolution mass spectrometry (HRMS) measurements were thus first carried out revealing that T3 actually corresponds to the di-thionated derivative and both T1 and T2 to mono-thionated species (Supplementary Figs. 79). Analyzed by nuclear magnetic resonance spectroscopy (NMR), structures were first deduced from the peculiar signatures and chemical shifts of the naphthalene ring constituting protons (Supplementary Fig. 10) and finally confirmed by X-ray diffraction since crystals of all isolated thionated compounds were successfully grown by the slow evaporation method (Fig. 2a, Supplementary Table 1 and Supplementary Fig. 11).

X-ray structures highlighted that the replacement of a carbonyl by a thiocarbonyl leads, in all cases, to a significant elongation of the C=S bond length compared to the initial C=O, from ca 1.281 Å to up to ca 1.672 Å, in consistency with early reported studies45. Comparison of crystal structures first revealed that both BTI and T1 molecules crystallize in triclinic P-1 space group with similar cell parameters. The π-conjugated cores are planar and stack along the a axis in a head-to-tail manner with distances ranging from 3.477 to 3.569 Å for BTI and 3.464 to 3.595 Å for T1. The di-thionated derivative, namely T3, was also found to crystallize in P-1 space group but with a double c cell parameter (vs BTI) showing two independent molecules in the asymmetric unit. The latter stack along the a axis in a head-to-tail manner with distances of ca 3.387 to 3.469 Å for one molecule and 3.511 to 3.534 Å for the second one. In addition, even if the benzothioxanthene core still remains planar, the thiocarbonyl constituting sulfur atoms deviate from the π-conjugated plane of ca 0.14–0.76 Å. Finally, and compared to the series, T2 was found to crystallize in monoclinic P21/c space group. In this case, backbones alternate along the c axis with a deviation of ca 36° and distances of 3.507 Å.

### State assignment, electrochemical characterization, optical measurements, and spin–orbit coupling studies

Computed data suggested an incremental reduction of the gap depending on the degree of thiocarbonyl substitution, resulting from the stabilization of the lowest unoccupied energy level (LUMO) and destabilization of the highest occupied molecular orbital (HOMO). Interestingly, only the LUMO levels were found to be affected by the second conversion of the carbonyl groups into a thioamide (from T1/T2 to T3). Furthermore, computed data predicted only minor effects on the energy levels of the frontiers orbitals of the mono-thionated derivatives (T1 vs T2) when varying the position of the thiocarbonyl group (Fig. 2b).

These simulated data were then experimentally tested through the electrochemical characterization of the series. The recorded cyclic voltammograms, plotted in Fig. 3 and the extracted electrochemical data, gathered in Table 1, were found to be fully in line with computed values. As predicted, the successive thionations of BTI results in the reduction of the electrochemical band gap without affecting the specific dual redox properties of this class of dyes, since the reversibility of both oxidation and reduction patterns are maintained in the whole series. However, while similar HOMO levels were simulated for all thionated compounds, electrochemistry also confirmed that the number of the thiocarbonyl groups was the dominant factor affecting the energy of the frontier orbitals, their position having comparatively milder effects.

These features were also thereafter highlighted by optical measurements (Fig. 4a). Beyond the expected bathochromic shift induced by the successive thionations of the imide on the lowest energy absorption bands, the onset of T2 absorption indeed appeared slightly redshifted compared to that of T1 (EgOpt ≈ 0.04 eV), in consistency with the ca 0.03 eV difference of electrochemical band gap calculated between these two mono-thionated derivatives. Compared to BTI, the replacement of one of the imide constituting oxygen atoms by a sulfur atom (T1 and T2) led to the enhancement of molar absorption coefficients whereas the opposite effect were monitored for T3. In this case, the 600 nm centered absorption band is significantly broadened with a decrease of the molar extinction coefficient at the absorption maximum (Table 2)39. Interestingly, this spectroscopic study points out that dramatic red-shifts of the absorption wavelengths can be achieved upon thionation of the parent BTI molecules, resulting in molecules that efficiently absorb in the far-red region of the electromagnetic spectrum, ideally suited for PDT applications. Regarding the emission properties, it appeared that the fluorescence of the thionated derivatives was totally quenched (inset Fig. 4a). This feature was indeed anticipated since the thionation of dyes is an efficient reported strategy to foster singlet-to-triplet Inter-System Crossings (ISCs).

Hence to support this hypothesis and provide a quantum chemical perspective on the electronic structure of these new molecules at the origin of this phenomenon, TD-DFT calculations were performed. As depicted in Fig. 4b, c, it is noteworthy that TD-DFT well reproduces the experimental trend consisting of the gradual red-shift of the absorption band upon sulfur substitution or when moving from T1 to T2 (515 and 522 nm, respectively). When compared to BTI, the increase in energy of the n-type orbital is reflected in the electronic states of the thionated compound by a n→π* transition extremely close to the HOMO → LUMO π → π* transition. It is noteworthy that the n→π* transition was even found to be the most stable one in the case of T3. This phenomenon is also observed in S-based Nile Red derivatives where the incorporation of S atoms makes the π → π* and n→π* extremely close in energy46. The charge transfer indexes DCT computed both for the HOMO → LUMO π → π* and the n→π* transitions are around 1.3 and 2.5 Å, respectively, justifying the notation $${{{{{{\rm{LE}}}}}}}_{{{{{{\rm{\pi }}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ and $${{{{{{\rm{CT}}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$to label these transitions. For all thionated compounds, the excited state relaxation always converged toward the $${{{{{{\rm{CT}}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ as the most stable excited state with an oscillator strength for the return to the S0 almost equal to 0, which is in consistent with the weak fluorescence efficiency. SOC between the singlet $${}^{1}{{{{{\rm{CT}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ and the two triplet states at lower energies, namely the $${}^{3}{{{{{\rm{LE}}}}}}_{{{{{{\rm{\pi }}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ and $${}^{3}{{{{{\rm{CT}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ states, were thereafter computed. Coupling between the $${}^{1}{{{{{\rm{CT}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ and $${}^{3}{{{{{\rm{LE}}}}}}_{{{{{{\rm{\pi }}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ was found to be extremely large (above 100 cm−1) in agreement with the El-Sayed rule stating that Inter-System Crossing processes between n→π* and π→π* transitions are symmetry allowed and also computed for other S-containing organic molecules46. Interestingly, even the coupling between $${}^{1}{{{{{\rm{CT}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ and $${}^{3}{{{{{\rm{CT}}}}}}_{{{{{{\rm{n}}}}}}\to {{{{{{\rm{\pi }}}}}}}^{* }}$$ appeared unexpectedly large (above 10 cm−1) which appears this time contradictory to El-Sayed’s rules. In line with our previous works dealing with the origin of SOC in BTI derivatives, this behavior can be correlated to the torsion of the BTI skeleton at the S1 geometry (around 10–15° of torsional angle) for all thionated compounds. This alleviates the symmetry-based restriction rules for the SOC47,48. With this theoretical confirmation that the “dark” nature of their singlet electronic excited state can be linked for the three compounds to a very efficient ISC process to a triplet excited state, experimental measurements of singlet oxygen quantum yields were consequently carried out.

### Photosensitization pathways and photostability studies

Efficient singlet oxygen generation could indeed be monitored by its characteristic NIR luminescence (1277 nm) for the three studied compounds49. Within experimental error, a generation efficiency close to unity was found for T1 and T2, in line with the total quenching of their emission, while a significantly lower value of ca 0.78 was nonetheless monitored for T3 (Supplementary Fig. 12). However, absorption spectra recorded on the latter before and after the quantification of singlet oxygen generation showed a ca 40% decrease of the absorption intensity at the irradiation wavelength. Thus, the singlet oxygen generation efficiency as reported herein for T3 is probably significantly underestimated due to a chemical instability of the molecule and a propensity to photobleaching. Therefore, its real value may be closer to its mono-thionated counterparts T1 and T2.

Barely discussed in most reported studies on thionated PSs, sensitivity of the series to photobleaching was thus investigated through in-time evolution of their singlet oxygen generation efficiency upon prolonged irradiation of 10 μM solution in CDCl3, at their maximal absorption wavelength (Supplementary Fig. 13). In all three cases, a progressive, marked decrease of the singlet oxygen phosphorescence intensity was observed as irradiation time was increased. However, the evolution profile significantly differs. While in the cases of T1 and T2 the photobleaching process could be satisfactorily fitted to a first order kinetic model, with similar bleaching constants, T3 exhibited a completely different evolution, with an initial fast disappearance rate, that could not be fitted to simple orders kinetic models (Supplementary Fig. 13). In order to investigate the potential photochemical transformation of T1-T3, we performed luminescence measurements under constant light irradiation on non-deoxygenated solutions (Supplementary Fig. 14). All compounds showed the emergence of an intense luminescent band with emission maximum centered at 502 nm, reminiscent of the reference BTI compound. Once cross tabulated with UV-visible experiments, it was found that for both T1 and T2, the decrease of the long wavelength characteristic bands was concomitant to the increase of a 455 nm centered band, attributed to the back formation of the BTI compound, consistent with the kinetic following of singlet oxygen generation decay (Supplementary Fig. 14). In line with the latter, this evolution was characterized by the occurrence of an isosbestic point, indicative of a clean photoconversion process from both T1 and T2 to BTI. Regarding T3, UV-visible spectra indicated a more complex conversion profile, which also back-ups the aforementioned observation and appears consistent with the fact that the dithionated compound must first evolve into either one of the two possible monothionated derivatives, namely T1 and T2. Indeed, T1 and T2 finally convert into the imide based BTI, giving raise, throughout the conversion process, to the formation of a complex and evolutive mixture of the four molecules (Supplementary Fig. 14). Conversely, solutions of thionated compounds were indeed found to be particularly stable when prepared and stored under inert atmosphere. Interestingly, prolonged UV irradiation of BTI in the presence of oxygen afforded its selective oxidation into a sulfone derivative (BTI-SO247) as highlighted by UV-visible experiments (Supplementary Figs. 15, 16). Indeed, while the BTI characteristic band at ca 450 nm decreases in intensity, two isosbestic points at 282.5 and 418.5 nm were monitored together with the increasing of a band centered around 380 nm that fits with the optical patterns recorded on pure and chemically prepared BTI-SO2 (Supplementary Fig. 15b)47.

This latter observation led us to undertake EPR investigation on the parent BTI compound as well: while our spectroscopic investigations pointed out a high luminescence efficiency and a singlet oxygen generation below our detection limit, a priori precluding its use as a singlet oxygen photosensitizer, no information was available regarding its potential propensity towards superoxide generation through photoinduced electron transfer. A similar set of experiments as previously described for T1T3 were thus carried out with BTI, using a 455 nm LED as an irradiation source. To our surprise, experiments carried out in chloroform using TEMP as a scavenger showed some formation of TEMPO characteristic of singlet oxygen generation (Supplementary Fig. 17c), albeit with a much lower kinetic than that monitored for T1 and T2 (Supplementary Fig. S17d). T3 has been excluded from this study, because of its lack of stability upon prolonged irradiation. Conversely, experiments carried out with DMPO in DMSO solvent showed a rapid increase of a superoxide adduct signature (Supplementary Fig. S18). In the absence of spin-trap, a similar complex persistent radical signature as monitored for T1T3 was recorded (Fig. 5 and Supplementary Fig. 19), again indicative of the occurrence of a photo-induced electron transfer from the PS to molecular oxygen. These data led us to reconsider a possible use of BTI as a PDT photosensitizer.

### Self-assembly properties and intracellular ROS production

In aqueous solution, BTI, T1, T2, and T3 showed the propensity to form nanoaggregates (BTI = 316 nm, T1 = 100 nm, T2 = 172 nm, T3 = 151 nm) in line with previously published data reporting on the use of thionaphthalimides37 or thione-derived perylene diimides41 as activated-self-assembled PSs (Supplementary Fig. 20). It is important to note that the propensity of self-assembled dyes to disaggregate into monomeric units upon binding to biological targets in cell culture conditions has been used in both biosensing54,55,56,57 and therapeutic applications37,41,58. This would be a particularly important expected feature in the present study, as we already mentioned that no singlet-oxygen or other ROS generation could be monitored in aqueous media, while singlet oxygen and superoxide generation could be attested in chloroform and DMSO, respectively. To verify the assembly/disassembly character of the compounds, we used bovine serum albumin (BSA) as a targeted protein. Indeed, the addition of BSA to BTI, T1, T2, and T3 caused the disruption of the aggregates (BTI-BSA = 15 nm, T1-BSA = 1 nm, T2-BSA = 19 nm, T3-BSA = 14 nm) (Supplementary Fig. 20). Next, we investigated the ability of T1T3 to photo-generate ROS in human cervical epithelioid carcinoma (HeLa) cells. Following our EPR experiments which underlined its good ability to induce superoxide formation and more generally electron transfer upon photoexcitation, BTI was also included in this set of experiments. CellROX™ green reagent was used as a fluorogenic probe for detecting oxidative stress in the nucleus of live cells. This dye is weakly fluorescent in a reduced state while displaying bright green fluorescence upon oxidation by ROS. As expected, ROS generation was not observed when the cells were incubated with the compounds under dark condition (Fig. 6a). Conversely, upon blue light exposure, a bright green fluorescence signal was observed demonstrating the ability of the compounds to photo-generate ROS (Fig. 6a). These results prompted us to study their potential use as phototherapeutic agents. HeLa cells treated with different concentrations of BTI, T1, T2, and T3 for 48 h in the dark showed negligible cytotoxic effects (Fig. 6b). Conversely, under blue-LED illumination, BTI, T1, T2, and T3 induced cancer cell death in a concentration-dependent manner (Fig. 6c).

The phototherapeutic efficacy derived by calculating the half maximal inhibitory concentration (IC50) was found to follow the order: T2 (IC50 = 96 ± 9 nM) > T3 (IC50 = 136 ± 54 nM) > T1 (IC50 = 138 ± 10 nM) > BTI (IC50 = 279 ± 11 nM). These experiments clearly demonstrate the efficiency of thionated compounds, particularly T2, to induced cancer cell death. Furthermore, the bathochromic shift resulting from the successive thionations of T1T3 can be exploited for phototherapeutic purposes. Indeed, T2 exhibited, under green-LED illumination, a photoinduced cancer cell death similar to blue light irradiation (Supplementary Fig. 21). Similarly, T3 showed potent photo-driven cell death upon orange-LED illumination (Supplementary Fig. 22). Overall, these data show that sulfur-substitution provides PSs with enhanced phototoxic effects and tunable optical properties suited for PDT.

Finally, real-time monitoring of morphological changes in living HeLa cells subjected to T2 treatment and blue or green light irradiation unraveled dramatic alterations of the cellular architecture that literally resulted in the “explosion” of the cancer cells into small apoptotic bodies, characteristic of a very efficient PDT process (Fig. 7 and Supplementary Fig. 23)59.

## Conclusions

In summary, we have reported on a molecular design approach that provides easy access to simple, efficient, and synthetically accessible heavy-atom-free PSs through the sequential thionation of the benzothioxanthene imide chromophore. Experimental and computational studies shed light on the role exerted by the sulfur atoms to impact both the opto-electronic properties and singlet oxygen or superoxide generation ability of the PSs. By complementary spectroscopy techniques, we showed that the photophysical properties of the three PSs drastically depend on solvents polarity. While quantitative singlet oxygen generation was monitored in low polarity solvent (chloroform) for T1, T2, and T3, generation of superoxide was monitored in DMSO which was found particularly strong for BTI leading us to postulate a photoredox electron transfer mechanism in this high polarity solvent. This was further supported by the formation of a persistent PS´s centered cation radical on T1, T2, T3, and BTI. This rather unexpected behavior suggests that multiple activation pathways (of type II, with singlet oxygen and/or superoxide radicals, and type I, with direct electron transfer) may participate to the cellular photo-cytotoxicity of this series of molecules depending on the targeted organelle polarity. The potential use of the compounds as PSs for PDT was therefore confirmed by cellular experiments. To conclude, this study provides a new platform for structural control and functional design of novel phototherapeutics for PDT.

## Methods

### General information

All reagents and chemicals from commercial sources were used without further purification. Solvents were dried and purified using standard techniques. Flash chromatography was performed with analytical-grade solvents using Aldrich silica gel (technical grade, pore size 60Å, 230–400 mesh particle size). Flexible plates ALUGRAM® Xtra SIL G UV254 from MACHEREY-NAGEL were used for TLC. Compounds were detected by UV irradiation (Bioblock Scientific). NMR spectra were recorded with a Bruker AVANCE III 300 (1H, 300 MHz and 13C, 75 MHz) or a Bruker AVANCE DRX500 (1H, 500 MHz; 13C, 125 MHz). Chemical shifts are given in ppm relative to TMS and coupling constants J in Hz. Matrix Assisted Laser Desorption/Ionization was performed on MALDI-TOF MS BIFLEX III Bruker Daltonics spectrometer using DCTB+ as matrix. High resolution mass spectrometry (HRMS) was performed with a JEOL JMS-700 B/E.

### Synthesis

Lawesson’s reagent (433 mg, 1.07 mmol) was added to a solution of BTI (200 mg, 535 µmol) solubilized in o-Dichlorobenzene (10 mL). After heating at 160 °C for 1h30 under argon atmosphere, the solution was cooled to room temperature and the solvent evaporated under vacuum. The crude was then washed with water and extracted with chloroform, dried with MgSO4 and concentrated under vacuum before being purified by column chromatography on silica gel using toluene as eluent.

T1 (13%): 1H NMR (300 MHz, Chloroform-d): δ 8.95 (dd, J = 8.5, 1.3 Hz, 1H), 8.58 (dd, J = 8.3, 1.3 Hz, 1H), 8.26–8.14 (m, 2H), 7.49–7.33 (m, 4H), 6.36 (m, 1H), 2.29 (m, 2H), 2.03 (m, 2H), 0.93 (t, J = 7.5 Hz 6H). 13C NMR (126 MHz, Chloroform-d): δ 196.7, 161.1, 140.6, 138.0, 136.6, 133.2, 131.8, 130.2, 128.7, 128.1, 127.9, 126.6, 126.4, 125.3, 124.7, 122.4, 121.1, 119.8, 65.3, 25.3, 11.4. HRMS (FAB-neg): calc. for C23H19NOS2: 389.0908, found 389.0908.

T2 (19%): 1H NMR (300 MHz, Chloroform-d): δ 9.10 (d, J = 8.6 Hz, 1H), 8.38 (d, J = 8.0 Hz, 1H), 8.23–8.15 (m, 1H), 8.11 (d, J = 8.6 Hz, 1H), 7.48 (d, J = 8.1 Hz, 1H), 7.47–7.32 (m, 3H), 6.33 (m, 1H), 2.30 (m, 2H), 2.02 (m, 2H), 0.93 (t, J = 7.5 Hz, 6H). 13C NMR (126 MHz, Chloroform-d): δ 196.1, 161.6, 140.8, 139.8, 136.1, 132.1, 131.3, 130.2, 128.8, 128.2, 127.9, 127.2, 126.5, 126.3, 125.5, 121.0, 119.8, 119.3, 65.4, 25.4, 11.4. HRMS (FAB-neg): calc. for C23H19NOS2: 389.0908, found 389.0909.

T3 (16%): 1H NMR (300 MHz, Chloroform-d): δ 8.99 (bs, 1H), 8.82 (bs, 1H), 8.23–8.12 (m, 1H), 8.08 (d, J = 8.7 Hz, 1H), 7.49–7.34 (m, 4H), 6.75 (m, 1H), 2.61 (m, 2H), 2.20 (m, 2H), 0.93 (t, J = 7.5 Hz, 6H). 13C NMR (126 MHz, Chloroform-d): δ 140.6, 138.6, 138.2, 136.2, 130.2, 128.1, 126.5, 126.4, 125.2, 125.0, 121.7, 120.4, 70.5, 24.9, 11.36. HRMS (FAB-neg): calc. for C23H19NS3: 405.0680, found 405.0694.

### X-ray diffraction data

X-ray single-crystal diffraction data were collected on a Rigaku Oxford Diffraction SuperNova diffractometer equipped with Atlas CCD detector and micro-focus Cu-Kα radiation (λ = 1.54184Å) for BTI and molecule T3. For molecules T1 and T2, crystal data were collected on a BRUKER KappaCCD diffractometer, equipped with a graphite monochromator utilizing MoKα radiation (λ = 0.71073Å). The structures were solved by direct methods and refined on F2 by full matrix least-squares techniques using SHELX programs (G. M. Sheldrick 2014–2016, SHELXT 2014/5 and SHELXL 2016/4). All non-H atoms were refined anisotropically and multiscan empirical absorption was corrected using CrysAlisPro program (CrysAlisPro, Agilent Technologies, V1.171.40.45, 2019) for BTI and molecule T3 and using SADABS program (Sheldrick, Bruker, 2008) for molecules T1 and T2. The H atoms were included in the calculation without refinement. CCDC 2083265 (BTI), 2116980 (T1), 2116981 (T2) and 2116982 (T3) contains the supplementary crystallographic data for this paper.

### Cyclic voltammetry

Cyclic voltammetry was performed using a Biologic SP-150 potentiostat with positive feedback compensation in 0.10 M Bu4NPF6/CH2Cl2 (HPLC grade). Experiments were carried out in a one-compartment cell equipped with a platinum working electrode (2 mm of diameter) and a platinum wire counter electrode. A silver wire immersed in 0.10 M Bu4NPF6/CH2Cl2 was used as pseudo-reference electrode and checked against the ferrocene/ferrocenium couple (Fc/Fc+) before and after each experiment. The potentials were then expressed vs Fc/Fc+.

### Optical measurements and singlet oxygen quantum yield

Absorption spectra were recorded on a JASCO V-650 spectrophotometer in diluted solution (ca. 10–5 or 10–6 M), using spectrophotometric grade solvents. Emission spectra were measured using Horiba-Jobin–Yvon Fluorolog-3 fluorimeter, equipped with a standard R928 detector for the visible and a liquid nitrogen cooled, solid Indium/Gallium/Arsenic detector (850–1600 nm) for NIR measurements of the singlet oxygen phosphorescence signal. Solutions were excited by unpolarized light from a 450 W xenon continuous wave (CW) lamp and detected at an angle of 90° for measurements of dilute solutions (10 mm quartz cuvette). Spectra were corrected for both excitation source light-intensity variation (excitation being performed at the maximal wavelength for each compound; T1, T2: λex = 515 nm; T3: λex = 585 nm) and photodetector spectral responses (dark offset). Singlet oxygen quantum yield (φΔ) measurements were achieved using a relative methodology based on the comparison of singlet oxygen (1O2) phosphorescence intensity of diluted CDCl3 solutions (OD < 0.1) of studied samples against that of Phenalenone in the same solvent (φΔ = 0.95) used here as a reference. Singlet oxygen luminescence quantum yields were calculated using the following Eq. 1:

$${{{{{{\rm{\varphi }}}}}}}_{\Delta {{{{{\rm{x}}}}}}}/{{{{{{\rm{\varphi }}}}}}}_{\Delta {{{{{\rm{r}}}}}}}=[{{A}}_{{{{{{\rm{r}}}}}}}({{{{{{\rm{\lambda }}}}}}}_{{{{{{\rm{r}}}}}}})/{{A}}_{{{{{{\rm{x}}}}}}}({{{{{{\rm{\lambda }}}}}}}_{{{{{{\rm{x}}}}}}})][{{D}}_{{{{{{\rm{cx}}}}}}}/{{D}}_{{{{{{\rm{cr}}}}}}}]$$
(1)

where A(λ) is the absorbance (or optical density) at the excitation wavelength and Dc the corrected integrated luminescence intensity. The subscripts r and x stand for reference and sample, respectively. Excitation slits were set at 5 nm, emission slits at 15 nm, integration time was 1 s. The reported results are the average of 3–4 independent measurements at various absorbances (comprised between 0.01 and 0.1) for both sample and reference. The plot of the integrated luminescence intensity vs. absorbance gives straight line with excellent correlation coefficients and the slope S can be determined for both sample and reference, allowing determination of the sample 1O2 generation efficiency.

Photobleaching experiments were performed using the same setup, using the kinetic mode of the spectrofluorometer and a detection wavelength λem = 1277 nm.

### EPR spectroscopy

EPR assays were all carried out on a Bruker E500 spectrometer operating at X-band (9.44 GHz), standard cavity, with 100 KHz modulation frequency. Experiments were all performed at room temperature. The instrument settings were as follows: microwave power in the 2–69 mW range; modulation amplitude of 0.5–1 G. The irradiation using a Thorlab LED 530 nm or Thorlab LED 455 nm source was directly performed into the EPR cavity during spectra recording. Hyperfine coupling constants values were obtained by simulating experimental spectra with Easyspin (Matlab toolbox) and compared with the literature in the case of the spin trap adducts60,61,62. Spin-trapping agents TEMP (Aldrich) and DMPO (TCI) were used immediately after opening, and samples were prepared in air-open capillary tubes. DMSO and chloroform solvents of spectroscopic grade were used. In all cases, PS concentration was 0.1 mM, while concentration of TEMP or DMPO scavenger, when present, was set as 5 mM.

### Dynamic light scattering (DLS)

Dynamic light scattering (DLS) were recorded with a Malvern Instruments Zetasizer nano series instrument. Aqueous suspensions (0.5 μM) were prepared by nanoprecipitation of a concentrated (2.5 mM) solution of BTI, T1, T2, and T3 in DMSO. Bovine serum albumin (Sigma-Aldrich, Ref No: A9647) was prepared in water at a final concentration of 1 mM. Samples were left to equilibrate for 1 h before DLS measurements.

### Photoinduced intracellular ROS generation

For all biological experiments, HeLa cells were cultured at 37 °C in 5% CO2 in DMEM medium supplemented with penicillin-streptomycin (1×), and 10% fetal bovine serum. 15 × 104 HeLa cells were seeded the day before treatment on glass-bottomed microwell dishes (MatTek Corp.). HeLa cells were treated with BTI, T1, T2, or T3 (stock solutions: 2.5 mM in DMSO) dissolved in complete medium at 1 µM and incubated at 37 °C in 5% CO2 for 24 h. CellROXTM green reagent (Invitrogen, Ref No: C10444) (5 µM) was added to the cells for 30 min at 37 °C in 5% CO2. When required, the cells were photo-irradiated by using an EVOS® FL cell imaging system equipped with an adjustable-intensity LED cube (excitation = 470/22 nm) operating at 23 mW cm−2 for 10 min. Then, cells were washed twice with 1× PBS. Finally, the cells were kept into live cell imaging solution (Molecular ProbesTM, Ref No: A14291DJ) and imaged by using a Leica SP8 FALCON confocal microscope. Maximum intensity projection of Z-stack images was used for data presentation. All data were processed by using ImageJ software.

### Photo-cytotoxicity on HeLa cells

5 × 103 cells/well were seeded in complete medium on 96 well-plates 24 h before compounds treatment. BTI, T1, T2, and T3 were dissolved in complete medium at the indicated concentrations (DMSO reached the max value = 0.5 % v/v) and added to cells for 24 h at 37 °C in 5% CO2. When required, the cells were photo-irradiated by using a EVOS® FL cell imaging system equipped with an adjustable-intensity LED cube (Blue light: excitation = 470/22 nm) operating at 23 mW cm−2 for 6 min. T2- or T3-treated HeLa cells were also subjected to green or orange light irradiation, respectively. Adjustable-intensity LED cubes (Green light: excitation = 542/20 nm or Orange light: excitation = 585/29 nm) operating at 10 and 15.5 mW cm−2 for 6 or 14 min, respectively, were used to deliver the light. Then, the cells were incubated for additional 24 h at 37 °C in 5% CO2. At 48 h after compounds treatment, PrestoBlue (Invitrogen, Ref No: A13261) was added to each well and the cells were incubated at 37 °C in 5% CO2 for 3 additional h. Cell viability was measured by recording the fluorescence signal of PrestoBlue (λexcem: 560/590 nm) using a Synergy H4 microplate reader (Biotek). Each experiment was performed in duplicates/triplicates from distinct samples.

### Light-induced morphological changes on T2-treated HeLa cells

5 × 103 cells/well were seeded in complete medium on 96 well-plates 24 h before treatment with T2. T2 (1 μM) or an equivalent amount of DMSO, was dissolved in complete medium and added to cells for additional 24 h at 37 °C in 5% CO2. Then, the cells were photo-irradiated by using an EVOS® FL cell imaging system equipped with adjustable-intensity LED cubes (Blue light: excitation = 470/22 nm operating at 27 mW cm−2 or Green light: excitation = 542/20 nm operating at 10 mW cm−2) for 6 min.

### Computational details

The Gaussian16 code47 was used to optimize the geometries at the ground and excited states along with the global hybrid functional PBE063. This functional was chosen because of its accuracy to reproduce spectroscopic properties of BTI-based molecules. Structural optimizations and subsequent frequency calculations for both the ground and excited states were performed using an all electron Pople triple zeta basis set with one polarization function on all atoms and one diffuse function of heavier atoms, known as 6–311 + G(d,p), for H, C, N, O and S atoms64. Bulk solvent effects were included using the Polarizable Continuum Model (PCM) of Tomasi and co-workers65. Default radii (from the UFF, scaled by 1.1) were used. Excited state geometry was obtained by minimizing the forces of the S1 state computed at the TD-DFT level by considering the 3 first excited states. The Dalton66 program was used to compute the SOC between the three first triplet states (namely T1, T2, and T3) and the S1 state at the S1 optimized geometry using the quadric-response TD-DFT at the B3LYP/PCM level with the aug-cc-pVDZ basis set adapted for the Douglas–Kroll calculations67. The spin-orbit coupling was computed using the Douglas–Kroll Hamiltonian along with the spin-orbit mean field approach68.

### Reporting summary

Further information on research design is available in the Nature Research Reporting Summary linked to this article.