Background: The ultraviolet A (UVA) spectrum mainly includes the region associated with the phototoxicity of fluoroquinolone antimicrobial agents. This study investigated apoptosis induced with UVA light and enoxacin in HL-60 cells. Materials and Methods: HL-60 cells were irradiated by UVA (1.1 mW/cm 2 ) for 20 min in the presence or absence of enoxacin. The induction of apoptosis was investigated by analysing cell morphology, flow cytometry of annexin V-positive cells, DNA ladder formation, and caspase-3 activation. Results: Significant induction of apoptosis, DNA fragmentation, and caspase-3 activation were observed in cells treated with both UVA and enoxacin. UVA-induced apoptosis was significantly suppressed when NaN3, a singlet oxygen scavenger, was present. Conclusion: Apoptosis was induced by the combination of UVA and enoxacin in HL-60 cells, and singlet oxygen appears to play an important role in photodynamically-induced apoptosis.Ultraviolet (UV) light from the sun is a major cause of skin carcinogenesis (1-3). UVA (320-400 nm) is the predominant UV band and reaches the earth's surface. UVA penetrates the skin more deeply than UVB, and generates reactive oxygen species (ROS), which cause oxidative damage, in both the epidermal and dermal skin layers. Studies have shown that UVA causes ROS-mediated oxidative damage to the skin through peroxidation of lipid, and oxidative damage of DNA, resulting in the formation of 8-oxoguanine (4, 5). Previous studies have also reported that UVA causes DNA damage through photosensitization reactions in the presence of photosensitizing compound; this may induce skin cancer.Fluoroquinolones are widely used antibiotics that play an important role in the treatment of human and animal infections (6). The absorption spectrum associated with the phototoxicity of fluoroquinolone antimicrobial agents mainly lies on the UVA region (7-10). The fluoroquinolones strongly inhibit bacterial DNA gyrase, and type II DNA topoisomerase in mammalian cells (7,8,11). Recently, it was also shown that fluoroquinolones can act as photosensitizers when administered to UVA-irradiated experimental animals (4).Necrosis and apoptosis are two major processes of cell death. Necrosis is a form of traumatic cell death that is most commonly induced by severe damage that causes cytoplasmic swelling and disruption of the cell membrane, leading to release of lysosomal enzymes that commonly cause an inflammatory reaction. On the other hand, apoptosis is a highly regulated and controlled death process that act as a suicide program which removes unnecessary, aged, or damaged cells (12). Cells undergoing apoptosis experience biochemical events that lead to distinct morphological characteristics, including blebbing, cell shrinkage, chromatin condensation, and nuclear fragmentation. The cells further disassemble into membraneenclosed vesicles termed apoptotic bodies that are taken up or phagocytosed and digested by neighbouring cells (13-15). One physical agent that can trigger the apoptotic process in cells is U...