DNA damage is ubiquitous
in nature and is at the basis of emergent
treatments such as photodynamic therapy, which is based on the activation
of highly oxidative reactive oxygen species by photosensitizing O
2
. However, hypoxia observed in solid tumors imposes the necessity
to devise oxygen-independent modes of action able to induce DNA damage
under a low oxygen concentration. The complexity of these DNA damage
mechanisms in realistic environments grows exponentially when taking
into account light absorption and subsequent excited-state population,
photochemical and (photo)-redox reactions, the multiple species involved
in different electronic states, noncovalent interactions, multiple
reaction steps, and the large number of DNA reactive sites. This work
tackles all the intricate reactivity of a photosensitizer based on
a nitroimidazole derivative reacting toward DNA in solution under
UV light exposition. This is performed through a combination of ground-
and excited-state quantum chemistry, classical molecular dynamics,
and hybrid QM/MM simulations to rationalize in detail the formation
of DNA interstrand cross-links (ICLs) exerted by the noncanonical
noncovalent photosensitizer. Unprecedented spatial and temporal resolution
of these phenomena is achieved, revealing that the ICL is sequence-specific
and that the fastest reactions take place at AT, GC, and GT steps
involving either the opposite nucleobases or adjacent Watson–Crick
base pairs. The N7 and O6 positions of guanine, the N7 and N3 sites
of adenine, the N4 position of cytosine, and the O2 atom of thymine
are deemed as the most nucleophile sites and are positively identified
to participate in the ICL productions. This work provides a multiscale
computational protocol to study DNA reactivity with noncovalent photosensitizers,
and contributes to the understanding of therapies based on photoinduced
DNA damage at molecular and electronic levels. In addition, we believe
the depth understanding of these processes should assist the design
of new photosensitizers considering their molecular size, electronic
properties, and the observed regioselectivity toward nucleic acids.