Photodegradation processes play a crucial role in the transforming of antibiotics in aqueous environments, while photochemical aging influences the properties of microplastics (MPs). In this study, the efficacy of ultraviolet (UV) irradiation in eliminating tetracycline (TC) was examined. Especially, TC degradation was mediated by polyethylene microplastics (PE-MPs) was subjected to aging through UV exposure and a combination of UV and thermal-activated persulfate treatments. The effects of MPs concentration, salinity, and pH on TC degradation were investigated. The characteristics of aging PE-MPs and the corresponding active free radicals were analyzed to understand the mechanism of TC degradation. The results showed that the existence of PE-MPs significantly influenced TC degradation under photosensitized conditions. However, as the concentration of PE-MPs increased, the degradation rate initially increased and subsequently declined. TC degradation increased from approximately 35 % to 85 % when pH increased from 3 to 11 mediated by aged PE-MPs. Moreover, the TC degradation ability increased with increasing salinity, and a higher aging degree facilitated the photodegradation of TC, achieving a removal rate of 62 %. At the same time, free radical quenching confirmed that the singlet oxygen (1O2), hydroxyl radical (OH), and superoxide radical (O2·−) produced all involved in the photolysis process of TC mediated by PE-MPs, especially 1O2. The analysis of the degradation products of TC and prediction of its toxicity revealed that the ecological risk associated with the degradation solution diminished compared with that of the TC mother solution.