Alkoxyamines – per-alkylated derivatives of hydroxylamine R¹R²NO–R³ – can undergo C–ON bond homolysis to release a persistent nitroxyl radical R¹R²NO˙ and a transient alkyl radical R³˙. Although they were considered as an oddity when discovered in 1974, their properties have been extensively studied since the seminal work of Solomon, Rizzardo and Cacioli (Chem. Abstr., 102, 221335q), who patented the key role of alkoxyamines in nitroxide-mediated polymerization (NMP) in 1985. This feature article surveys and assesses the various applications of alkoxyamines: in tin-free radical chemistry, e.g., for the elaboration of carbo- or hetero-cycles, for the development of new reactions, for total synthesis of natural products; in polymerization under thermal conditions (NMP) or photochemical conditions (nitroxide-mediated photo-polymerization, NMP2); and in the design of smart materials. In this feature article, we also describe our recent findings concerning the chemical triggering of the C–ON bond homolysis in alkoxyamines, affording the controlled generation of alkyl radicals at room temperature. Based on these results, we describe herein some new opportunities for applications in the field of smart materials, and of course, some possible developments as new initiators for NMP as well as an entirely new field of application: the use of alkoxyamines as theranostic agents. Indeed, each of the radicals released after homolysis can play an appealing role: the nitroxide, through dynamic nuclear polarization (DNP), can be used for imagery purposes (diagnostic properties), while the alkyl radical can be used to induce cellular disorders in abnormal cells (therapeutic activity).

Development of anti-cancerous theranostic agents is a vivid field. This article describes a theranostic approach that relies on the triggering of cancer cell death by generation of alkyl radicals at the right place and at the right time using the presence of active proteases in the tumour environment. Alkoxyamines (R¹R²NOR³) are labile molecules that homolyze into nitroxides (R¹R²NO˙) and reactive alkyl radicals (R³˙). They are used as a source of active alkyl radicals for curing and nitroxides for monitoring by Overhauser-enhanced magnetic resonance imaging (OMRI). Herein, the requirements needed for applying alkoxyamines are described: (i) highly selective activation of the alkoxyamine by specific proteases; (ii) fast homolysis of the alkoxyamine C–ON bond at physiological temperature; (iii) activation of cell death processes through an increase of the local oxidative stress or potential re-activation of the immune system due to short-lived alkyl radicals; and (iv) imaging of the tumor and the drug release by sensing the nitroxide by OMRI.

Nitroxide-mediated polymerization is now a mature technique, at 35 years of age. During this time, several variants have been developed: electron spin capture polymerization (ESCP), photoNMP (NMP2), chemically initiated NMP (CI-NMP), spin label NMP (SL-NMP), and plasmon-initiated NMP (PI-NMP). This mini-review is devoted to the features and applications of these variants.