Despite significant advances in cancer therapy over the years, its complex pathological process still represents a major health challenge when seeking effective treatment and improved healthcare. With the advent of nanotechnologies, nanomedicine-based cancer therapy has been widely explored as a promising technology able to handle the requirements of the clinical sector. Superparamagnetic iron oxide nanoparticles (SPION) have been at the forefront of nanotechnology development since the mid-1990s, thanks to their former role as contrast agents for magnetic resonance imaging. Though their use as MRI probes has been discontinued due to an unfavorable cost/benefit ratio, several innovative applications as therapeutic tools have prompted a renewal of interest. The unique characteristics of SPION, i.e., their magnetic properties enabling specific response when submitted to high frequency (magnetic hyperthermia) or low frequency (magneto-mechanical therapy) alternating magnetic field, and their ability to generate reactive oxygen species (either intrinsically or when activated using various stimuli), make them particularly adapted for cancer therapy. This review provides a comprehensive description of the fundamental aspects of SPION formulation and highlights various recent approaches regarding in vivo applications in the field of cancer therapy.

Among the plethora of nanosystems used in the field of theranostics, iron oxide nanoparticles (IONPs) occupy a central place because of their biocompatibility and magnetic properties. In this study, we highlight the radiosensitizing effect of two IONPs formulations (namely 7 nm carboxylated IONPs and PEG₅₀₀₀-IONPs) on A549 lung carcinoma cells when exposed to 225 kV X-rays after 6 h, 24 h and 48 h incubation. The hypothesis that nanoparticles exhibit their radiosensitizing effect by weakening cells through the inhibition of detoxification enzymes was evidenced by thioredoxin reductase activity monitoring. In particular, a good correlation between the amplification effect at 2 Gy and the residual activity of thioredoxin reductase was observed, which is consistent with previous observations made for gold nanoparticles (NPs). This emphasizes that NP-induced radiosensitization does not result solely from physical phenomena but also results from biological events.

Among the numerous imaging techniques, magnetic resonance imaging (MRI) has become the most powerful tool for diagnosis owing to its high spatial resolution, unlimited tissue penetration, and nonionizing nature. Nevertheless, one can mention its lack of sensitivity, which constitutes a major drawback especially in the field of molecular imaging. The combination of MRI and optical imaging (OI), detecting the luminescence emitted by a tracer, offers the high spatial resolution of the former and the high sensitivity of the latter. In this context, this study focused on the improvement of the relaxation properties of a commercial gadolinium chelate, Gd-HP-DO3A, bya non-covalent confinement of the complex in a semi-permeable nanosystem. To induce the bimodality, a fluorescent compound, i.e. ZW800-1, has been co-encapsulated inside the nanoparticle in a one-pot process. Thanks to their exceptional properties (i.e. biocompatibility, chemical stability, low toxicity) silica nanoparticles (SiO2NPs) have been chosen as a matrix. Narrow size distribution SiO2NPs were obtainedby a reverse microemulsion process (DH: 80 nm). Relaxometric measurements of the synthesized nanoplatforms have proven its efficiency to decrease T1,2of water proton molecules. The fluorescent properties were kept after the encapsulation of the fluorophore. The final system was characterized by Dynamic Light Scattering (DLS), Nuclear Magnetic Resonance (NMR) spectroscopy, relaxometry measurements, UV-Vis and IR spectroscopies and Transmission electron microscopy (TEM).