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Global Translational Medicine                                               SPION for cancer theranostics




            Table 1. Comparison of SPIONs with other nanoparticles‑based drug delivery systems
            Criteria                  SPIONs             Gold NPs         Polymeric NPs          Liposome
            Composition      Iron-oxide (Fe O  or Fe O )  Gold (Au)  Biodegradable polymers   Phospholipid bilayer
                                       3  4  2  3
                                                                     (e.g., PLGA, PCL)
            Size range       1 – 100 nm              1 – 100 nm      10 – 1,000 nm         50 – 500 nm
            Magnetic properties  Superparamagnetic and can   None    None                  None
                             be manipulated using external
                             magnetic fields
            Biocompatibility  Generally biocompatible with   Biocompatible   Biodegradable and   High, especially for lipids
                             proper surface modification  with proper surface   biocompatible, depending on the
                                                     functionalization  polymer used
            Drug release mechanism Magnetically controlled release  Surface charge and   pH, temperature, or enzymatic   pH, temperature, or
                                                     functionalization can   triggers      enzymatic triggers
                                                     control the release
            Targeted drug delivery  Magnetic targeting via external   Passive or active   Active targeting via surface   Passive or active targeting
                             magnetic fields         targeting       functionalization
            Advantages       Magnetic targeting; high drug   Easy synthesis;   Controlled and sustained release;  High encapsulation
                             loading; easy monitoring with   surface modification   customizable  efficiency; versatile
                             MRI                     for targeted delivery                 formulation
            Disadvantages    Possible toxicity due to iron   Stability issues;   Complex synthesis and potential  Instability in blood; drug
                             accumulation; requires external   potential cytotoxicity   cytotoxicity from polymers  leakage
                             magnetic field          at high concentrations
            Applications     Cancer therapy; imaging; MRI  Cancer therapy;   Cancer therapy; gene therapy;   Drug delivery; diagnostic
                                                     vaccine delivery; gene  immunotherapy  imaging; gene therapy
                                                     delivery
            Abbreviations: MRI: Magnetic resonance imaging; NPs: Nanoparticles; PLGA: Poly (lactic-co-glycolic) acid; PCL: Polycaprolactone;
            SPIONs: Superparamagnetic iron oxide nanoparticles.

            can be used for both tumor imaging and cancer treatment.   play  a crucial  role  in enhancing  MRI contrast.  Another
            These formulations can improve the water solubility of   challenge is developing simple purification techniques to
            the anticancer drugs, prolong the drug’s circulation time   replace  complex  methods  such  as  magnetic  filtering  or
            in the bloodstream, and reduce rapid renal excretion.    ultracentrifugation.  SPIONs  can  be  synthesized  through
                                                         1,7
            This  nanoformulation  also  enhances  cell-specific  drug   both hydrolytic and non-hydrolytic routes, each offering
            accumulation  and allows  for controlled drug  activation   distinct advantages and limitations. Table 2 compares their
            at the tumor site, thereby reducing the adverse effects   key features, including solvents, reaction conditions, and
            typically associated with anticancer treatments. 8-11  environmental impact.
              This review explores the development of high-quality   Various approaches have been developed to
            SPIONs using various synthesis techniques for cancer   efficiently produce high-quality, water-dispersible, and
            theranostic  applications. Furthermore, it examines   biocompatible  SPIONs.  Common  methods  include
            the challenges associated with the clinical feasibility of   chemical coprecipitation, microemulsion, hydrothermal/
            SPIONs, particularly their use as contrast agents for cancer   solvothermal, thermal decomposition, and sonochemical
            detection and treatment. A  schematic representation of   techniques, as summarized in Table 3.
            SPIONs, illustrating their synthesis, stabilization strategy,
            and key features, is presented in Figure 1.        2.1. Chemical coprecipitation method
                                                               Black iron oxide (Fe O ) NPs are produced through this
            2. Synthesis of SPIONs                             straightforward synthesis technique, which involves
                                                                                3
                                                                                  4
            Over the years, significant efforts have focused on   reducing  ferric  and  ferrous  salts  in  a  2:1  ratio  at
            synthesizing SPIONs with desirable physicochemical   temperatures ranging from 70°C to 90°C in an alkaline
            properties for biomedical purposes. The major challenge lies   environment (pH  9 – 14). 16,17  Massart  was the first
                                                                                                18
            in producing stable, phase-pure, monodispersed SPIONs   scientist to employ this synthesis approach. The particle
            with the optimal size and high crystallinity to ensure the   size and morphology of the synthesized NPs depend on:
            best pharmacokinetic behavior. These characteristics also   (i) The type of salts used, such as chlorides, sulfates, and


            Volume 4 Issue 2 (2025)                         33                              doi: 10.36922/gtm.8464
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