The use of magnetic nanoparticles
in oncothermia has been investigated
for decades, but an effective combination of magnetic nanoparticles
and localized chemotherapy under clinical magnetic hyperthermia (MH)
conditions calls for novel platforms. In this study, we have engineered
magnetic thermoresponsive iron oxide nanocubes (TR-cubes) to merge
MH treatment with heat-mediated drug delivery, having in mind the
clinical translation of the nanoplatform. We have chosen iron oxide
based nanoparticles with a cubic shape because of their outstanding
heat performance under MH clinical conditions, which makes them benchmark
agents for MH. Accomplishing a surface-initiated polymerization of
strongly interactive nanoparticles such as our iron oxide nanocubes,
however, remains the main challenge to overcome. Here, we demonstrate
that it is possible to accelerate the growth of a polymer shell on
each nanocube by simple irradiation of a copper-mediated polymerization
with a ultraviolet light (UV) light, which both speeds up the polymerization
and prevents nanocube aggregation. Moreover, we demonstrate herein
that these TR-cubes can carry chemotherapeutic doxorubicin (DOXO-loaded-TR-cubes)
without compromising their thermoresponsiveness both in vitro and
in vivo. In vivo efficacy studies showed complete tumor suppression
and the highest survival rate for animals that had been treated with
DOXO-loaded-TR-cubes, only when they were exposed to MH. The biodistribution
of intravenously injected TR-cubes showed signs of renal clearance
within 1 week and complete clearance after 5 months. This biomedical
platform works under clinical MH conditions and at a low iron dosage,
which will enable the translation of dual MH/heat-mediated chemotherapy,
thus overcoming the clinical limitation of MH: i.e., being able to
monitor tumor progression post-MH-treatment by magnetic resonance
imaging (MRI).