The reduction in the size of iron oxide nanoparticles causes an increase in their surface-to-volume ratio. The large surface area of magnetic nanoparticles dramatically changes their magnetic properties. Iron oxide nanoparticles smaller than 30 nm can be considered to have a single magnetic domain. They exhibit superparamagnetic properties and are hence called superparamagnetic iron oxide nanoparticles (SPIONs). SPIONs exhibit extraordinary magnetic properties in the presence of an external magnetic field; they quickly reach magnetic saturation and do not retain any magnetism after the external magnetic field has been removed. This property prevents them from accumulating in the capillaries and causing blockage [1]. The attractive properties of SPIONs such as super-paramagnetic, high-field irreversibility, and high saturation field have made them ideal candidates for biomedical applications such as contrast agents for magnetic resonance imaging (MRI), targeted drug delivery in tumor therapy [2,3] and hyperthermia [4], controlled release of drugs [5], and targeting gene delivery or magnetofection [6,7]. Cancer is a group of diseases characterized by uncontrolled cell growth and the possibility of metastasis [8]. Breast cancer has the highest mortality after lung cancer worldwide and is the most common-Abstract Introduction: Iron oxide nanoparticles, owing to their very small size and superparamagnetic properties, have been considered a potential candidate for several medical applications such as magnetic cell separation, magnetic resonance imaging (MRI), magnetic targeted drug delivery magnetic hyperthermia. The present study aimed to synthesize and evaluate the characteristics of superparamagnetic iron oxide nanoparticles (SPIONs) and determine the mechanism by which they induce cell death in the presence of an extremely low-frequency magnetic field (ELMF). Methods: First, SPIONs were synthesized using the chemical co-precipitation method and then characterized by X-ray diffraction (XRD), transmission electron microscopy (TEM), dynamic light scattering (DLS), and zeta potential. A vibrating-sample magnetometer (VSM) was used to measure the magnetic properties of the nanoparticles. Human MCF-7 breast cancer cells were treated with different concentrations of SPION in the absence and presence of a 50-Hz ELMF for 24 and 48 h. Cytotoxicity and cell viability percentage in the treated cells were measured by the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. Results: DLS and TEM analyses indicated that the SPIONs have an average size of less than 30 nm and they are superparamagnetic. VSM analyses also confirmed the superparamagnetic nature of the nanoparticles. The MTT assay indicated that high concentrations of SPIONs induced death in MCF-7 cells. In the groups treated with ELMF+SPIONs, cell death increased sharply compared with that in the groups treated with each treatment alone (P≤0.05). Conclusions: It seems that a 50-Hz ELMF in the presence of SPIONs led to cell death due to local heating