From:  Next-generation nanocarriers for precision antitumor therapy: from passive targeting to intelligent response

 Quantitative comparison of stimuli-responsive mechanisms in nanocarriers.

Stimulus typeMechanismTrigger conditionsExamplesQuantitative data
pHProtonation/charge reversal or bond cleavage (e.g., hydrazones, acetals)Extracellular pH 6.5–7.2; endosomal pH 4.5–5.5Doxorubicin-loaded poly(histidine) micelles; imine-linked polymers70–90% release at pH 5.0 in 24 h; 4-fold higher cytotoxicity (IC50 0.2 μg/mL acidic vs. 0.8 μg/mL neutral); 85% tumor regression in xenografts
RedoxDisulfide/selenide bond cleavage by glutathione or thioredoxinIntracellular GSH 2–10 mM vs. extracellular 2–20 μMsiRNA-nanoparticles with disulfide linkages; polyselenide-based carriers60–80% burst release in 2 h; 90% BCL-2 silencing efficiency in resistant models; 4× higher GSH in tumors
EnzymePeptide bond hydrolysis (e.g., MMPs, cathepsin B, hyaluronidase)Overexpression 10–100-fold in tumors (e.g., MMP-2/9, legumain)Hyaluronic acid shells with cathepsin B-cleavable peptides; plasmin-sensitive linkers5–10-fold higher payload delivery; 3-fold uptake enhancement in CD44+ cancers; MMP overexpression 10–100-fold
HypoxiaAzobenzene or nitroaromatic group reduction under low O2Tumor O2 < 1% vs. normal 5–10%; HIF-1α activationNitroimidazole-sensitized radiosensitizers; azo-linked polymers2–3-fold radiotherapy efficacy (70% vs. 30% volume reduction); disassembly at < 0.5% O2
Temperature (exogenous)Phase transition (e.g., LCST polymers like PNIPAM, elastin-like peptides)Local heating 40–45°C via external sourcesThermosensitive liposomes (ThermoDox®); poly(NIPAM) micelles80–100% release at 42°C; 2-fold complete response in HCC with RFA; hyperthermia induces 80% apoptosis
Light (exogenous)Photocleavage/isomerization (e.g., o-nitrobenzyl, azobenzene, upconverting NPs)NIR 650–900 nm; UV/visible for surface tumorsNIR-triggered gold NPs; spiropyran-based systemsSpatiotemporal release; photothermal conversion efficiency up to 50%; 90% tumor necrosis at 1 W/cm2, 5 min
Ultrasound (exogenous)Cavitation/mechanical disruption; sonoporationFrequencies 1–3 MHz; intensity 0.5–2 W/cm2Ultrasound-sensitive micelles; perfluorocarbon emulsions50–80% release at 1–3 MHz; enhances BBB permeability by 2–5-fold; pulsatile release in dual systems
Magnetic (exogenous)Hyperthermia via hysteresis/relaxation; magnetic guidanceAlternating fields 100–500 kHz; field strength 10–20 kA/mIron oxide cores (SPIONs); magnetite hybridsHeating to 42–45°C in 30 min; 80% apoptosis; 2–3-fold accumulation under fields; SAR 200–500 W/g
Reactive oxygen species (ROS)Thioketal or boronic ester oxidationElevated ROS (H2O2 50–100 μM in tumors vs. 1–10 μM normal)Thioketal-linked doxorubicin NPs; peroxide-sensitive polymers70–85% release under 100 μM H2O2; 3-fold cytotoxicity in high-ROS cells; overcomes resistance in hypoxic cores
GlucoseBoronic acid-glucose complexation; metabolic triggeringHigh glucose 10–20 mM in tumors vs. 5 mM normalPhenylboronic acid-functionalized micelles; glucose oxidase hybrids60–75% release at 15 mM glucose; 4-fold uptake in hyperglycemic models; synergy with antidiabetic agents
ATPATP-binding aptamers or competitive displacementIntracellular ATP 1–10 mM vs. extracellular < 0.4 mMATP-aptamer-gated mesoporous silica; phosphate-sensitive linkers65–85% release at 5 mM ATP; 3-fold selectivity in energy-high cancer cells; synergy with metabolic inhibitors
Ion (e.g., H+, Ca2+)Ion-sensitive chelation or swellingHigh Ca2+ in endosomes (mM range); tumor ionic imbalancesCalcium phosphate NPs; ionophore-linked systems70–90% dissolution at high Ca2+; 2–4-fold cytosolic delivery; ion-triggered gene transfection efficiency 80%
Shear stressMechanosensitive channels or deformationHigh shear in tumor vasculature (0.5–10 Pa vs. normal < 0.5 Pa)Shear-activated platelet mimics; viscoelastic polymers60–80% release at 2 Pa shear; 3-fold targeting in stenotic vessels; reduces off-target by 50%
Electric field (exogenous)Electroporation or iontophoresisApplied fields 1–10 V/cm; endogenous bioelectric gradientsElectro-responsive hydrogels; conductive NPs70–90% release under 5 V/cm; 4-fold penetration in tissues; synergy with iontophoretic delivery
Multi-stimuliCombination of the above (e.g., pH/redox/enzyme)Synergistic triggers for enhanced specificitypH/redox dual-responsive dendrimers; enzyme/light hybrids95% cumulative release vs. 50% single; 5-fold efficacy in heterogeneous tumors; resistance mitigation 80%

pH: potential of hydrogen; GSH: glutathione; MMPs: matrix metalloproteinases; HIF-1α: hypoxia-inducible factor 1-alpha; LCST: lower critical solution temperature; PNIPAM: poly(N-isopropylacrylamide); NPs: nanoparticles; HCC: hepatocellular carcinoma; RFA: radiofrequency ablation; siRNA: small interfering RNA; NIR: near-infrared.