Stimuli-Responsive Drug Delivery System: Innovation in Precision Therapy
Anisha Vikas Suryawanshi and Jameel Ahmed S Mulla
Abstract:
One modern subcategory of smart therapeutics is stimuli-responsive drug delivery systems (SR-DDS) which release cargo in response to specific internal (pH, redox, enzymes, hypoxia, glucose) or external (light, temperature, ultrasound, magnetic, electric) stimuli. SR-DDS can achieve spatiotemporal control of payload release by polymers, lipids, hydrogels, inorganic nanostructures and targeting motifs, are more selective towards targets, and less toxic to the host body than traditional formulations. The most recent developments are multi-stimuli and logic-gate designs, hybrid organic inorganic nanocomposites, biosensor based closed circuit platforms and AI-directed materials discovery. The innovations widen clinical possibilities in oncology, inflammatory and infectious diseases, neurological disorders, and regenerative medicine and also have the capability of patient-specific therapies, theranostic monitoring. Even with good preclinical outcomes, the translation has problems pertaining to biocompatibility, long-term safety, reproducibility, manufacturability scales and regulatory classification. To overcome these barriers, the need is to have standardized characterization, strong manufacturing processes, as well as, inter-disciplinary teams of materials scientists, clinicians, industry, and regulators. It is a summary of design principles, mechanistic stimulus, advanced architectures, therapeutic applications, and translational challenges, and provides the future directions of personalized SR-DDS, wearable/implantable closed-loop devices, and interaction of the digital health could cost-effectively expedite the introduction of precision, adaptive therapeutics.
Keywords: Smart Drug Delivery, Smarts Stimuli-Responsive Drug Delivery, Precision Medicine, Multi-Stimuli Systems, Hydrogels And Nanocarriers, Theranostics, Clinical Translation.
References:
[1] Li J, Mooney DJ. Designing hydrogels for controlled drug delivery. Nat Rev Mater. 2016;1(12):16071.
[2] Raza F, Zafar H, Zhu Y, Chen L, Yong C, Khan A, et al. Recent advances in stimuli-responsive nanocarriers for precision drug delivery and cancer therapy. Adv Drug Deliv Rev. 2022; 187: 114360.
[3] Chen G, Roy I, Yang C, Prasad PN. Nanochemistry and nanomedicine for nanoparticle-based diagnostics and therapy. Chem Rev. 2016; 116(5): 2826–2885.
[4] Liu M, Du H, Zhang W, Li J, Li X, Guo Z, et al. Stimuli-responsive drug delivery systems for precision cancer therapy. Biomaterials. 2024; 309: 122873.
[5] Zhang Q, Hu Y, Zhao Z, Gao W, Meng F, Zhong Z, et al. Recent advances in stimuli-responsive polymeric nanoparticles for precision medicine. Adv Drug Deliv Rev. 2023; 198: 114910.
[6] Gao W, Chan JM, Farokhzad OC. pH-responsive nanoparticles for drug delivery. Mol Pharm. 2010; 7(6): 1913–1920.
[7] Wei M, Gao Y, Li X, Serpe MJ. Stimuli-responsive polymers and their applications. Polym Chem. 2017; 8: 127–143.
[8] Cheng R, Meng F, Deng C, Klok HA, Zhong Z.Dual and multi-stimuli responsive polymeric nanoparticles for precision cancer therapy. Nano Today. 2017; 15: 16–31.
[9] Blanco E, Shen H, Ferrari M. Principles of nanoparticle design for overcoming biological barriers to drug delivery. Nat Biotechnol. 2015; 33(9):941–951.
[10] Liu Y, Si L, Jiang Y, Jiang S, Zhang X, Li S, Chen J, Hu J. Design of pH-Responsive Nanomaterials Based on the Tumor Microenvironment. Int J Nanomedicine. 2025; 20:705-721.
[11] Guo X, Cheng Y, Zhao X, Luo Y, Chen J. Advances in redox-responsive drug delivery systems of tumor microenvironment. J Nanobiotechnology. 2018; 16: 71.
[12] Tang H, Zhao W, Yu J, Li Y. Enzyme-responsive polymeric nanocarriers for controlled drug delivery. J Control Release. 2021; 330: 398–417.
[13] Lin G, Zhang Y, Zhu C, Yu P, Yang X. Hypoxia-responsive nanocarriers for tumor-targeted therapy. Adv Sci. 2023; 10(2): 2204548.
[14] Kim J, Lee J, Choi Y. Glucose-responsive drug delivery systems for diabetes management. Adv Healthc Mater. 2022; 11(17): 2200893.
[15] Yu H, Cui Z, Yu P, Guo C. Recent progress in external-stimuli-responsive drug delivery systems for tumor therapy. Front Pharmacol. 2023; 14: 1126249.
[16] Wang X, Xu Y, Li Z. Advances in smart delivery of magnetic field-targeted drugs in cardiovascular diseases. Drug Deliv. 2023; 30(1):2256495.
[17] Al Refaai KA, AlSawaftah NA, Abuwatfa W, Husseini GA. Drug release via ultrasound-activated nanocarriers for cancer treatment: a review. Pharmaceutics. 2024; 16(11): 1383.
[18] Zhang Q, Hu Y, Zhao Z, Gao W, Meng F, Zhong Z, et al. Recent advances in multi-stimuli responsive drug delivery systems for precision medicine. Mater Today Bio. 2023; 20: 100665.
[19] Balcerak-Woźniak A, Dzwonkowska-Zarzycka M, Kabatc-Borcz J. A comprehensive review of stimuli-responsive smart polymer materials—recent advances and future perspectives. Materials. 2024; 17(17):4255.
[20] Sun Y, Davis E. Nanoplatforms for targeted stimuli-responsive drug delivery: a review of platform materials and stimuli-responsive release and targeting mechanisms. Nanomaterials. 2021; 11(3): 746.
[21] Jones D, Brooks BD, Singh RK. Challenges and cost considerations in translating nanomedicine to clinical use. Drug Discov. 2023; 28(6):103749.
[22] Mashele SS. Stimuli-responsive, cell-mediated drug delivery systems: engineering smart cellular vehicles for precision therapeutics. Pharmaceutics. 2025; 17(8):1082.
[23] Wicki A, Witzigmann D, Balasubramanian V, Huwyler J. Nanomedicine in cancer therapy: challenges, opportunities, and clinical applications. J Control Release. 2015; 200: 138–157.
[24] Wang J, Zhang L, Peng F, Shi X, Leong KW. Stimuli-responsive nanoparticles for inflammatory disease therapy. Nat Rev Mater. 2022; 7(8):658–676.
[25] Gao W, Zhang L. Engineering nanomaterials for targeted drug delivery against bacterial infections. Adv Drug Deliv Rev. 2021; 179: 113919.
[26] Patel T, Zhou L, Ouyang J, Farokhzad OC, Zhang L. Stimuli-responsive nanocarriers for brain-targeted drug delivery. Nat Rev Drug Discov. 2023; 22(1):51–72.
[27] Mantha S, Pillai S, Khayambashi P, Upadhyay A, Zhang Y, Yang G, et al. Smart hydrogels in tissue engineering and regenerative medicine. Mater Sci Eng C. 2019; 101: 1112–1124.
[28] Shukla SK, Srivastava S, Rawat P. Regulatory perspectives on nanomedicine and drug delivery systems. Front Nanotechnol. 2022; 4: 940447.
[29] Rao NV, Sasmal PK, Meher JG, Manna PK. Recent progress and advances in stimuli-responsive polymers for cancer therapy. Front BioengBiotechnol. 2018; 6: 110.
[30] Wang Z, Guo S, Xu J, Zhao X, Li J, Chen X. Artificial intelligence-assisted design of nanomedicine for precision therapy. Nat Nanotechnol. 2023; 18(9):965–981.
[31] Patel T, Zhou L, Zhang L. Digital and wearable therapeutics integrating stimuli-responsive delivery. Adv Drug Deliv Rev. 2024; 201: 114931.
[32] Anselmo AC, Mitragotri S. Nanotechnology-enabled devices for on-demand drug delivery. Nat Rev Drug Discov. 2022; 21(5):323–339.
[33] Zhang Q, Hu Y, Zhao Z, Gao W, Meng F, Zhong Z, et al. Next-generation smart implants for precision therapeutics. Nat Biomed Eng. 2024; 8(3):412–427.