# pH-responsive nanozymes: multifunctional platforms for biomedical catalysis toward clinical translation

**Authors:** Xiaofei Zhuang, Shanshan Gao, Yueqin Tao, Mujie Yuan, Zhiwu Han, Ying Wang

PMC · DOI: 10.3389/fbioe.2026.1765647 · Frontiers in Bioengineering and Biotechnology · 2026-02-06

## TL;DR

pH-responsive nanozymes are smart nanomaterials that adjust their activity based on acidity and are being explored for biomedical applications like cancer treatment and wound healing.

## Contribution

This paper reviews the progress and challenges of pH-responsive nanozymes for biomedical use and their potential integration with other nanotechnologies.

## Key findings

- pH-responsive nanozymes can dynamically regulate catalytic activity in response to biological environments.
- They have been applied in tumor therapy, antimicrobial treatments, and wound healing with targeted drug delivery.
- Challenges remain in clinical translation, including in vivo stability and toxicity assessment.

## Abstract

As an emerging class of smart nanomaterials, pH-responsive nanozymes are capable of realizing dynamic regulation of catalytic activity according to microenvironmental acidity and alkalinity. The material system encompasses noble metals, metal oxides, metal sulfides, carbon-based nanozymes, and metal-organic frameworks. Through engineering strategies such as surface ligand modification, heterogeneous atom doping and core-shell structure design, these nanozymes can achieve precise response to complex biological microenvironments, and show unique catalytic properties in the lesion site with specific pH. In recent years, pH-responsive nanozymes have been applied in various biomedical fields, such as tumor therapy, antimicrobial, wound healing, and anti-inflammation, to enhance therapeutic efficacy through controlled activation and targeted drug delivery. However, they still face many challenges in clinical translation, such as in vivo stability, toxicity assessment and precise regulation of activity. This paper reviews the research progress of pH-responsive nanozyme therapeutic systems and discusses the potential and challenges of integrating them with other nanotechnologies and therapeutic modalities, aiming to provide a reference and outlook for promoting their wider application in clinical diseases.

## Linked entities

- **Diseases:** tumor (MONDO:0005070)

## Full-text entities

- **Genes:** Gpx4 (glutathione peroxidase 4) [NCBI Gene 625249] {aka GPx-4, GSHPx-4, PHGPx, mtPHGPx, snGPx}, SOD1 (superoxide dismutase 1) [NCBI Gene 6647] {aka ALS, ALS1, HEL-S-44, IPOA, SOD, STAHP}, CAT (catalase) [NCBI Gene 847], Cd47 (CD47 antigen (Rh-related antigen, integrin-associated signal transducer)) [NCBI Gene 16423] {aka 9130415E20Rik, B430305P08Rik, IAP, Itgp}, CAT [NCBI Gene 6155852], BGLAP (bone gamma-carboxyglutamate protein) [NCBI Gene 632] {aka BGP, OC, OCN}, PECAM1 (platelet and endothelial cell adhesion molecule 1) [NCBI Gene 5175] {aka CD31, CD31/EndoCAM, GPIIA', PECA1, PECAM-1, endoCAM}, Sod1 (superoxide dismutase 1, soluble) [NCBI Gene 20655] {aka B430204E11Rik, Cu/Zn-SOD, CuZnSOD, Ipo-1, Ipo1, SODC}, Cdh1 (cadherin 1) [NCBI Gene 12550] {aka ARC-1, E-cad, Ecad, L-CAM, UVO, Um}, LCN2 (lipocalin 2) [NCBI Gene 3934] {aka 24p3, MSFI, NGAL, p25}, Cd44 (CD44 antigen) [NCBI Gene 12505] {aka HERMES, Ly-24, Pgp-1}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Nfkb1 (nuclear factor of kappa light polypeptide gene enhancer in B cells 1, p105) [NCBI Gene 18033] {aka NF-KB1, NF-kappaB, NF-kappaB1, p105, p50, p50/p105}, Nfe2l2 (nuclear factor, erythroid derived 2, like 2) [NCBI Gene 18024] {aka Nrf2}, Cat (catalase) [NCBI Gene 12359] {aka 2210418N07, Cas-1, Cas1, Cs-1}, HAO1 (hydroxyacid oxidase 1) [NCBI Gene 54363] {aka GO, GOX, GOX1, HAOX1}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, RUNX2 (RUNX family transcription factor 2) [NCBI Gene 860] {aka AML3, CBF-alpha-1, CBFA1, CCD, CCD1, CLCD}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}
- **Diseases:** cytotoxic (MESH:D064420), wound infections (MESH:D014946), biofilm infection (MESH:D007239), CDT (MESH:D016609), brain injury (MESH:D001930), reperfusion injury (MESH:D015427), Dental caries (MESH:D003731), radiation brain injury (MESH:D011832), brain tumors (MESH:D001932), MRSA (MESH:D013203), tissue injury (MESH:D017695), glioblastoma (MESH:D005909), necrosis (MESH:D009336), kidney injury (MESH:D007674), inflammatory bowel disease (MESH:D015212), bacterial (MESH:D001424), Cancer (MESH:D009369), Diabetic (MESH:D003920), Parkinson's disease (MESH:D010300), fracture (MESH:D050723), H. pylori infection (MESH:D016481), glioma (MESH:D005910), acute and chronic inflammation (MESH:D007249), hypoxia (MESH:D000860), AKI (MESH:D058186), skin tumor (MESH:D012878), hypoxic (MESH:D002534)
- **Chemicals:** L-arginine (MESH:D001120), carbohydrate (MESH:D002241), ICG (MESH:D007208), Pd@Pt (MESH:C044359), heme (MESH:D006418), titanium (MESH:D014025), peroxide (MESH:D010545), DOX (MESH:D004317), H2S (MESH:D006862), dextran (MESH:D003911), CF (MESH:D002142), graphite (MESH:D006108), H2O2 (MESH:D006861), superoxide (MESH:D013481), Au@Pt (-), ROS (MESH:D017382), creatinine (MESH:D003404), glucose (MESH:D005947), Mo (MESH:D008982), PBS (MESH:D007854), I (MESH:D007455), lipid (MESH:D008055), titanium dioxide (MESH:C009495), ATP (MESH:D000255), glucan (MESH:D005936), Carbon (MESH:D002244), agar (MESH:D000362), nitrogen (MESH:D009584), poly(ethyleneglycol) (MESH:D011092), graphene oxide (MESH:C000628730), 3,3',5,5'-TMB (MESH:C021758), COF (MESH:D000073396), lactate (MESH:D019344), PAA (MESH:D010463), polysaccharide (MESH:D011134), Alg (MESH:D000464), ferrocyanide (MESH:C020354), sulfide (MESH:D013440), oxygen (MESH:D010100), chitosan (MESH:D048271), Prussian blue (MESH:C000170), sugar (MESH:D000073893), Au (MESH:D006046), Pt (MESH:D010984), Metal- (MESH:D008670), hyaluronic acid (MESH:D006820), Co3O4 (MESH:C000711807), Ce (MESH:D002563), Hydroxyl radicals (MESH:D017665), nitric oxide (MESH:D009569), CaO2 (MESH:C403632), amoxicillin (MESH:D000658), Methicillin (MESH:D008712), chlorhexidine (MESH:D002710), Cu2MoS4 (MESH:C000707327), Rh (MESH:D012238), Cu (MESH:D003300), Ag (MESH:D012834), Fe3O4 (MESH:C000499), poly(vinylpyrrolidone) (MESH:D011205)
- **Species:** Homo sapiens (human, species) [taxon 9606], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Staphylococcus aureus (species) [taxon 1280], Helicobacter pylori (species) [taxon 210], Streptococcus oralis (species) [taxon 1303], Mus musculus (house mouse, species) [taxon 10090], hepatitis C virus [taxon 11103], Streptococcus mutans (species) [taxon 1309], Streptococcus pyogenes (species) [taxon 1314], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049]
- **Cell lines:** 4T1 — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_0125), H9C2 — Rattus norvegicus (Rat), Spontaneously immortalized cell line (CVCL_0286)

## Full text

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## Figures

10 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12920518/full.md

## References

137 references — full list in the complete paper: https://tomesphere.com/paper/PMC12920518/full.md

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Source: https://tomesphere.com/paper/PMC12920518