# Recent advances of metal-organic frameworks (MOFs) for drug delivery, cancer imaging and theranostics

**Authors:** Honglian Yu, Gan Lin, Peng Mi

PMC · DOI: 10.7150/thno.128435 · 2026-02-26

## TL;DR

This review explores how metal-organic frameworks (MOFs) can be used for drug delivery, cancer imaging, and combined therapy-imaging (theranostics) in nanomedicine.

## Contribution

The paper provides a comprehensive overview of recent synthetic strategies and applications of MOFs in cancer theranostics.

## Key findings

- MOFs can be tailored to encapsulate various therapeutic agents, including small molecules and biomacromolecules.
- Surface modification and synthetic strategies enable MOFs to have imaging and phototherapeutic functions.
- The paper identifies key limitations and challenges in translating MOFs into clinical applications.

## Abstract

Metal-organic frameworks (MOFs) are a unique class of porous materials constructed from metal-containing nodes, known as secondary building units (SBUs) and organic ligands. Their highly tunable structures enable the encapsulation of a broad range of therapeutic agents, spanning small-molecule chemotherapeutics to biomacromolecules such as proteins, DNA, and RNA. By rational selection of metal ions and organic linkers, diverse functionalities, including molecular imaging and phototherapeutic capabilities, can be included into MOFs, rendering them promising nanoscale platforms of nanomedicines. In this review, we summarize recent advances of MOFs for drug delivery, cancer imaging and theranostics. We discuss the progress in regulating the morphology and functions of MOFs through diverse synthetic strategies and surface modification approaches. We further systematically analyzed and discussed MOFs in the applications of drug delivery, molecular imaging, and cancer theranostics, with recent strategies. Finally, key limitations associated with the clinical translation of MOFs are discussed, along with the corresponding bottlenecks, future challenges, and emerging opportunities.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** Kat8 (K(lysine) acetyltransferase 8) [NCBI Gene 67773] {aka 2010203C02Rik, 5830450F21Rik, D7Ertd629e, MOF, MYST-1, Myst1}, Hao1 (hydroxyacid oxidase 1, liver) [NCBI Gene 15112] {aka GOX, Gox1, Hao-1}, Tfrc (transferrin receptor) [NCBI Gene 22042] {aka 2610028K12Rik, CD71, E430033M20Rik, Mtvr1, TFR, TFR1}, Sod2 (superoxide dismutase 2, mitochondrial) [NCBI Gene 20656] {aka MnSOD, Sod-2}, Trav6-3 (T cell receptor alpha variable 6-3) [NCBI Gene 328483] {aka Gm13948, Gm193, Gm4, TCR}, Cd44 (CD44 antigen) [NCBI Gene 12505] {aka HERMES, Ly-24, Pgp-1}, Cd63 (CD63 antigen) [NCBI Gene 12512] {aka ME491, Tspan30}, Nudt1 (nudix hydrolase 1) [NCBI Gene 17766] {aka Mth1}, Lipg (lipase G, endothelial type) [NCBI Gene 16891] {aka 3110013K01Rik, EL, lipase, mEDL}, Tyms (thymidylate synthase) [NCBI Gene 22171] {aka Ts}, Serpinb1-ps1 (serine (or cysteine) peptidase inhibitor, clade B, member 1, pseudogene) [NCBI Gene 282665] {aka EID, ovalbumin}, Gzmb (granzyme B) [NCBI Gene 14939] {aka CCP-1/C11, CCP1, Ctla-1, Ctla1, GZB}, Gpx4 (glutathione peroxidase 4) [NCBI Gene 625249] {aka GPx-4, GSHPx-4, PHGPx, mtPHGPx, snGPx}, Tlr9 (toll-like receptor 9) [NCBI Gene 81897], Sting1 (stimulator of interferon response cGAMP interactor 1) [NCBI Gene 72512] {aka 2610307O08Rik, ERIS, MPYS, Mita, STING, STING-beta}
- **Diseases:** breast cancer (MESH:D001943), Hypoxic (MESH:D002534), CSD (MESH:D020914), COFs (MESH:D000092124), AIDS (MESH:D000163), SPCNs (MESH:D002249), necrosis (MESH:D009336), Walker-256 tumors (MESH:D002279), liver cancer (MESH:D006528), ocular, cardiovascular, and oncological disorders (MESH:D018376), Mn-MOF (MESH:D011164), hypoxia (MESH:D000860), IUPAC (MESH:D017759), hemolysis (MESH:D006461), metastasis (MESH:D009362), DDS (MESH:D000014), MOFs (MESH:D013651), inflammation (MESH:D007249), MnCAT (MESH:D020642), Cancer (MESH:D009369), neurotoxicity (MESH:D020258), CDT (MESH:D016609), Toxicity (MESH:D064420), head and neck cancer (MESH:D006258)
- **Chemicals:** Co (MESH:D003035), GSH (MESH:D005978), AS1411 (MESH:C513936), gluconic acid (MESH:C030691), TiO2 (MESH:C009495), MTX (MESH:D008727), Gd (MESH:D005682), 11C (MESH:C000615233), Pd (MESH:D010165), water (MESH:D014867), ATP (MESH:D000255), Phospholipid (MESH:D010743), 5-FU (MESH:D005472), imidazole (MESH:C029899), hematoporphyrin (MESH:D006415), amide (MESH:D000577), 18F (MESH:C000615276), MnO2 (MESH:C016552), HF (MESH:D006195), Lewis acid (MESH:D058116), iodine (MESH:D007455), OH (MESH:C031356), Fe (MESH:D007501), 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (MESH:C002502), Py (MESH:D011758), MIL-101 (MESH:C000589635), DIMP (MESH:C023477), Cd (MESH:D002104), CAD (MESH:C075764), azidothymidine triphosphate (MESH:C052873), H (MESH:D006859), Manganese oxides (MESH:C027424), camptothecin (MESH:D002166), Cu (MESH:D003300), acetic (MESH:D019342), PBS (MESH:D007854), BODIPY (MESH:C095489), lauric acid (MESH:C030358), Ga (MESH:D005708), Ag (MESH:D012834), PDA (MESH:C568283), oligonucleotides (MESH:D009841), LYS- (MESH:D008239), MIL (MESH:C048042), Nic (MESH:D020108), Fe3O4 (MESH:C000499), PVP (MESH:D011205), Ca (MESH:D002118), Hyaluronic Acid (MESH:D006820), FA (MESH:D005492), ROS (MESH:D017382), barium (MESH:D001464), CpG oligonucleotides (MESH:C408982), Hydroxyl (MESH:D017665), UiO-66 (MESH:C000711576), Ce6 (MESH:C062985), iodide (MESH:D007454), Mg (MESH:D008274), oxaliplatin (MESH:D000077150), R848 (MESH:C402365)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Rattus norvegicus (brown rat, species) [taxon 10116]
- **Cell lines:** UiO-66 — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_9722), MIL-100 — Mus musculus (Mouse), Hybridoma (CVCL_6G47), MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), 4T1 — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_0125), MDA-MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), B16 melanoma — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_F936)

## Figures

18 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12964380/full.md

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Source: https://tomesphere.com/paper/PMC12964380