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REVIEW article

Front. Cell Dev. Biol.

Sec. Molecular and Cellular Pathology

Volume 13 - 2025 | doi: 10.3389/fcell.2025.1669399

This article is part of the Research TopicThe Role of Immune Cells in Tissue Regeneration: Mechanisms and Therapeutic InsightsView all 5 articles

Smart biomaterials: as active immune modulators to shape pro-regenerative microenvironments

Provisionally accepted
Wenning  ZhangWenning ZhangXianyi  ZengXianyi ZengXikai  DengXikai DengFenglei  YangFenglei YangXiaoyuan  MaXiaoyuan MaWei  GaoWei Gao*
  • China Unicom Digital Intelligence Medical Technology Co. Ltd, Guangzhou, China

The final, formatted version of the article will be published soon.

Abstract The field of smart biomaterials has evolved from passive scaffolds to dynamic, immune-modulating platforms capable of actively shaping regenerative microenvironments. This review explores the transition from inert to autonomous systems, emphasizing innovations in material responsiveness—such as pH, temperature, and enzymatic sensitivity—that enable intelligent interactions with biological cues. A key focus is the role of macrophage polarization in tissue repair, where biomaterials regulate immune responses through physicochemical properties and spatiotemporally controlled immunomodulatory factor release. Applications in cancer immunotherapy, myocardial regeneration, and scar inhibition highlight their therapeutic potential. Advances in biomimetic design and multiscale modeling accelerate rational development. However, clinical translation faces challenges in biosafety, scalability, and regulatory approval. Future directions point towards precision immune engineering, integrating optogenetic control, artificial intelligence-driven personalized design, and synergistic multimodal therapies. Ultimately, smart biomaterials are pioneering precision immune engineering, offering transformative strategies for regenerative medicine and disease intervention.

Keywords: Smart biomaterials, Macrophage polarization, Immunomodulation, Biomimetic Materials, Regenerative Medicine

Received: 19 Jul 2025; Accepted: 22 Sep 2025.

Copyright: © 2025 Zhang, Zeng, Deng, Yang, Ma and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Wei Gao, gaow@chinaunicom.cn

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