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Elevated intracellular levels of glutathione (GSH) have been regarded as a hallmark of tumor cells and characteristic feature of the tumor microenvironment. Considering the pivotal involvement of elevated GSH in the tumorigenic process, a diverse repertoire of GSH\u2010triggered prodrugs has been developed for cancer therapy, facilitating the attenuation of deleterious side effects associated with conventional chemotherapeutic agents and\/or the attainment of more efficacious therapeutic outcomes. These prodrug formulations encompass a spectrum of architectures, spanning from small molecules to polymer\u2010based and organic\u2013inorganic nanomaterial constructs. Although the GSH\u2010triggered prodrugs have been gaining increasing interests, a comprehensive review of the advancements made in the field is still lacking. To fill the existing lacuna, this review undertakes a retrospective analysis of noteworthy research endeavors, based on a categorization of these molecules by their diverse recognition units (i.e., disulfides, diselenides, Michael acceptors, and sulfonamides\/sulfonates). This review also focuses on explaining the distinct benefits of employing various chemical architecture strategies in the design of these prodrug agents. Furthermore, we highlight the potential for synergistic functionality by incorporating multiple\u2010targeting conjugates, theranostic entities, and combinational treatment modalities, all of which rely on the GSH\u2010triggering. Overall, an extensive overview of the emerging field is presented in this review, highlighting the obstacles and opportunities that lie ahead. Our overarching goal is to furnish methodological guidance for the development of more efficacious GSH\u2010triggered prodrugs in the future. By assessing the pros and cons of current GSH\u2010triggered prodrugs, we expect that this review will be a handful reference for prodrug design, and would provide a guidance for improving the properties of prodrugs and discovering novel trigger scaffolds for constructing GSH\u2010triggered prodrugs.<\/jats:p>","DOI":"10.1002\/med.22007","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T09:15:14Z","timestamp":1703322914000},"page":"1013-1054","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Glutathione\u2010triggered prodrugs: Design strategies, potential applications, and perspectives"],"prefix":"10.1002","volume":"44","author":[{"given":"Jintao","family":"Zhao","sequence":"first","affiliation":[{"name":"School of Chemistry and Chemical Engineering Nanjing University of Science and Technology Nanjing Jiangsu China"},{"name":"State Key Laboratory of Applied Organic Chemistry, 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