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Accumulating studies demonstrate that pesticide residues and their transformation products can disrupt gut microbial homeostasis and metabolic regulation, indicating that removal efficiency alone is insufficient to evaluate remediation success. Against this backdrop, this review advances a risk\u2010oriented paradigm for pesticide remediation by redefining metal\u2013organic frameworks (MOFs) from high\u2010performance adsorbents or photocatalysts into exposure\u2010modulating materials bridging environmental decontamination with human health protection. We summarize recent progress in MOF design for pesticide adsorption and photocatalytic degradation, emphasizing structure\u2013function relationships governing molecular recognition, pore confinement, surface chemistry and degradation\u2010pathway control. Beyond performance metrics, this work examines how MOF\u2010enabled adsorption and photocatalysis shape transformation\u2010product profiles determining biological perturbation potential. Evidence linking pesticide exposure to gut microbiota dysbiosis and metabolic disorders underscores the health relevance of pathway\u2010selective remediation. Finally, we outline future directions toward health\u2010relevant remediation, advocating a shift from pollutant\u2010centric efficiency metrics to risk relevant endpoints considering exposure profiles and biological disruption. By coupling programmable molecular selectivity with pathway\u2010controlled degradation, MOFs emerge as enabling platforms for next\u2010generation remediation strategies advancing environmental sustainability and human health protection. \u00a9 2026 Society of Chemical Industry.<\/jats:p>","DOI":"10.1002\/ps.70856","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T05:16:14Z","timestamp":1777266974000},"page":"6054-6073","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Metal\u2013organic frameworks for pesticide remediation: From adsorption and photocatalysis to health\u2010relevant risk reduction"],"prefix":"10.1002","volume":"82","author":[{"given":"Xu","family":"Dong","sequence":"first","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Chu","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotong","family":"Yi","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Meng","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayun","family":"Fu","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhou","family":"Tong","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingna","family":"Sun","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4281-3064","authenticated-orcid":false,"given":"Jinsheng","family":"Duan","sequence":"additional","affiliation":[{"name":"Institute of Plant Protection and Agro\u2010Product Safety Anhui Academy of Agricultural Sciences  Hefei China"},{"name":"Anhui Province Key Laboratory of Pesticide Resistance Management on Grain and Vegetable Pests  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tifs.2024.104340"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2024.170113"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhazmat.2025.137794"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-ento-040323-020625"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-023-27501-4"},{"key":"e_1_2_8_7_1","article-title":"Can sulfonylureas for agricultural use cause diabetes? 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