{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:30:21Z","timestamp":1785259821128,"version":"3.55.0"},"reference-count":205,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":107,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Yunnan Key Laboratory of Precision Diagnosis and Treatment of Major Chest Diseases with Medical Engineering Integration","award":["202449CE340026"],"award-info":[{"award-number":["202449CE340026"]}]},{"name":"Major Science and Technology Projects of Yunnan Province","award":["202402AA310192"],"award-info":[{"award-number":["202402AA310192"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Radiation-induced skin injury (RISI) affects over 95% of radiotherapy patients. Current clinical management remains confined to passive supportive care, lacking mechanistic precision for RISI\u2019s unique pathophysiology. This review adopts a function-centric perspective, classifying hydrogel systems across three generations: first-generation passive moisture barriers; second-generation bioactive platforms incorporating antioxidants, growth factors, stem cells and exosomes; and third-generation stimuli-responsive systems integrating autonomous drug release, self-healing capabilities and biosensor monitoring. We establish quantitative design thresholds by correlating RISI microenvironment parameters (pH 6.5\u20137.0, ROS 100\u2013500\u2009\u03bcM, MMP-9 elevation 5\u201310\u00d7) with responsive polymer specifications. Single-cell transcriptomic analysis has identified pro-inflammatory IL-17+ secretory fibroblasts and dysfunctional lymphatic endothelial cells as key dysregulated populations, thereby defining precise cellular targets amenable to hydrogel-based intervention. However, randomized trials demonstrate that certain hydrogel formulations unexpectedly prolonged healing, underscoring the need for design strategies based on quantitative pathophysiological insights rather than passive empiricism. We systematically examine enabling technologies\u2014AI-guided materials optimization, 3D bioprinting and wearable biosensor integration\u2014while addressing translational barriers including regulatory complexity, manufacturing scalability and standardized preclinical models. This framework provides actionable design principles to accelerate clinical deployment of next-generation hydrogels for millions of cancer survivors.<\/jats:p>","DOI":"10.1093\/rb\/rbag056","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T12:42:33Z","timestamp":1773146553000},"source":"Crossref","is-referenced-by-count":2,"title":["Stimuli-responsive hydrogels for radiation-induced skin injury: from passive barriers to autonomous drug delivery systems"],"prefix":"10.1093","volume":"13","author":[{"given":"Kai","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Oncology, 920th Hospital of Joint Logistics Support Force , Kunming, Yunnan 650038,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chulan","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Traditional Chinese Medicine, 920th Hospital of Joint Logistics Support Force , Kunming, Yunnan 650038,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pathology, 920th Hospital of Joint Logistics Support Force , Kunming, Yunnan 650038,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Quality Control, the General Hospital of Northern Theater Command , Shenyang, Liaoning 110031,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenghang","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Oncology, 920th Hospital of Joint Logistics Support Force , Kunming, Yunnan 650038,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Oncology, the General Hospital of Western Theater Command , Chengdu, Sichuan 610083,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4265-1851","authenticated-orcid":false,"given":"Xinmao","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Ear, Nose & Throat Hospital of Fudan University , Shanghai 200031,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanglong","family":"He","sequence":"additional","affiliation":[{"name":"College of Biological Science and Medical Engineering, Donghua University , Shanghai 201620,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1921-9534","authenticated-orcid":false,"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Yunnan Provincial Key Laboratory for Chest Disease Precision Medicine and Engineering, 920th Hospital of Joint Logistics Support Force , 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