AccScience Publishing / MI / Online First / DOI: 10.36922/MI025010143
REVIEW ARTICLE

Research progress and medical applications of material-functionalized phages

Bingxian Li1,2 Huihui Mu1,2 Xiting Lin1,2 Daniel Cung Tha Thawng1,2 Gang Li3* Yanhui Yang1,2*
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1 Ningxia Key Laboratory of Infection and Immunity, School of Basic Medical Sciences, Ningxia Medical University, Ningxia, China
2 Ningxia Key Laboratory of Clinical and Pathogenic Microbiology, The First Clinical College of Ningxia Medical University, General Hospital of Ningxia Medical University, Ningxia, China
3 Medical Laboratory Center, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China
Received: 30 December 2025 | Revised: 24 February 2026 | Accepted: 10 April 2026 | Published online: 19 May 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

With the escalating crisis of antimicrobial resistance, the slow pace of traditional antibiotic development presents a critical and growing threat to global public health. Phage therapy, which offers benefits such as high specificity, self-replication, and minimal disruption to the microbiota, has emerged as a promising treatment option. However, its therapeutic potential faces several hurdles, including a limited antibacterial spectrum, inadequate in vivo efficacy, susceptibility to immune clearance, and inability to target intracellular bacteria and biofilm-associated infections. To overcome these issues, new delivery systems have been developed by combining engineered phages with functional materials, such as nanomaterials, hydrogels, and liposomes. This approach significantly improves phage targeting, stability, drug delivery capacity, and controlled release. Nevertheless, engineered phages face challenges such as complex host interactions and intestinal delivery. Future research should incorporate artificial intelligence-assisted design, cross-disciplinary teamwork, and innovative materials to develop phage delivery systems as groundbreaking tools against drug-resistant infections and complex diseases. This review discusses the potential uses of engineered phages in combination with antibiotic therapy, clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein gene editing, innovative smart drug delivery, and tumor immune environment control. It also examines the key challenges in translating laboratory studies to clinical use, including technical issues, immune response regulation, and safety concerns.

Keywords
Phage delivery system
Drug resistance
Engineered phage
CRISPR-Cas
Targeted therapy
Funding
This study was supported by grants from the Research Projects for Social Development of Ningxia Hui Autonomous Region (Grant No.2026BEG03004), Scientific Research Project of Ningxia Education Department (Grant No. NYG2024122), and the Interdisciplinary Research Program of Ningxia Medical University (Grant No. JCXK2025003).
Conflict of interest
The authors declare that they have no competing interests.
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