Becauseof the hypoxia microenvironment and the unique aerobic glycolysis process, tumor sites exhibit mildly acidic microenvironment at around pH 6.5, and the pH goes even more lower in endosomes and lysosomes which is about 5.0~5.5, while the blood and normal tissuesmaintain a relatively neutralpH at around 7.2~7.4 [
41]. Quantities of research studies decorated pH-sensitive surface molecules on nanoparticles to ensure an instantaneous aggregation. The commonly used pH-responsive molecules are zwitterionic compounds, such as cytochrome c [
42], 2,3-dimethylmaleic anhydride (DMMA) [
43], 2-dimethylaminoethyl methacrylate (DMAEMA) [
44] and hydrolysis-susceptible amides. These molecules keep stable at neutral condition, but once into the acidic tumor microenvironment, the broken charge balance leads to nanoaggregates. Moreover, some peptides and macromolecules can also be used to form pHsensitive precursor due to their special compositions with both acid and base. Ferguson
et al. reported a family of oligopeptides which were flanked by Asp-terminated tetrapeptide wings that displayed pH-triggered assembly into supramolecular aggregates [
45], and the oligopeptide repeat domain of a melanosomal protein was also reported pH-sensitive [
46]. Proteins with isoelectric point around physiological pH of tumor can be ideal pH-responsive nanocarriers such as hemoglobin [
47]. The pH-responsive aggregations are achieved through electrostatic interactions, which happen very quickly once the charge balance is broken. Therefore, the ultrasensitivityof pH-responsive nanoparticles comparedwith enzymeinduced aggregation, assure a much lower risk of nanoparticles being pumped back to bloodstream before the aggregation happen. Jutaek
et al. designed a pH-responsive smart GNPs [
48], which were 10 nm in size and decorated with the hydrolysis-susceptible citraconic amide units. GNPs maintained negative charge during the circulation of blood stream, but once into the mildly acidic tumor microenvironment, the citraconic amide units changed to positive charge, while the other unhydrolyzed parts still showed negative charge, leading to immediate aggregation through electrostatic interactions between the two opposite charged groups, with the diameter changed from 14 nm to 200 nm. To better respond to multiple pH in different parts
in vivo, Ni
et al. designed a selfassemble molybdenum (Mo)-based polyoxometalate (POM) clusters [
49], and the size of POM increased in a cascade with pH decreased from 7.4 to 6.5 and to 5.5(
Fig. 3). The initial sizes of the clusters are ultrasmall with only 1.9 nm, which can escape from recognition and capture by liver and spleen. Once entering low pH environment of 6.5, these clusters were found to self-assemble to around 25 nm in diameter, and would further aggregate to 0.43 μm at pH 5.0 in cells through hydrogen bond after protonation of POM. The pH-responsive POM made full use of pH differences with pH 6.5-6.8 in extracellular tumor milieu and pH 5.0-6.0 in endocytic organelles, which enhanced the tumor retention of POM over time.