“…MCM-coated NPs mainly derive from the novelty and infancy of this biomimetic technology, including 1) the high complexity of the preparation methods, 2) the heterogeneity of white blood cell functions depending on the cell source (e.g., gender, age, and health conditions), 3) possible epigenetic modification of white blood cells during isolation and purification procedures, 4) immunogenicity, 5) poor reproducibility, 6) issues related to large-scale production, and 7) safety concerns regarding the possibility of coating techniques damaging the integrity and structure of membrane proteins and compromise the biofunctionality of cell membranes. [18,21,39,42,66,101] Furthermore, the lack of understanding of the triggering mechanisms of macrophage migration and polarization, and the high complexity of the immune response within the tumor microenvironment, are concerns that need to be addressed, likely through the use of imaging techniques that can monitor the distribution and accumulation of macrophages in pathological tissues. [41,42] Using immune cell membranes to functionalize the NPs via top-down approaches has emerged as a versatile and very promi sing strategy to prolong the blood circulation time in vivo, and achieve a more precise and efficient accumulation of these nanosystems in inflamed, infectious, and neoplastic tissues.…”