“…At one side, by utilizing OH • to damage biological molecules and induce cell death, CDT has shown activity against a variety of tumor types. − At the other side, no oxygen is required in the CDT antitumor process, which makes CDT a more suitable strategy utilized in the hypoxic tumor microenvironment (TME) . However, challenges and limitations still remain in the clinical translation of CDT: (1) the pH of the solid tumor microenvironment is not acidic enough to initiate efficient Fenton/Fenton-like reactions; (2) the intracellular H 2 O 2 level is insufficient to generate adequate OH • ; (3) the high concentration of reduced glutathione (GSH) could eliminate OH • to maintain the intracellular redox homeostasis. , To address these problems, many nanosystems have been designed and reported. , Overall, the general strategies to improve the CDT effect are as follows: (i) developing novel catalytic systems, especially noble metal nanocomposites with pH independent catalytic activity; (ii) applying exogenous H 2 O 2 or peroxide addition to increase the concentration of H 2 O 2 . ,,, However, from the clinical translation perspective, such approaches are difficult to achieve. First, it is difficult to achieve reproducible and controllable synthesis of complex nanocomposites at industrial scales.…”