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Localized chemotherapy requires sustained yet dynamically regulated drug exposure to match the evolving therapeutic demands within solid tumors. However, existing hydrogel depots are predominantly governed by passive diffusion or single-trigger activation, limiting their ability to achieve spatiotemporally programmed drug release. Here, we report a hierarchically programmed injectable hydrogel platform that enables triphasic chemotherapy through orthogonal bond dissociation pathways. The system integrates physically encapsulated 6-mercaptopurine (6 MP) together with two polymeric prodrugs containing redox-responsive and hydrolytically labile linkages, thereby establishing sequential release processes governed by diffusion, glutathione-triggered cleavage, and bond hydrolysis. This multilevel release architecture enables immediate therapeutic intervention, tumor-microenvironment-activated intracellular drug liberation, and sustained intratumoral maintenance. The hydrogel exhibits excellent injectability, prolonged local retention, and sustained release behavior under tumor-associated conditions (>90% over 200 h). In colorectal tumor models, the hierarchically programmed system significantly enhanced intratumoral drug exposure, achieved 71% tumor inhibition, and reduced systemic toxicity compared with free-drug administration. By coupling orthogonal chemical activation with localized hydrogel delivery, this work establishes a generalizable strategy for spatiotemporally regulated chemotherapy through hierarchical bond programming.
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Fan et al. (2026) studied this question.
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