Surface Engineering-Guided Functional Design of Carbon Nanomaterials for Precision Biomedicine
Carbon nanomaterials (CNMs), including carbon nanotubes, graphene, and fullerenes, exhibit exceptional promise in precision biomedicine due to their tunable biocompatibility, programmable surface chemistry, large specific surface area, and quantum confinement effects. However, their clinical translation is hindered by aggregation, poor physiological dispersibility, and limited targeting specificity. This review systematically elaborates on surface engineering strategies—covalent functionalization, non-covalent assembly, and heteroatom doping—to optimize the multifunctionality, biocompatibility, and targeting capabilities of CNMs at the nano-bio interface. We explore how engineered interfaces enable advanced applications in biosensing, stimuli-responsive drug delivery, multimodal bioimaging, antibacterial therapy, and regenerative tissue engineering. The review also addresses challenges such as scalability, long-term toxicity, and regulatory hurdles, and proposes future directions to expedite clinical adoption. By providing a comprehensive framework for rational surface design, this work aims to bridge the gap between fundamental materials science and clinical needs, offering a roadmap for developing next-generation carbon-based theranostics.