Hydrogel-based cellular drug delivery systems as living therapeutics: Micro/nanogel design, fabrication, and...

Hydrogel-based cellular drug delivery systems combine the active homing capacity of living cells with the tunable loading and release properties of polymeric depots, offering a compelling alternative to conventional nanoparticle-based delivery. In these platforms, therapeutic micro- and nanogels are physically or chemically coupled to carrier cells while preserving native cell migration and function. Despite rapid growth of the field, key relationships between hydrogel fabrication, controlled release behavior, and carrier cell biology remain insufficiently integrated. This review analyzes hydrogel-based cellular delivery systems developed over the past ∼15 years, with a specific focus on micro- and nanoscale hydrogel formats (micro/nanogels) in the cellular delivery context, distinguishing them from macroscale bulk hydrogel depots, and with emphasis on nano- and micro-scale fabrication strategies, multilayer depot architectures, and mechanisms enabling sustained and localized release. By evaluating recent primary studies, we identify dominant material choices, carrier cell types, attachment strategies, and payload classes across cellular backpack and hitchhiking platforms. The review highlights how hydrogel composition and spatial organization directly influence release kinetics, biological activity, and therapeutic performance. The reviewed studies consistently indicate that hydrogel chemistry, carrier-cell selection, and depot architecture jointly determine therapeutic performance.