limitations, such as serious side effects, and are ineffective against subclinical metastasis and recurrence. [1] Recently, precision medicine approaches, such as novel targeting therapy, genomic and proteomic analysis, have become the mainstream in cancer clinical trials, but only 11-23% of the patients had an objective responses. [2,3] Current treatment strategies have generated good therapeutic effects and conquered some unwanted adverse impacts via improved biodistribution and accumulation of antitumor drugs to some degree, but these systems are still limited by their unsatisfactory target delivery efficacy. [4] Moreover, the treatment effect and patient objective response to monotherapy are also seriously limited by complex biological barriers and immunosuppression. [5] Encouragingly, these current challenges in cancer care, such as serious adverse events, poor tumor penetration, and intense drug resistance, have strongly prompted the continuous development of novel alternative approaches.Nanomedicine is an important application of synthetic material engineering in the medical field to improve tumor diagnostic imaging, facilitate targeted drug delivery, and enhance antitumor capabilities. Conventional synthetic nanotherapeutics, including protein/polymer-drug conjugates, liposomal preparations, dendrimers, and inorganic nanoparticles (NPs), have been investigated in lab or clinical research. [6] Synthetic materials constructed by lipid bilayers with active targeting peptide or cell-targeting antibodies have been proved to exhibit efficient delivery and cytotoxicity for tumor cell. [7,8] The advantages of synthetic materials, such as suitable size, targeting delivery, and appropriate surface chemistry, have the potential to enable therapeutic agents to better reach tumor site via tumor active targeting or enhanced permeability and retention (EPR) effect. However, only a few of the proposed engineered materials are currently in clinical use for patients or in preclinical trials, and most material agents are still subjected to unsatisfied targeting delivery and complex tumor microenvironment barriers. [9] The efficiency and accuracy of targeted delivery of synthetic materials are still not satisfactory because they depend on only the active or passive targeting of nanomedicine. Particularly, the majority of NPs circulating in the blood are typically removed by the in vivo mononuclear phagocyte system, which forms a rigorous biological barrier for nanomedicine transport. [10] In addition, tumor microenvironment (TME) Numerous clinical trials for cancer precision medicine research are limited due to the drug resistance, side effects, and low efficacy. Unsatisfactory outcomes are often caused by complex physiologic barriers and abnormal immune events in tumors, such as tumor target alterations and immunosuppression. Cell/bacteria-derived materials with unique bioactive properties have emerged as attractive tools for personalized therapy in cancer. Naturally derived bioactive materials, such as cell and bacterial t...