“…This process enables thiol-containing proteins, antioxidant enzymes, and cellular low-molecular-weight thiol (glutathione) to function as essential antioxidant buffering pool components in vivo and maintain redox homeostasis, protecting organisms from oxidative and xenobiotic stress. − Exogenous replenishment of thiol-containing agents, such as small molecular drugs (like N -acetyl- l -cysteine), sulfhydrated polymers, or bioconjugates, can restore the redox state of pathological microenvironments in diseases associated with oxidative stress, enabling rapid tissue damage reversal and organ function restoration. However, the low oxidative efficiency, sluggish ROS reaction rate, poor pharmacokinetics, and off-target effects of monothiol compounds result in low bioavailability, a narrow therapeutic window, a variety of allergic reactions, and so forth. − Besides, the chemical modification of polythiol groups into polymers is typically hampered by low thiol modification efficiency, susceptibility to oxidative deactivation and self-cross-linking of thiols, cumbersome and time-consuming reaction steps, the use of large amounts of toxic organic solvents, and so forth. − In this instance, it is conceivable that these factors hinder the engineering transformation and clinical application of current exogenous sulfhydryl supplementation strategies, and there is an urgent need for the development of formulations that have wide accessibility to raw material sources, high thiol modification efficiency, a simple and green preparation process, long-term storage stability, and good pharmacokinetic and pharmacodynamic efficiency in vivo to broaden their widespread cilincal uses.…”