Drug delivery platforms
are anticipated to have biocompatible and
bioinert surfaces. PEGylation of drug carriers is the most approved
method since it improves water solubility and colloid stability and
decreases the drug vehicles’ interactions with blood components.
Although this approach extends their biocompatibility, biorecognition
mechanisms prevent them from biodistribution and thus efficient drug
transfer. Recent studies have shown (poly)zwitterions to be alternatives
for PEG with superior biocompatibility. (Poly)zwitterions are super
hydrophilic, mainly stimuli-responsive, easy to functionalize and
they display an extremely low protein adsorption and long biodistribution
time. These unique characteristics make them already promising candidates
as drug delivery carriers. Furthermore, since they have highly dense
charged groups with opposite signs, (poly)zwitterions are intensely
hydrated under physiological conditions. This exceptional hydration
potential makes them ideal for the design of therapeutic vehicles
with antifouling capability, i.e., preventing undesired
sorption of biologics from the human body in the drug delivery vehicle.
Therefore, (poly)zwitterionic materials have been broadly applied
in stimuli-responsive “intelligent” drug delivery systems
as well as tumor-targeting carriers because of their excellent biocompatibility,
low cytotoxicity, insignificant immunogenicity, high stability, and
long circulation time. To tailor (poly)zwitterionic drug vehicles,
an interpretation of the structural and stimuli-responsive behavior
of this type of polymer is essential. To this end, a direct study
of molecular-level interactions, orientations, configurations, and
physicochemical properties of (poly)zwitterions is required, which
can be achieved via molecular modeling, which has become an influential
tool for discovering new materials and understanding diverse material
phenomena. As the essential bridge between science and engineering,
molecular simulations enable the fundamental understanding of the
encapsulation and release behavior of intelligent drug-loaded (poly)zwitterion
nanoparticles and can help us to systematically design their next
generations. When combined with experiments, modeling can make quantitative
predictions. This perspective article aims to illustrate key recent
developments in (poly)zwitterion-based drug delivery systems. We summarize
how to use predictive multiscale molecular modeling techniques to
successfully boost the development of intelligent multifunctional
(poly)zwitterions-based systems.