In living organisms, the cell membrane participates in numerous critical biological events, making it an ideal engineering platform for bioimaging. However, conventional engineering methods risk disrupting its native functions, underscoring the demand for highly specific and biocompatible reactions. Bioorthogonal chemistry has thus emerged as a promising solution due to its unique bioorthogonality and high reaction efficiency. Herein, this review summarizes recent advances in bioorthogonal chemistry-based cell membrane engineering for precise bioimaging in living organisms. First, we emphasize representative bioorthogonal approaches (e.g., bioorthogonal ligation, bioorthogonal activation, and bioorthogonal click-to-release) for the precise delivery and/or in situ activation of imaging probes, along with common bioorthogonal platforms (e.g., saccharide, lipid nanoparticle, peptide, and antibody conjugate). Furthermore, bioimaging applications, including the selective visualization of membrane biomarkers, dissection of transmembrane transport and release, and dynamic monitoring of cell-cell interactions, are briefly introduced. Finally, we discuss the clinical translational potential and challenges in this field.
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