Materials subjected to high dose irradiation by energetic particles often experience severe damage in the form of drastic increase of defect density, and significant degradation of their mechanical and physical properties. Extensive studies on radiation effects in materials in the past few decades show that, although nearly no materials are immune to radiation damage, the approaches of deliberate introduction of certain types of defects in materials before radiation are effective in mitigating radiation damage. Nanostructured materials with abundant internal defects have been extensively investigated for various applications. The field of radiation damage in nanostructured materials is an exciting and rapidly evolving arena, enriched with challenges and opportunities. In this review article, we summarize and analyze the current understandings on the influence of various types of internal defect sinks on reduction of radiation damage in primarily nanostructured metallic materials, and partially on nanoceramic materials. We also point out open questions and future directions that may significantly improve our fundamental understandings on radiation damage in nanomaterials. The integration of extensive research effort, resources and expertise in various fields may eventually lead to the design of advanced nanomaterials with unprecedented radiation tolerance. (C) 2018 Elsevier Ltd. All rights reserved.