Crosslinked polyacrylonitrile (PAN) nanolatex, with an average hydrodynamic diameter of 84 nm and a polydispersity index of 0.06, was successfully synthesized at a high monomer concentration and low surfactant content via a modified emulsion polymerization. Three measurements were adopted to control the nucleation and growth processes. Taking advantage of the chemical activity of nitrile groups, intelligent hydrophilic polymeric nanoparticles were fabricated via simple alkaline hydrolysis treatment of the crosslinked PAN nanolatex. Dynamic light scattering, electrophoretic light scattering, FT-IR spectroscopy, elemental analysis, and TEM observations were used to monitor the changes in the composition, structure, and morphology of the nanoparticles during the hydrolysis process. The sizes, chemical composition, morphology, and pH-responsive behavior of the intelligent hydrophilic nanoparticles could be adjusted by simply changing the hydrolysis time. As the hydrolysis was prolonged, the following nanoparticles could be obtained, crosslinked PAN nanoparticles with hydrophilic surfaces, amphiphilic nanoparticles with a hydrophobic PAN core and a hydrophilic polymeric shell composed of acrylamide and acrylic acid units, or carboxylic polyacrylamide nanoparticles. These modified nanoparticles all display good hydrophilicity, good biocompatibility, pH-sensitivity, as well as carboxyl functional groups, and thus are ideal candidates for various biomedical applications.