Fuel cells, as promising energy conversion devices, realize the direct conversion of hydrogen fuel chemical energy into electrical energy. The kinetics of cathodic oxygen reduction reaction (ORR) is slow and plays a decisive role in the output efficiency of fuel cells. Platinum catalysts have been commercialized, but their high cost, relatively low catalytic activity and poor cycling durability limit the development of fuel cells. The introduction of non-platinum components is an effective strategy to minimize the cost and maximize the activity. In this study, PtPdCu medium entropy alloy nanoparticle nanotubes (PtPdCu MEANPTs) that demonstrate high catalytic activity and long durability are presented. Combined with density functional theory calculations, the introduction of Pd and Cu modulates surface electronic structure and optimizes the oxygen adsorption energy, thus enhancing the catalytic activity. The 0D/1D hybrid structure exposes more surface sites and inhibits particle maturation. The atomic migration and rearrangement are emerged during the initial stage of potential cycling process, induing a palladium-rich outer layer and preventing the oxidation of platinum atoms. The best-performing Pt24Pd28Cu48 MEANPTs deliver the impressive ORR activity (1.42 A/mgPt at 0.9 V vs. RHE, which is 6.17 times that of commercial Pt/C) and durability (retaining 2.87 times the initial activity of benchmark catalyst after 30,000 potential cycles). Theoretical calculations have confirmed the regulation of alloying on the surface oxygen affinity and revealed the true active sites on the catalyst surface. This work explores the research direction of platinum-based multi-element catalysts with low platinum content and high catalytic activity.