AI-Assisted Molecular Biosensors: Design Strategies for Wearable and Real-Time Monitoring.

Artificial intelligence (AI) has become a transformative tool in the field of molecular biosensing, enabling data-driven optimization in sensor design, signal processing, and real-time monitoring. AI promotes the discovery of biomarkers, the design of high-affinity receptors, and the rational engineering of sensing materials, thereby enhancing sensitivity, specificity, and detection accuracy. In the development of biosensors, AI-assisted strategies have accelerated the identification of novel molecular targets, guided the design of proteins and aptamers with enhanced binding performance, and optimized plasmonic and nanophotonic structures through forward prediction and inverse design frameworks. The integration of artificial intelligence has significantly enhanced the performance of various biosensing platforms, including optical, electrochemical, and microfluidic biosensors. It also enabled automatic feature extraction, noise reduction, dimensionality reduction, and multimodal data fusion, overcoming the challenges posed by complex signals, environmental interference, and device variations. These capabilities are particularly crucial for wearable molecular biosensors, as low signal strength, motion artifacts, and fluctuations in physiological conditions impose strict requirements on robustness and real-time reliability. This review systematically summarizes the latest advancements in AI-assisted molecular biosensors, highlighting representative sensing strategies and algorithms for wearable and real-time monitoring, and discusses the current challenges and future development opportunities of intelligent biosensing technologies.