Designing the Future of Biosensing: Advances in Aptamer Discovery, Computational Modeling, and Diagnostic Applications.

Recent advances in computational tools, particularly machine learning (ML), deep learning (DL), and structure-based modeling, are transforming aptamer research by accelerating discovery and enhancing biosensor development. This review synthesizes progress in predictive algorithms that model aptamer-target interactions, guide in silico sequence optimization, and streamline design workflows for both laboratory and point-of-care diagnostic platforms. We examine how these approaches improve key aspects of aptasensor development, such as aptamer selection, sensing surface immobilization, signal transduction, and molecular architecture, which contribute to greater sensitivity, specificity, and real-time diagnostic capabilities. Particular attention is given to illuminating the technological and experimental advances in structure-switching aptamers, dual-aptamer systems, and applications in electrochemical, optical, and lateral flow platforms. We also discuss current challenges such as the standardization of datasets and interpretability of ML models and highlight future directions that will support the translation of aptamer-based biosensors into scalable, point-of-care and clinically deployable diagnostic solutions.