The detection systems in therapeutics are widely studied in the earlier decade due to the necessity of rapid and robust analysis of feeble human pathology.[
1] The rise in drug toxins and side effects that emerged from drug overdose are the critical elements to be analyzed.[
2] Preceding studies have shown a vast and emerging need for biochemical detection methods.[
3,
4,
5,
6] The conventional methodologies in the early detection of biochemicals were studied using HPLC, PCR, GC, and GC-MS.[
7,
8,
9] However, these conventional methodologies are not highly favorable since robust, affordable, and highly sensitive detecting methods are lacking.[
10] Moreover, the conventional methodology does not favor working consistently under versatile humid conditions and also requires complex equipment with experienced operators.[
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17] On the other hand, researchers in early 1900 were developing polymer network nanocomplexes for biomedical applications. The architecture to draw a polymeric network confined with hydrophilic properties aims to provide a tissue-like structure for biomedical purposes. Wichterle et al in the 1960s designed a hydrophilic gel (hydrogel) for the first time with the motive of designing a 3D polymer network to utilize in the human body.[
18] These immense water-rich bodies of hydrogels are easy to adapt to the microenvironment due to the similarities in tissue-like structure and are feasible to engineers having significant dynamic range.[
19,
20,
21,
22] Furthermore, hydrogels have surfaced as an excellent sensory system due to high biocompatibility and the variability that eases the tuning of gel chemistry.[
23] Especially, the change in physical properties of the hydrogels such as sol-gel transitions can result in excellent target analytes.[
24,
25] Hydrogels are well known for their easy modulation of physical properties and can tend to make responsive hydrogels to the elements such as external stimuli, pH, temperature, ionic strength, light, and sound.[
26] Generally, hydrogels are classified into different categories such as Natural polymers and Synthetic polymers. Hydrogels are fabricated with a polymer network using natural or synthetic materials with a high degree of flexibility owing to their large water content.[
27,
28] Natural polymers, such as chitosan, alginate, dextran, and hyaluronic acids.[
29,
30] Synthetic polymers, including polyethylene glycol (PEG), poly (N-isopropyl acrylamide) (PNIPAAm), and poly (2-hydroxyethyl methacrylate) (PHEMA).[
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Figure 1.
Schematic illustration of the designs and functional roles played by hydrogel biosensors.
The unique behavior of hydrogels in different physiological conditions can retain a large number of biological fluids resulting in them as an ideal substance for a variety of applications. Hydrogels have been vastly studied based on the classification of their type and nature.[
27,
34] Later on, researchers developed a hybrid hydrogel with a mixture of natural and synthetic polymers to exert and utilize the different element’s unique properties[
35,
36,
37]. In recent years, the global pandemic has shown the critical urgency and need for rapid, bio-susceptible sensors in detecting contagious diseases to inhibit disease transmissions.[
38] Similarly, robust biosensor detecting systems have been successfully utilized to examine biochemicals, chemical drugs, or toxins and have a wide range of applications, including preventing and controlling drug abuse, preventing food contamination, and maintaining drug doses in body fluids to avoid drug overdoses.[
39,
40,
41] Moreover, several studies have been well-reviewed on fabrication and application based principles and challenges in hydrogel-based biosensors.[
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43,
44,
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47] However, our review focuses on the latest studies of hydrogel-based biosensors and explains their mechanism of action, limitations, and further future directions. We have short reviewed several first time reported hydrogel-based biosensors with impactful and significant applications. We exclusively reviewed DNA hydrogel-engineered biosensors for their diversified role and limitations.