Research Appraisalother

Machine learning-driven molecular engineering of nucleic acids

Chemical Society reviewsShi, Qien, Lv, Hui, Wang, Fei et al.17 Apr 2026DOI

Clinical Snapshot

25CEBM
Evidence: Weakother

PICO Framework

P — PopulationNucleic acid molecular engineering applications in biomedical fields, gene therapy, disease diagnosis, and biosensing
I — InterventionMachine learning approaches for nucleic acid design and optimization
C — ComparatorTraditional empirically-driven molecular engineering approaches
O — OutcomesStructure-function relationship prediction, design optimization efficiency, application performance in biomedicine and diagnostics

Bottom Line

This narrative review examines machine learning applications in nucleic acid molecular engineering, covering structure prediction, performance optimization, and biomedical applications. While the scope is comprehensive, the review lacks systematic methodology, making it unsuitable for evidence-based clinical decision-making. The work identifies important challenges in data quality and model interpretability but provides no quantitative evidence synthesis. For Australian clinicians, this represents early-stage research with potential future implications for gene therapy and molecular diagnostics, but current clinical applications remain limited. The review serves primarily as a research roadmap rather than a guide for immediate practice change. Clinicians should await more rigorous systematic reviews and clinical trials before considering practice modifications based on these emerging technologies.

Evidence: Weak

Key Findings

  • P Value: Not applicable - no statistical testing

  • Effect Size: Not quantified - narrative synthesis only

  • Primary Outcome: Progress in ML applications across nucleic acid structure construction, performance modulation, and application expansion

  • Nnt Or Sensitivity: Not applicable - review of engineering applications rather than clinical interventions

  • Confidence Interval: Not applicable - no quantitative analysis

Clinical Application

Limited immediate clinical application - primarily research and development focused Relevant to Australian research institutions and biotechnology companies developing nucleic acid therapeutics, though no specific TGA or PBS implications discussed Researchers and clinicians involved in gene therapy, molecular diagnostics, and biosensor development

Abstract

Molecular engineering has played a pivotal role in biomedical fields, driving significant advancements in gene therapy, disease diagnosis, and biosensing. However, nucleic acid molecular engineering faces various challenges including vast design spaces, complex structure-function relationships, lengthy application validation cycles, and inefficient optimization processes. Machine learning (ML), with its superior pattern recognition, multidimensional data integration, and automated optimization capabilities, offers a unique opportunity to construct predictive models of sequence-structure-function relationships, thereby enabling a paradigm shift from empirically driven to data-driven approaches. This review systematically surveys recent progress in ML applications across three major domains: nucleic acid structure construction, performance modulation, and application expansion. It also explores core challenges such as data quality, model interpretability, and experimental validation efficiency, along with potential resolution strategies. These insights are poised to propel nucleic acid molecular engineering from static structure prediction toward dynamic behavior simulation, and from single-molecule design to complex system engineering, guiding future directions in hybrid ML-quantum models and expanded applications to non-canonical nucleic acids for transformative innovation in biomedicine, environmental monitoring, and information technology.

References

  1. 1.Shi, Q., Lv, H., Wang, F., Fan, C., & Li, M. (2026). Machine learning-driven molecular engineering of nucleic acids. Chemical Society Reviews. https://doi.org/10.1039/d5cs01091h
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