This Review provides a comprehensive analysis of recent development in the field of aggregation-induced emission (AIE)-active tetraphenylethylene (TPE) luminophores and their applications in biomolecular science. It begins with a discussion of the diverse range of structural motifs that have found particular applications in sensing, and demonstrates that TPE structures and their derivatives have been used for a diverse range of analytes such as such as H, anions, cations, heavy metals, organic volatiles, and toxic gases. Advances are discussed in depth where TPE is utilized as a mechanoluminescent material in bioinspired receptor units with specificity for analytes for such as glucose or RNA. The rapid advances in sensor research make this summary of recent developments in AIE-active TPE luminophores timely, in order to disseminate the advantages of these materials for sensing of analytes in solution, as well as the importance of solid and aggregated states in controlling sensing behavior.