Enzyme
regulation is crucial in living organisms to catalyze various
biosyntheses to maintain several physiological functions. On the contrary,
abnormal enzyme activities can affect bioactivities leading to various
serious disorders including cancer, Alzheimer’s disease, Parkinson’s
disease, heart disease, and so on. This biological significance led
to the development of various techniques to map specific enzyme activities
in living systems to understand their role and distribution. Two-photon
microscopy (TPM) in particular has emerged as a promising system for in situ real-time bioimaging owing to its robustness, high
sensitivity, and noninvasiveness. It was achieved through the use
of a two-photon (TP) light source of an optical window (700–1450
nm) beneficial in deeper light penetration and extraordinary spatial
selectivity. Therefore, developing enzyme sensors utilized in TPM
has significance in obtaining in vivo enzyme activities
with minimal perturbation. The development of an efficient detection
tool for enzymes has been continuously reported in the previous literature;
here, we meticulously review the TP design strategies that have been
attempted by researchers to develop enzyme TP fluorescent sensors
that are proving very useful in providing insights for enzyme investigation
in the biological system. In this review, the representative TP enzymatic
probes that have been made in the past 5 years and their applications
in tissue imaging are discussed in brief. In addition, the prospects
and challenges of TP enzymatic probe development are also discussed.