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The localization of the electromagnetic field at the nanoscale can play a key role in many applications, such as sensing, spectroscopy and energy conversion. In the last years, great efforts have been performed to study and realize all-dielectric loss-free nanostructures to confine the radiation without the limits imposed by the plasmonic systems. Here we demonstrate that the field enhancement in proximity of a photonic crystal metasurface supporting bound states in the continuum can be explored to boost the light-matter interaction. We design and realize an innovative sensing scheme for bulk and surface measurement with ultra-high figure of merit and apply this new configuration for studying a specific protein-protein interaction. The recognition scheme can be coupled to a fluorescence-based sensing approach, which exploits the capability of the sensor to strongly enhance fluorescence signals. Our results provide new solutions for light manipulation at the nanoscale, especially for sensing and nonlinear optics applications.