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We describe a nanostructured immunosensor for the cardiovascular biomarker netrin 1. A glassy carbon electrode was consecutively modified with multi-walled carbon nanotubes (MWCNTs), nafion (to retain the MWCNTs), thionine-coated gold nanoparticles (Thi@AuNPs), and monoclonal antibodies against netrin 1. The modified electrode was characterized by transmission electron microscopy, cyclic voltammetry, differential pulse voltammetry, UV-visible spectrophotometry and X-ray diffraction. The presence of Thi@AuNPs warrants direct and convenient immobilization of the antibody. This immunoelectrode enables netrin 1 to be determined, best at a voltage of −300 mV (vs. SCE), with a limit of detection of 30 fg mL −1 (at an S/N ratio of 3) after a 50 min incubation time. The detection range extends from 0.09 to 1800 pg mL −1 . The method is simple, sensitive, specific and reproducible. We presume this stable and reproducible biosensor to be useful for the early detection of cardiovascular diseases.