Over the past few years, gold nanostars
have gained significant
relevance in biology and medicine, in particular, in imaging and photothermal
therapy, also owing to their biocompatibility. Furthermore, they have
improved the sensitivity of diagnostic assays and have been integrated
in lab-on-chip platforms for low-cost, field-deployable devices. However,
despite their widespread use, they have not found applicability beyond
the research laboratories. One of the main reasons for this limitation
has been the almost exclusive focus, until recently, on applications
alone and not on the understanding of the fundamental properties of
these particles, which has hampered reproducibility, stability, and
overall reliability. Recently, however, a resurgence in the fundamental
research of gold nanostars has dramatically improved our understanding
of their synthesis, functionalization, properties, and thus their
applicability. In this Perspective, the literature exploring and improving
our knowledge of the physicochemical properties of gold nanostars
is critically presented and framed within the specific context of
biological and clinical applications. Furthermore, on the basis of
the most recently reported results, a path forward is proposed, aimed
at enabling an effective integration of these particles in the clinic.