Despite the indisputable benefits
and advancement of science, technology,
and civilization, early diagnosis of healthcare is still a challenging
field for the scientific fraternity. The detection of biomarkers is
a crucial attribute of prognosis and diagnosis of disease. Out of
numerous techniques, surface plasmon resonance (SPR) bestows countless
benefits, including in situ, label-free, and real-time
assessment, etc., which authorizes the analysis of molecular binding
occurrences between biotransducers and biomarkers. In addition, SPR
with low-molecular-weight biomarkers lacks selectivity and sensitivity,
which ultimately affects binding kinetics. This, in turn, leads to
the remarkable development and implementation of numerous selectivity
and sensitivity enhancement methods. Among the various noticeable
strategies, because of selectivity and sensitivity enrichment substrate
for SPR biosensors, affinity-based nanoarchitectured biotransducers
stand out as being the best substitute. The present review elaborates
significant advances made in the research based on affinity biotransducers
for in vitro diagnosis using SPR biosensors for biomarker
sensing. Moreover, most recent trends and challenges in designing
and application of nanoarchitectured affinity biotransducer-based
SPR biosensors for detecting low-concentration biomarkers have been
reviewed comprehensively. This present review may assist the scientific
fraternity in designing an ultramodern novel SPR approach based on
affinity biotransducers, along with improved selectivity and sensitivity
of SPR biosensors for in vitro and real-time diagnostic
applications.