The detection of
biomarkers is critical for enabling early disease
diagnosis, monitoring the progression, and tracking the effectiveness
of therapeutic intervention. Plasmonic sensors exhibit a broad range
of analytical capabilities, from the rapid generation of colorimetric
readouts to single-molecule sensitivity in ultralow sample volumes,
which have led to their increased exploration in bioanalysis and point-of-care
applications. This perspective presents selected accounts of recent
developments on the different types of plasmonic sensing platforms,
the pervasive challenges, and outlook on the pathway to translation.
We highlight the sensing of upcoming biomarkers, including microRNA,
circulating tumor cells, exosomes, and cell-free DNA, and discuss
the opportunity of utilizing plasmonic nanomaterials and tools for
biomarker detection beyond biofluids, such as in tissues, organs,
and disease sites. The integration of plasmonic biosensors with established
and upcoming technologies of instrumentation, sample pretreatment,
and data analysis will help realize their translation to clinical
settings for improving healthcare and enhancing the quality of life.