Aim:Here, a multiplex surface-enhanced Raman scattering (SERS) based assay for simultaneous quantitation of carcinoembryonic antigen (CEA) and α-fetoprotein (AFP) was developed. Methods: SERS tags of nanostars and SERS substrates of nanobowl arrays were functionalized with labeling and capturing antibodies, respectively. In presence of antigens, SERS tags, antigens and SERS substrates formed sandwich structure. Results: The SERS-based technique showed a wide linear range from 0.5 to 100 ng/ml and detection limits were 0.41 and 0.35 ng/ml for CEA and AFP in phosphate-buffered saline buffer, respectively. Analysis results of clinical serum samples using this technique were similar to that shown in phosphatebuffered saline buffer. The LODs were 0.44 and 0.40 ng/ml for CEA and AFP, respectively. Conclusion: The precision and stability of this analysis technique were satisfactory, meanwhile, no obvious cross-reactivity could be found. What's more, it also suggested that this novel multiplex SERS-based technique could be a simple, specific, reliable, sensitive and multiplexed tool for important diagnostic and prognostic applications. Cancer is a latent fatal illness which kills millions of people worldwide, and the number of people dying from cancer continues to rise. If they were detected and cured earlier, many patients who are dying from cancer would have been saved [1,2]. In clinical diagnosis of cancer, detecting tumor biomarkers at the early stage enables early diagnosis of cancer and receives great deal of attentions [3,4]. Among various cancer biomarker detections, quantified detection of serum biomarkers plays a critical role not only in detecting disease at the early stage, but also in tracking disease development after medical treatment [5]. Recently, varieties of immunoassays and immunosensors are devoted to the detection of a single cancer biomarker [6][7][8]. Although they achieved low detection limits, a majority of cancers have more than one biomarker that correlated with their incidence, and some cancer biomarkers are nonspecific to a special cancer, such as α-fetoprotein (AFP) and carcinoembryonic antigen (CEA), CEA and AFP are related to many kinds of cancer, including liver cancer, colorectal cancer, lung cancer, ovarian carcinoma, breast cancer and pancreatic cancer. Moreover, due to biological diversity of man, only one biomarker detection may generate false positive, which is unreliable [9,10]. Therefore, the detection of a single cancer biomarker is inadequate in diagnosing a special cancer. Comparing with the single biomarker test, multiplex immunoassays of cancer biomarkers can promote the screening and diagnosis of some cancer-related illness [11][12][13]. In addition, the simultaneous multiplex assay that detected more than one cancer biomarker in a single experiment possesses remarkable superiorities, such as shorter analytical time, enhanced detecting throughput, higher efficiency, lower detection cost and less sample. Therefore, it would be advantageous to explore an efficient and ultras...