Aptamers are short single-stranded oligonucleotides that are capable of binding
various molecules with high affinity and specificity. When the technology of
aptamer selection was developed almost a quarter of a century ago, a suggestion
was immediately put forward that it might be a revolutionary start into solving
many problems associated with diagnostics and the therapy of diseases. However,
multiple attempts to use aptamers in practice, although sometimes successful,
have been generally much less efficient than had been expected initially. This
review is mostly devoted not to the successful use of aptamers but to the
problems impeding the widespread application of aptamers in diagnostics and
therapy, as well as to approaches that could considerably expand the range of
aptamer application.