The development of sensitive and specific exosome detection devices is highly desirable because it is believed to deliver specific important information for cancer screening, diagnosis, and monitoring. Among many detection techniques, nanoplasmonic sensors are optical detection methods that offer advantages in sensitivity and detection speed and this makes the sample analysis process faster and more accurate. This paper summarizes the development of nanoplasmonic biosensors, especially Surface Plasmon Resonance (SPR) and Localized Surface Plasmon Resonance (LSPR)-based biosensors for exosome detection. There are three main parts in this paper. The first part will focus on introducing the theoretical background regarding the working principles of SPR and LSPR biosensors. After that, we will introduce several methods that can be used for exosome isolation. This article will close by explaining the engineering of nanoplasmonic sensors both in terms of transducer modification to amplify the signal and functionalization strategies to increase sensor specificity. In this section, the detection mechanism, the type of exosomes detected, and the resulting detection limits are some of the points highlighted in this paper.
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