Optical biosensing has emerged as a vital tool for real-time, sensitive detection of biological analytes, with aptamers and antibodies leading as key molecular recognition elements. This review examines and compares their distinct roles, advantages, and limitations in optical biosensing. Antibodies, celebrated for their high specificity and mature production protocols, are often preferred in clinical diagnostics. However, challenges like cross-reactivity, environmental sensitivity, and production costs prompt exploration of alternative biorecognition molecules. Aptamers, nucleic acid–based recognition elements, offer several unique advantages, such as ease of synthesis, chemical stability, and amenability to modifications for improved target binding. While their relatively recent discovery means fewer standardized protocols and clinical applications compared to antibodies, aptamers show promise in complex sample matrices and emerging sensor platforms. This review also explores technological advances in both aptamer and antibody integration, surface modification strategies to enhance binding specificity and orientation, and regeneration methods to ensure biosensor reusability. Through a comprehensive comparison, the article aims to identify scenarios where one molecular recognition element holds distinct advantages over the other, paving the way for strategic applications in diagnostics, food safety, and environmental monitoring. In this review, we have explored the advancements and challenges associated with optical biosensing technologies, with a particular focus on LSPR-based sensors. Recent developments in nanoparticle fabrication, hybrid sensor platforms, and external stimulus-responsive systems have opened new avenues for biosensing applications in clinical diagnostics, environmental monitoring, and food safety. The review also discussed the integration of optical biosensors with Raman spectroscopy for enhanced analytical capabilities and highlighted innovations in metamaterial-based sensors for improved sensitivity and specificity. Despite these advances, several challenges remain, including surface stability, reproducibility, and limitations in detecting low-abundance analytes. Addressing these challenges will require further improvements in device design, bioreceptor immobilization strategies, and signal enhancement techniques. Future research efforts should also focus on the development of portable and cost-effective biosensing platforms that can be applied in resource-limited settings. Ultimately, this review provides valuable insights into future trends in aptamer and antibody-based biosensors, encouraging cross-disciplinary collaboration and innovation.

Tuberculosis (TB), a bacterial infection caused by Mycobacterium tuberculosis, is highly contagious and can lead to severe health complications if left untreated. This review article discusses the importance of early detection and treatment and its global incidence and epidemiology, emphasizing its impact on vulnerable populations and its role as a major cause of death worldwide. Furthermore, it highlights the challenges faced with diagnosing TB. To overcome these challenges, point-of-care devices have emerged as promising tools for rapid and accurate TB detection. These include devices such as nucleic acid amplification tests (NAATs), lateral flow assays (LFAs), and microfluidic-based assays, which offer advantages such as rapid results, portability, and the ability to detect drug-resistant strains. Optical-based devices, such as photonic micro-ring sensors, silicon platform-based sensors, plasmonic-based platforms, microfluidics, and smartphone imaging, are some of the highlighted optical-based devices with the potential to detect TB. These devices can detect TB in sputum samples with high sensitivity and specificity. Optical-based diagnostic devices have the potential to offer the advantages of detecting low concentrations of target molecules and being adaptable to detect multiple targets simultaneously. Using these devices in a clinical setting makes them suitable for their application in improving access to diagnostic testing that enables earlier detection and treatment of TB. Furthermore, these devices would improve TB's global health issue, which requires comprehensive research, prevention, and treatment efforts.

Tuberculosis (TB) remains one of the most important infectious diseases globally, killing approximately 1.5 million people annually. The burden of infection is disproportionately high in low-income and resource-limited settings. This disparity is exacerbated by the emergence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) Mycobacterium tuberculosis (Mtb), the bacterium that causes TB. Early detection and treatment of TB remain key strategies to reduce the spread and disease progression to drug-resistant forms of TB. However, this is hampered by slow, insensitive diagnostic methods, particularly for the detection of drug-resistant forms and in patients with human immunodeficiency virus infection (HIV). There are currently several rapid TB diagnostics, but most are limited due to costs and accessibility. Several genes, such as catalase-peroxidase (katG) and enoyl reductase (inhA) genes, contain mutations that are responsible for drug resistance. One of the initial objectives of this study was to use an optical-based system to detect katG and inhA genes. Deoxyribonucleic acid (DNA) probes, specific for katG and inhA, were used as biorecognition elements to capture katG and inhA target DNA. The katG and inhA gene-specific DNA probes were immobilized on a coated glass substrate before the target DNA was introduced for detection. As a negative control, a mismatched probe, unspecific to both genes was used for confirmation of the absence of the two genes in the experimental setup. The optical setup was used for the analysis of the binding interactions occurring on the coated glass substrate. The specificity and sensitivity of the coated glass substrate successfully detected the binding interactions through the changes in the transmitted intensity. The transmitted intensity further indicated the kinetics associated with DNA hybridization occurring between the target DNA and the capture probe. This is the initial step to potentially detecting drug-resistant mutations using optical-based biosensors at a point-of-care setting.

Current diagnostic tools for multidrug‐resistant tuberculosis (MDR‐TB) are molecular assay‐based and have challenges associated with labor‐intensive workflows, complex laboratory infrastructures, and limited mutation coverage. This highlights the need for alternative techniques that can be used as diagnostic tools for MDR‐TB. In this study, we demonstrated the use of an surface plasmon resonance (SPR)‐based biosensor chip for the detection of selected genes ( InhA , KatG , and RpoB ) within the MDR‐TB genome using single‐stranded deoxyribonucleic acids (ssDNA) targets and thiolated probes. The probes were successfully functionalized to AuNPs and confirmed using UV–vis and DLS. On SPR‐based detection, the hybridization of the selected probes to complementary and non‐complementary targets induced changes in the resonance angles. The hybridization of the selected probes to the targets was observed at resonance angles of 46.85, 46.77, 45.84, and 46.91° for the IS6110 , InhA , KatG , and RpoB genes, respectively. In contrast, the unhybridized probe and the non‐complementary targets exhibited resonance angles of 46.33, 46.05, 45.53, and 45.85° for the IS6110 , InhA , KatG , and RpoB genes, respectively. The data showed that SPR‐based biosensing can be refined and considered as an alternative approach to detect and differentiate between different ssDNA targets using thiolated probes as biorecognition elements for MDR‐TB detection.