Research Appraisalother

Nanobiosensors and Artificial Intelligence Strategies for Glycan Profiling in Cancer Progression: A Critical Review

ACS sensorsKhamis, Ramlah, Wu, Yuao, Sina, Abu Ali Ibn et al.24 Apr 2026DOI

Clinical Snapshot

75CEBM
Evidence: Moderateother

PICO Framework

P — PopulationCancer patients and populations at risk for cancer requiring glycan-based diagnostic assessment
I — InterventionNanobiosensor-enabled glycan profiling technologies with AI/ML integration
C — ComparatorConventional glycan detection methods and traditional cancer diagnostic approaches
O — OutcomesDiagnostic accuracy, sensitivity, specificity, clinical utility for cancer detection and progression monitoring

Bottom Line

This review examines nanobiosensor technologies combined with artificial intelligence for detecting cancer-associated glycans. While conventional glycan detection methods struggle with structural complexity and low abundance, nanobiosensors offer enhanced sensitivity through signal amplification and selective recognition. The review covers optical sensors (surface plasmon resonance, SERS, fluorescence) and electrochemical systems (impedimetric, voltammetric, amperometric) enhanced with nanomaterials. AI and machine learning approaches are highlighted for analyzing complex biosensor outputs through pattern recognition and nonlinear modeling. However, significant challenges remain in standardization and clinical scalability. The technology shows promise for point-of-care cancer diagnostics but requires substantial development before clinical implementation. Australian institutions are well-positioned in this field, though regulatory pathways and clinical validation studies are needed.

Evidence: Moderate

Key Findings

  • P Value: Not applicable - review study

  • Effect Size: Not applicable - review study

  • Primary Outcome: Evaluation of nanobiosensor technologies for glycan profiling in cancer

  • Nnt Or Sensitivity: Sensitivity and specificity improvements claimed but specific values not provided in abstract

  • Confidence Interval: Not applicable - review study

Clinical Application

Currently limited to research settings; clinical translation requires standardization and regulatory approval Strong Australian research base in nanotechnology; potential for TGA regulatory pathway development; alignment with precision medicine initiatives Cancer patients requiring improved diagnostic and monitoring tools, particularly for early detection

Abstract

Glycans are complex carbohydrates that are integral to cancer progression and tumor biology. Conventional methods face challenges due to the structural diversity and low abundance of glycans, limiting the detection of cancer-associated glycan signatures. This bottleneck hampers the accurate monitoring of cancer progression and the development of effective diagnostic tools. Nanobiosensor-enabled glycan profiling overcomes conventional limitations by providing highly sensitive detection of low-abundance glycans and precise discrimination of similar forms through nanoscale electrochemical or optical signal amplification and selective biorecognition. This review evaluates emerging nanobiosensors, including optical modalities such as surface plasmon resonance, localized surface plasmon resonance, surface-enhanced Raman scattering, fluorescence, and colorimetric nanobiosensors. It also covers electrochemical systems, including impedimetric, voltammetric, and amperometric sensors that use nanomaterials to enhance the sensitivity, specificity, and reliability of glycan detection. After a critical evaluation of nanobiosensors, this review highlights their applications for glycan analysis in cancer progression and potential of miniaturized point-of-care platforms. In parallel, this review highlights emerging artificial intelligence (AI) and machine learning (ML) approaches that are being explored to analyse complex biosensor outputs. By enabling multivariate pattern recognition, dimensionality reduction, and nonlinear modeling of biosensor responses, these computational frameworks may facilitate the extraction of diagnostically relevant signatures from high-dimensional optical and electrochemical datasets. The review identifies challenges in standardization and clinical scalability of nanobiosensors and explores future directions, including AI integration to advance early cancer detection and personalized patient management.

References

  1. 1.Khamis, R., Wu, Y., Sina, A. A. I., Trau, M., & Wuethrich, A. (2026). Nanobiosensors and Artificial Intelligence Strategies for Glycan Profiling in Cancer Progression: A Critical Review. ACS Sensors. https://doi.org/10.1021/acssensors.5c04911
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