Example of a modern approach to sandwich immunoarrays. On left, a gold nanoparticle-decorated spot (to achieve high surface area) on the array is represented with attached primary antibodies (Ab1). Sample is delivered to the array, which can have a number of different Ab1 spots to capture a range of different antigens in a multiplexed assay. For our example SPOT, the antigen is prostate specific antigen, a biomarker protein for prostate cancer.2 The antigens are captured by Ab1’s on their specific spots, usually during an incubation period. After washing, secondary or detection antibodies (Ab2) are introduced, shown here by two examples. The conventional approach employs a single labeled antibody, while a more sensitive assay can be designed with multiple labels to amplify the signals.1 This step is followed by another incubation period, washing, and detection. These kinds of arrays can be integrated with microfluidics for sample and reagent delivery and automation.