The detection of disease-specific biomarkers such as proteins (particularly autoantibody) and microRNA (miRNA) are prerequisites to understanding their physiological and biological functions, early diagnosis, the prognosis of the disease and their treatment. Despite the numerous molecular biology and analytical techniques, their detection approaches are largely narrowed to laboratory-based molecular biology techniques. While the analytical performance and reliability of these approaches are admirable, most of these methods necessitate enzymatic amplification, cumbrous sample pre-treatment, multi-step assay protocol, sound technical personnel and expensive maintenance. The cutting-edge electrochemical and optical approaches are relatively simple and rapid and provide sensitive detection in a portable arrangement, however, target-specific transduction surface modification is vital to achieving the selectivity of a functional biosensor. With the progress of nanotechnology, nanostructured magnetic materials have aroused enormous interest in the arena of biosensing and biomedicine owing to their flexible and modular structure, nanosize, low toxicity, biocompatibility, intrinsic functionalities. Magnetic nanoparticles inimitably combined with the dimension of more modest size or the same size of molecular analytes and henceforth retain enormous potentiality in isolation and purification of target molecules, signal transduction, signal generation and signal enhancing steps in biosensing. Nonetheless, engineered multifunctional magnetic nanostructure-based diagnostics that could offer the advantages of excellent stability in a complex biomatrix, easy and alterable biorecognition of ligands, antibodies, and receptor molecules and unified point-of-care integration have yet to be achieved.This PhD project endeavours to engineer the nanostructure-based strategies for developing an inexpensive, specific, sensitive, and portable point-of-care diagnostic platform for clinics. This thesis intensively studies the bio-favourable nanostructure synthesis, their biofunctionalisation, intrinsic properties and cutting-edge nanostructure-based strategies for the detection of clinically-relevant biomarkers. Besides, the biogenesis, diagnostic, and prognostic potential of miRNA biomarkers followed by a comprehensive evaluation of recent progress in the development of nanostructure-based electrochemical miRNA biosensors are reviewed. I initially reported on the synthesis of mesoporous iron oxides with two different crystal phases named α- and γ-Fe2O3 to examine and understand the phase-dependent behaviours towards the magnetism and peroxidase mimetic activity. The cubic γ-Fe2O3 phase exhibited much higher activity and presented their superior aptness for biosensing. I have then designed and developed a new class of gold-loaded superparamagnetic mesoporous iron oxide nanocube, which superbly shows intrinsic nanozyme (peroxidase-mimetic) activity and electrocatalytic activity towards different redox molecules. Based on these promising activities, I have developed a set of biosensing platform (three novel readout scheme) that facilitates simple, rapid, and inexpensive analysis of autoantibody and miRNA biomarkers. First, considering the promising nanozyme activity of developed nanocube a specific and sensitive autoantibody sensor was developed for detecting different stages of ovarian cancer, where the nanozyme potentially replaces the natural enzyme (horseradish peroxidase-HRP). The nanocube is purposefully loaded with nanosized (~ 2 nm) gold so that the nanocube can achieve good biocompatibility, well dispersibility in body fluids and can easily immobilise reporter or capturing antibody. Besides, the nanocube can easily achieve miRNA capture through favourite gold-DNA/RNA affinity interactions. By employing this gold-RNA affinity interaction and the electrocatalytic activity of this nanocube, I have then developed an amplification-free electrochemical miRNA sensor for the detection of esophageal cancer-specific mRNA (miR-21). This forthright sensor enables the 10 pM level of detection by using the direct adsorption of magnetically isolated and purified miRNAs onto nanocube-modified disposable electrodes. Succeeding in advance of this proof-of-concept detection system, I endeavoured to address the growing thirst for detecting the ultralow levels of miRNAs from the complex biological sample through the development of another novel readout system. In this approach, the electrocatalytic activity of nanocube towards the redox reaction of methylene blue (MB) was coupled with [Fe(CN)6]3-/4- to form an MB/[Fe(CN)6]3-/4- electrocatalytic redox cycle. The combination of both electrocatalytic activity and redox cycling, the sensor achieved detection of 100 aM of miRNAs from motor neuron disease (MND) patient samples. In my final detection strategies, I prolonged the approach towards a translational- focused assay platform, where a mesoporous gold electrode was engineered which will be used for direct adsorption of magnetically isolated and purified miRNA followed by differential pulse voltammetric (DPV) interrogation.All of the reported readout systems have revealed admirable analytical performance with high specificity and sensitivity. The applicability of the assays was also established in complex biological samples (a cohort of cancer and MND patient samples) with high reproducibility. The analytical performance of all miRNA assays was validated using the standard RT-qPCR approach. I have faith in that our research efforts will lead to the design and development of a translational-focused point-of-care platform for clinically relevant autoantibody and miRNA analysis, which in sequence will hold the significant potential to improve the patient care in clinics as well as the outcomes may substantiate to be a venture of enormous commercial implications.