Vertical silicon nanowire arrays (SiNWAs) are considered as one of the most promising nanomaterials. Notably, silicon-based nanomaterials exhibit excellent biocompatibility, and the diameters of silicon nanowires are comparable to the dimensions of many biological molecules, providing SiNWAs with great potential for life science applications. In this review, we first briefly introduce the synthesis, patterning and surface functionalization of SiNWAs and then focus on the recent progress in the application of SiNWAs for biosensors, studies on mammalian cells or bacteria with nanomaterials, controlled capture/ adsorption and release of cells or proteins, drug delivery, DNA transformation, antifouling surfaces, and nanozyme. We conclude with a brief perspective on future research directions and on the major challenges in this promising field. Fig. 7 (a) Schematic illustration of anti-EpCAM-coated SiNWA substrate for the enhanced capture of CTCs; (b) schematic illustration of a NanoVelcro chip with SiNWAs integrated in a PDMS fluidic device for capturing CTCs; (c) schematic illustration of an aptamer-coated Nano-Velcro Chip for capturing and releasing CTCs upon enzymatic treatment; (d) schematic illustration of DNA-coated SiNWAs for capturing and releasing T cells (top) and fluorescence microscopy images of captured cells before and after treatment with exonuclease (bottom); (e) and (f) schematic illustration of PNIPAAm-based polymer-coated SiNWAs for capturing and releasing CTCs in response to temperature; (g) schematic illustration of PAAPBA-coated SiNWAs for capturing and releasing CTCs in response to pH and glucose. 91 [Reprinted with permission of ref. 84,