Approaches for Pandemic Preparedness and Response: Lessons from the SARS-CoV-2 Pandemic — A Global Narrative Review

Pandemic Preparedness and Response: Lessons from the SARS-CoV-2 Pandemic

Authors

  • Nida Shabbir Institute of Molecular Biology and Biotechnology, The University of Lahore, Lahore, Pakistan
  • Urooj Irshad Department of Biological Science, Superior University, Lahore, Pakistan
  • Muhammad Naveed Anjum Graduate School of Chinese Academy of Agricultural Science, Beijing, China

DOI:

https://doi.org/10.54393/fbt.v6i2.246

Keywords:

SARS-CoV-2, Futuristic Biotechnology, mRNA Vaccines, CRISPR Diagnostics, Artificial Intelligence, Nanomedicine, Digital Epidemiology, Pandemic Preparedness

Abstract

SARS-CoV-2 emerged in December 2019 and rapidly spread globally, catalyzing an unprecedented acceleration of biotechnology innovation. The pandemic served as a real-world proving ground for mRNA and nucleic-acid vaccine platforms. To synthesize current evidence on futuristic biotechnology platforms developed or matured during the SARS-CoV-2 pandemic, to evaluate their translational readiness and limitations, and to outline how their convergence could reshape preparedness for future biological threats, framed against the epidemiological and risk-factor lessons of COVID-19. A narrative literature review was conducted following standard review guidance. A systematic search was performed in PubMed, Scopus, and Web of Science for articles published between December 2019 and July 2026, combining the keywords SARS-CoV-2, epidemiology, mRNA vaccine, CRISPR diagnostics, artificial intelligence, nanotechnology, and wearable biosensor. Peer-reviewed, English-language articles reporting original data, technology-validation studies, or authoritative surveillance reports were eligible; conference abstracts, non-peer-reviewed preprints, and articles without full text were excluded. Two reviewers independently screened titles and abstracts and assessed full texts for eligibility; disagreements were resolved by discussion. As of July 2026, the World Health Organization has reported over 7 million deaths globally. Lipid-nanoparticle-encapsulated mRNA vaccines demonstrated that nucleic-acid platforms can be designed, manufactured, and deployed within months rather than years, and next-generation bivalent and pan-sarbecovirus candidates are now in development. CRISPR-Cas12/Cas13-based diagnostics achieved RT-qPCR-comparable sensitivity at a fraction of the cost and turnaround time. The SARS-CoV-2 pandemic has catalyzed future biotechnology, validating nucleic acid vaccine platforms, CRISPR diagnostics, AI-driven drug discovery, nanomedicine, and digital/genomic surveillance as complementary, convergent tools.

References

Lu R, Zhao X, Li J, Niu P, Yang B, Wu H et al. Genomic Characterization and Epidemiology of 2019 Novel Coronavirus: Implications for Virus Origins and Receptor Binding. The Lancet. 2020 Feb; 395(10224): 565-74. doi: 10.1016/S0140-6736(20)30251-8.

Zu Natrup CM, Tscherne A, Dahlke C, Ciurkiewicz M, Shin DL, Fathi A et al. Stabilized Recombinant SARS-CoV-2 Spike Antigen Enhances Vaccine Immunogenicity and Protective Capacity. The Journal of Clinical Investigation. 2022 Dec; 132(24). doi: 10.1172/JCI159895.

Sternberg A and Naujokat C. Structural Features of Coronavirus SARS-CoV-2 Spike Protein: Targets for Vaccination. Life Sciences. 2020 Sep; 257: 118056. doi: 10.1016/j.lfs.2020.118056.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. New England Journal of Medicine. 2020 Feb; 382(8): 727-33. doi: 10.1056/NEJMoa2001017.

Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A et al. World Health Organization Declares Global Emergency: A Review of the 2019 Novel Coronavirus (COVID-19). International Journal of Surgery. 2020 Apr; 76: 71-6. doi: 10.1016/j.ijsu.2020.02.034.

Hogan MJ and Pardi N. mRNA Vaccines in the COVID-19 Pandemic and Beyond. Annual Review of Medicine. 2022 Jan; 73: 17-39. doi: 10.1146/annurev-med-042420-112725.

Yoshimi K, Takeshita K, Yamayoshi S, Shibumura S, Yamauchi Y, Yamamoto M et al. CRISPR-Cas3-Based Diagnostics for SARS-CoV-2 and Influenza Virus. Iscience. 2022 Feb; 25(2). doi: 10.1016/j.isci.2022.103830.

Chen JS, Ma E, Harrington LB, Da Costa M, Tian X, Palefsky JM et al. CRISPR-Cas12a Target Binding Unleashes Indiscriminate Single-Stranded DNase Activity. Science. 2018 Apr; 360(6387): 436-9. doi: 10.1126/science.aar6245.

Mohapatra RK, Pintilie L, Kandi V, Sarangi AK, Das D, Sahu R et al. The Recent Challenges of Highly Contagious COVID‐19, Causing Respiratory Infections: Symptoms, Diagnosis, Transmission, Possible Vaccines, Animal Models, and Immunotherapy. Chemical Biology and Drug Design. 2020 Nov; 96(5): 1187-208. doi: 10.1111/cbdd.13761.

Keshavarzi Arshadi A, Webb J, Salem M, Cruz E, Calad-Thomson S, Ghadirian N et al. Artificial Intelligence For COVID-19 Drug Discovery and Vaccine Development. Frontiers in Artificial Intelligence. 2020 Aug; 3: 560670. doi: 10.3389/frai.2020.00065.

De M Ribeiro LN and Fonseca BB. The Role of Pharmaceutical Nanotechnology in the Time of the COVID-19 Pandemic. Future Microbiology. 2020 Nov; 15(16): 1571-82. doi: 10.2217/fmb-2020-0118.

Xu X, Deng Y, Ding J, Zheng X, Wang C, Wang D et al. Wastewater Genomic Sequencing for SARS-Cov-2 Variants Surveillance in Wastewater-Based Epidemiology Applications. Water Research. 2023 Oct; 244: 120444. doi: 10.1016/j.watres.2023.120444.

Larimer K, Wegerich S, Splan J, Chestek D, Prendergast H, Vanden Hoek T. Personalized Analytics and a Wearable Biosensor Platform for Early Detection Of COVID-19 Decompensation (Decode): Protocol for the Development of the COVID-19 Decompensation Index. Journal of Medical Internet Research: Research Protocols. 2021 May; 10(5): e27271. doi: 10.2196/27271.

Amman F, Markt R, Endler L, Hupfauf S, Agerer B, Schedl A et al. Viral Variant-Resolved Wastewater Surveillance of SARS-CoV-2 at National Scale. Nature Biotechnology. 2022 Dec; 40(12): 1814-22. doi: 10.1038/s41587-022-01387-y.

Walls AC, Park YJ, Tortorici MA, Wall A, McGuire AT, Veesler D. Structure, Function, and Antigenicity of the SARS-CoV-2 Spike Glycoprotein. Cell. 2020 Apr; 181(2): 281-92. doi: 10.1016/j.cell.2020.02.058.

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical Course and Risk Factors for Mortality of Adult Inpatients with COVID-19 in Wuhan, China: A Retrospective Cohort Study. The Lancet. 2020 Mar; 395(10229): 1054-62. doi: 10.1016/S0140-6736(20)30566-3.

Hu D, Lou X, Meng N, Li Z, Teng Y, Zou Y et al. Influence of Age and Gender on the Epidemic of COVID-19: Evidence From 177 Countries and Territories—An Exploratory, Ecological Study. Wiener Klinische Wochenschrift. 2021 Apr; 133(7): 321-30. doi: 10.1007/s00508-021-01816-z.

Liu H, Chen S, Liu M, Nie H, Lu H. Comorbid Chronic Diseases Are Strongly Correlated with Disease Severity Among COVID-19 Patients: A Systematic Review and Meta-Analysis. Aging And Disease. 2020 May; 11(3): 668. doi: 10.14336/AD.2020.0502.

Lukassen S, Chua RL, Trefzer T, Kahn NC, Schneider MA, Muley T et al. SARS‐CoV‐2 Receptor ACE2 and TMPRSS2 Are Primarily Expressed in Bronchial Transient Secretory Cells. The European Molecular Biology Organization Journal. 2020 May; 39(10): EMBJ20105114. doi: 10.15252/embj.20105114.

Gemmati D, Bramanti B, Serino ML, Secchiero P, Zauli G, Tisato V. COVID-19 and Individual Genetic Susceptibility/Receptivity: Role of ACE1/ACE2 Genes, Immunity, Inflammation and Coagulation. Might the Double X-Chromosome in Females Be Protective Against SARS-Cov-2 Compared to the Single X-Chromosome in Males? International Journal of Molecular Sciences. 2020 May; 21(10): 3474. doi: 10.3390/ijms21103474.

Beyerstedt S, Casaro EB, Rangel ÉB. COVID-19: Angiotensin-Converting Enzyme 2 (ACE2) Expression and Tissue Susceptibility to SARS-CoV-2 Infection. European Journal of Clinical Microbiology and Infectious Diseases. 2021 May; 40(5): 905-19. doi: 10.1007/s10096-020-04138-6.

Peng M, He J, Xue Y, Yang X, Liu S, Gong Z. Role of Hypertension on the Severity of COVID-19: A Review. Journal of Cardiovascular Pharmacology. 2021 Jul; 78(5): e648. doi: 10.1097/FJC.0000000000001116.

Chentoufi AA, Ulmer JB, BenMohamed L. Antigen Delivery Platforms for Next-Generation Coronavirus Vaccines. Vaccines. 2024 Dec; 13(1): 30. doi: 10.3390/vaccines13010030.

Shahin F, Ishfaq A, Asif I, Bilal A, Masih S, Ashraf T et al. CRISPR-Cas Innovative Strategies for Combating Viral Infections and Enhancing Diagnostic Technologies: CRISPR-Cas in Viral Diagnostics and Therapeutics. Journal of Health and Rehabilitation Research. 2024 Sep; 4(3): 1-4. doi: 10.61919/jhrr.v4i3.1537.

De Puig H, Lee RA, Najjar D, Tan X, Soenksen LR, Angenent-Mari NM et al. Minimally Instrumented SHERLOCK (miSHERLOCK) for CRISPR-Based Point-of-Care Diagnosis of SARS-CoV-2 and Emerging Variants. Science Advances. 2021 Aug; 7(32): eabh2944. doi: 10.1126/sciadv.abh2944.

Chaudhary KR, Kujur S, Singh K. Recent Advances of Nanotechnology in COVID 19: A Critical Review and Future Perspective. OpenNano. 2023 Jan; 9: 100118. doi: 10.1016/j.onano.2022.100118.

Hemdan M, Ali MA, Doghish AS, Mageed SS, Elazab IM, Khalil MM et al. Innovations in Biosensor Technologies for Healthcare Diagnostics and Therapeutic Drug Monitoring: Applications, Recent Progress, And Future Research Challenges. Sensors. 2024 Aug; 24(16): 5143. doi: 10.3390/s24165143.

Mitratza M, Goodale BM, Shagadatova A, Kovacevic V, Van De Wijgert J, Brakenhoff TB et al. The Performance of Wearable Sensors in the Detection of SARS-CoV-2 Infection: A Systematic Review. The Lancet Digital Health. 2022 May; 4(5): e370-83. doi: 10.1016/S2589-7500(22)00019-X.

Cheong SH, Ng YJ, Lau Y, Lau ST. Wearable Technology for Early Detection of COVID-19: A Systematic Scoping Review. Preventive Medicine. 2022 Sep; 162: 107170. doi: 10.1016/j.ypmed.2022.107170.

Tenchov R, Hughes KJ, Ganesan M, Iyer KA, Ralhan K, Lotti Diaz LM et al. Transforming Medicine: Cutting-Edge Applications of Nanoscale Materials in Drug Delivery. ACS Nano. 2025 Feb; 19(4): 4011-38. doi: 10.1021/acsnano.4c09566.

Ko CN, Zang S, Zhou Y, Zhong Z, Yang C. Nanocarriers for Effective Delivery: Modulation of Innate Immunity for the Management of Infections and the Associated Complications. Journal of Nanobiotechnology. 2022 Aug; 20(1): 380. doi: 10.1186/s12951-022-01582-8.

Dube T, Ghosh A, Mishra J, Kompella UB, Panda JJ. Repurposed Drugs, Molecular Vaccines, Immune‐Modulators, and Nanotherapeutics to Treat and Prevent COVID‐19 Associated with SARS-CoV-2, A Deadly Nanovector. Advanced Therapeutics. 2021 Feb; 4(2): 2000172. doi: 10.1002/adtp.202000172.

Manne M. Multitargeted Therapy in the Convergence Era: Systems Pharmacology, Smart Delivery, and the Rise of Pan-Biomarkers. Journal of Applied Pharmaceutical Science. 2025 Oct; 15(11): 001-7. doi: 10.7324/JAPS.2025.v15.i11.1ED.

Fernandes Prabhu D, Gurupur V, Stone A, Trader E. Integrating Artificial Intelligence, Electronic Health Records, And Wearables for Predictive, Patient-Centered Decision Support in Healthcare. In Healthcare. 2025 Oct; 13(21): 2753. doi: 10.3390/healthcare13212753.

Alzghaibi H. Adoption Barriers and Facilitators of Wearable Health Devices with AI Integration: A Patient-Centred Perspective. Frontiers in Medicine. 2025 Apr; 12: 1557054. doi: 10.3389/fmed.2025.1557054.

Downloads

Published

2026-06-30
CITATION
DOI: 10.54393/fbt.v6i2.246
Published: 2026-06-30

How to Cite

Shabbir, N., Irshad, U., & Anjum, M. N. (2026). Approaches for Pandemic Preparedness and Response: Lessons from the SARS-CoV-2 Pandemic — A Global Narrative Review: Pandemic Preparedness and Response: Lessons from the SARS-CoV-2 Pandemic. Futuristic Biotechnology, 6(2), 03–09. https://doi.org/10.54393/fbt.v6i2.246

Issue

Section

Review Articles

Plaudit

Most read articles by the same author(s)