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Next-Generation Nucleic Acid-Based Diagnostics for Viral Pathogens: Lessons Learned from the SARS-CoV-2 Pandemic
Amy Papaneri1, Guohong Cui1, Shih-Heng Chen2
1In Vivo Neurobiology Group, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, Durham, NC 27709, USA.
Microorganisms
|August 28, 2025
Summary
Next-generation molecular diagnostics like CRISPR and biosensors offer faster, more sensitive pathogen detection. This review analyzes their strategic and economic feasibility for future pandemic preparedness, highlighting cost-saving benefits.
Area of Science:
- Molecular Diagnostics
- Pandemic Preparedness
- Biotechnology
Background:
- The COVID-19 pandemic highlighted the need for rapid, sensitive pathogen detection.
- Conventional PCR has limitations in speed and point-of-care application.
- CRISPR-based systems, isothermal amplification, and biosensors offer advanced nucleic acid detection.
Purpose of the Study:
- To analyze the feasibility, scalability, and economic benefits of integrating next-generation diagnostic technologies into pandemic-response pipelines.
- To synthesize advances in coronavirus diagnostic platforms and assess their cost-saving potential during high demand.
- To evaluate the translation of technologies like CRISPR-Cas with RPA into first-line diagnostic pipelines for emerging viral threats.
Main Methods:
- Review and synthesis of recent advances in molecular diagnostic technologies.
- Analysis of strategic and economic factors influencing real-world implementation.
- Evaluation of CRISPR-Cas integration with recombinase polymerase amplification (RPA).
Main Results:
- CRISPR, isothermal amplification, and biosensors show improved speed, sensitivity, and point-of-care use over PCR.
- Significant strategic and economic hurdles exist for widespread implementation.
- CRISPR-Cas combined with RPA presents a viable option for robust diagnostic pipelines.
Conclusions:
- Next-generation diagnostics are crucial for effective pandemic response.
- Addressing implementation challenges is key to leveraging these technologies.
- Strategic deployment can lead to cost savings and improved public health outcomes.
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