scholarly journals Optimal control of an HIV model with CTL cells and latently infected cells

2020 ◽  
Vol 10 (2) ◽  
pp. 207-225 ◽  
Author(s):  
Jaouad Danane ◽  
◽  
Karam Allali
2021 ◽  
Vol 7 (2) ◽  
pp. 2456-2478
Author(s):  
Xin Jiang ◽  

<abstract><p>In this paper, a general HIV model incorporating intracellular time delay is investigated. Taking the latent virus infection, both virus-to-cell and cell-to-cell transmissions into consideration, the model exhibits threshold dynamics with respect to the basic reproduction number $ \mathfrak{R}_0 $. If $ \mathfrak{R}_0 &lt; 1 $, then there exists a unique infection-free equilibrium $ E_0 $, which is globally asymptotically stable. If $ \mathfrak{R}_0 &gt; 1 $, then there exists $ E_0 $ and a globally asymptotically stable infected equilibrium $ E^* $. When $ \mathfrak{R}_0 = 1 $, $ E_0 $ is linearly neutrally stable and a forward bifurcation takes place without time delay around $ \mathfrak{R}_0 = 1 $. The theoretical results and corresponding numerical simulations show that the existence of latently infected cells and the intracellular time delay have vital effect on the global dynamics of the general virus model.</p></abstract>


2020 ◽  
Vol 34 (11) ◽  
pp. 2050100
Author(s):  
David Yaro ◽  
Aly R. Seadawy ◽  
Dianchen Lu

Mathematical modeling plays a crucial role in understanding the dynamics of Human immunodeficiency virus (HIV) disease. Most models deal with the vertical and horizontal spread of disease, but few studies have focused on the evolutionary dynamics of HIV at the cellular level. In this paper, we present an HIV model to analyze the dynamics of HIV infection at the cellular level to produce more natural results. We present a detailed stability analysis of disease-free and viral-persistence equilibrium in the system. In addition, sensitivity analysis and optimal control strategies are used to analyze the role of antiretroviral drug therapy and dietary supplements in controlling the concentration of infected cells and viruses.


2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Karam Allali ◽  
Sanaa Harroudi ◽  
Delfim F. M. Torres

<p style='text-indent:20px;'>We propose and study a new mathematical model of the human immunodeficiency virus (HIV). The main novelty is to consider that the antibody growth depends not only on the virus and on the antibodies concentration but also on the uninfected cells concentration. The model consists of five nonlinear differential equations describing the evolution of the uninfected cells, the infected ones, the free viruses, and the adaptive immunity. The adaptive immune response is represented by the cytotoxic T-lymphocytes (CTL) cells and the antibodies with the growth function supposed to be trilinear. The model includes two kinds of treatments. The objective of the first one is to reduce the number of infected cells, while the aim of the second is to block free viruses. Firstly, the positivity and the boundedness of solutions are established. After that, the local stability of the disease free steady state and the infection steady states are characterized. Next, an optimal control problem is posed and investigated. Finally, numerical simulations are performed in order to show the behavior of solutions and the effectiveness of the two incorporated treatments via an efficient optimal control strategy.</p>


2016 ◽  
Vol 11 (sup1) ◽  
pp. 192-215 ◽  
Author(s):  
Areej Alshorman ◽  
Chathuri Samarasinghe ◽  
Wenlian Lu ◽  
Libin Rong

2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Hasifa Nampala ◽  
Matylda Jablonska-Sabuka ◽  
Martin Singull

The biggest challenge of treating HIV is rampant liver-related morbidity and mortality. This is, to some extent, attributed to hepatocytes acting as viral reservoirs to both HIV and HBV. Viral reservoirs harbour latent provirus, rendering it inaccessible by combinational antiretroviral therapy (cART) that is specific to actively proliferating virus. Latency reversal agents (LRA) such as Shock and kill or lock and block, aiming at activating the latently infected cells, have been developed. However, they are CD4+ cell-specific only. There is evidence that the low replication level of HIV in hepatocytes is mainly due to the latency of the provirus in these cells. LRA are developed to reduce the number of latently infected cells; however, the impact of the period viral latency in hepatocytes especially, during HIV/HBV coinfection, needs to be investigated. Viral coinfection coupled with lifelong treatment of HIV/HBV necessitates investigation for the optimal control strategy. We propose a coinfection mathematical model with delay and use optimal control theory to analyse the effect of viral latency in hepatocytes on the dynamics of HIV/HBV coinfection. Analytical results indicate that HBV cannot take a competitive exclusion against HIV; thus, the coinfection endemic equilibrium implies chronic HBV in HIV-infected patients. Numerical and analytical results indicate that both HIV and HBV viral loads are higher with longer viral latency period in hepatocytes, which indicates the need to upgrade LRA to other non-CD4+ cell viral reservoirs. Higher viral load caused by viral latency coupled with the effects of cART partly explains why liver-related complications are the leading cause of mortality in HIV-infected persons.


Cells ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1798
Author(s):  
Grant R. Campbell ◽  
Stephen A. Spector

Effective antiretroviral therapy has led to significant human immunodeficiency virus type 1 (HIV-1) suppression and improvement in immune function. However, the persistence of integrated proviral DNA in latently infected reservoir cells, which drive viral rebound post-interruption of antiretroviral therapy, remains the major roadblock to a cure. Therefore, the targeted elimination or permanent silencing of this latently infected reservoir is a major focus of HIV-1 research. The most studied approach in the development of a cure is the activation of HIV-1 expression to expose latently infected cells for immune clearance while inducing HIV-1 cytotoxicity—the “kick and kill” approach. However, the complex and highly heterogeneous nature of the latent reservoir, combined with the failure of clinical trials to reduce the reservoir size casts doubt on the feasibility of this approach. This concern that total elimination of HIV-1 from the body may not be possible has led to increased emphasis on a “functional cure” where the virus remains but is unable to reactivate which presents the challenge of permanently silencing transcription of HIV-1 for prolonged drug-free remission—a “block and lock” approach. In this review, we discuss the interaction of HIV-1 and autophagy, and the exploitation of autophagy to kill selectively HIV-1 latently infected cells as part of a cure strategy. The cure strategy proposed has the advantage of significantly decreasing the size of the HIV-1 reservoir that can contribute to a functional cure and when optimised has the potential to eradicate completely HIV-1.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Timo W. M. De Groof ◽  
Elizabeth G. Elder ◽  
Eleanor Y. Lim ◽  
Raimond Heukers ◽  
Nick D. Bergkamp ◽  
...  

AbstractLatent human cytomegalovirus (HCMV) infection is characterized by limited gene expression, making latent HCMV infections refractory to current treatments targeting viral replication. However, reactivation of latent HCMV in immunosuppressed solid organ and stem cell transplant patients often results in morbidity. Here, we report the killing of latently infected cells via a virus-specific nanobody (VUN100bv) that partially inhibits signaling of the viral receptor US28. VUN100bv reactivates immediate early gene expression in latently infected cells without inducing virus production. This allows recognition and killing of latently infected monocytes by autologous cytotoxic T lymphocytes from HCMV-seropositive individuals, which could serve as a therapy to reduce the HCMV latent reservoir of transplant patients.


2019 ◽  
Vol 260 ◽  
pp. 86-93 ◽  
Author(s):  
Mika Okamoto ◽  
Akemi Hidaka ◽  
Masaaki Toyama ◽  
Masanori Baba

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