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題名 An analysis of functional curability on HIV infection models with Michaelis-Menten-type immune response and its generalization
作者 陳政輝
Chen, Jeng-Huei
貢獻者 應數系
關鍵詞 Virus dynamics; HIV infection; AIDS; functional cure; hepatitis B virus infection.
日期 2017
上傳時間 5-Jun-2017 15:05:41 (UTC+8)
摘要 Let HIV infection be modeled by a dynamical system with a Michaelis-Mente-type immune response. A functional cure refers to driving the system from a stable high-viral-load state to a stable low-viral-load state. This may occur only when at least two stable equilibrium states coexist in the system. This paper analyzes how the number of biologically meaningful equilibrium states varies with system parameters. Meanwhile, it investigates how patients` profiles of immune responses determine their clinical outcomes, with focus on functional curability. The analysis provides a criterion that a functional cure is possible only if the capability of immune stimulation starts to attenuate when the density of infected cells is below a threshold. From treatment viewpoints, such a criterion is crucial because it identifies which patients cannot use a low-viral-load state as a treatment endpoint. The deriving process also provides a method to study functional curability problems with a wider class of immune response functions and functional curability problems of similar virus infections such as chronic hepatitis B virus infection.
關聯 Discrete and Continuous Dynamical Systems - Series B , Pages: 2089 - 2120, Volume 22, Issue 6, August 2017
資料類型 article
DOI http://dx.doi.org/10.3934/dcdsb.2017086
dc.contributor 應數系
dc.creator (作者) 陳政輝zh_TW
dc.creator (作者) Chen, Jeng-Huei
dc.date (日期) 2017
dc.date.accessioned 5-Jun-2017 15:05:41 (UTC+8)-
dc.date.available 5-Jun-2017 15:05:41 (UTC+8)-
dc.date.issued (上傳時間) 5-Jun-2017 15:05:41 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/110193-
dc.description.abstract (摘要) Let HIV infection be modeled by a dynamical system with a Michaelis-Mente-type immune response. A functional cure refers to driving the system from a stable high-viral-load state to a stable low-viral-load state. This may occur only when at least two stable equilibrium states coexist in the system. This paper analyzes how the number of biologically meaningful equilibrium states varies with system parameters. Meanwhile, it investigates how patients` profiles of immune responses determine their clinical outcomes, with focus on functional curability. The analysis provides a criterion that a functional cure is possible only if the capability of immune stimulation starts to attenuate when the density of infected cells is below a threshold. From treatment viewpoints, such a criterion is crucial because it identifies which patients cannot use a low-viral-load state as a treatment endpoint. The deriving process also provides a method to study functional curability problems with a wider class of immune response functions and functional curability problems of similar virus infections such as chronic hepatitis B virus infection.
dc.format.extent 676552 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Discrete and Continuous Dynamical Systems - Series B , Pages: 2089 - 2120, Volume 22, Issue 6, August 2017
dc.subject (關鍵詞) Virus dynamics; HIV infection; AIDS; functional cure; hepatitis B virus infection.
dc.title (題名) An analysis of functional curability on HIV infection models with Michaelis-Menten-type immune response and its generalization
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.3934/dcdsb.2017086
dc.doi.uri (DOI) http://dx.doi.org/10.3934/dcdsb.2017086