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The "shock and kill" strategy is being widely explored to purge Human Immunodeficiency Virus (HIV) latent reservoirs. Romidepsin, a kind of latency-reversing agents (LRAs), has been shown to induce HIV RNA transcription. However, several clinical trials testing this drug have resulted in limited effect in reducing the HIV latent reservoirs. To understand the mechanisms underlying such limited effect, we develop a multi-scale model that incorporates pharmacokinetics and considers the toxicity of romidepsin to T cells in this paper. By fitting the model to the viral load data from plasma of six patients received romidepsin, we find that the model with T cell toxicity of romidepsin can well explain the clinical data. The dynamics of latently infected cells during romidepsin administration are explored using the best-fit parameter values. The results show that latently infected cells decrease very slowly and remain very stable overall in four of the six participants under the assumption of T cell toxicity of romidepsin. This implies that the ineffectiveness of romidepsin on latent reservoirs can be explained by its toxicity to T cells. In the remaining two participants, however, latently infected cells are quite stable without T cell toxicity of LRAs. It is found that the estimated activation rate of latently infected cells by romidepsin and the estimated elimination rate of romidepsin on immune cells for these two patients are very different from those for the other four patients. Thus we speculate that the heterogeneous response to romidepsin across participants may also be a determining factor of the effectiveness of romidepsin. These results may have significant implications in the search for the control of HIV infection. • An HIV model is proposed to understand the cause of ineffectiveness of romidepsin in the "shock and kill" strategy. • The model has a good fit to patients' data when T cell toxicity of romidepsin is considered. • The toxicity of romidepsin to T cell may contribute to the ineffectiveness of "shock and kill" strategy concerning romidepsin. [ABSTRACT FROM AUTHOR]

Mathematical modeling of biological systems is an interesting research topic that attracted the attention of many researchers. One of the main goals in this area is the design of mathematical models that more accurately illustrate the characteristics of the real-world phenomena. Among the existing research projects, modeling of immune systems has given a growing attention due to its natural capabilities in identifying and destroying abnormal cells. The main objective of this paper is to investigate the pathological behavior of HIV-infection using a new model in fractional calculus. The proposed model is examined through three different operators of fractional derivatives. An efficient numerical method is also presented to solve these fractional models effectively. In fact, we believe that the new models presented on the basis of these three operators show various asymptomatic behaviors that do not appear during the modeling with the integer-order derivatives. Therefore, the fractional calculus provides more precise models of biological systems that help us to make more realistic judgments about their complex dynamics. Finally, simulations results are provided to confirm the theoretical analysis. [ABSTRACT FROM AUTHOR]

• A reaction-diffusion fractional-order model for M1 oncolytic virotherapy with CTL immune response is presented. • Threshold parameters and equilibria are determined. • Stability analysis are rigorously established. • Numerical simulations are given to illustrate the analytical results. Despite many years of research, cancer continues to be a major worldwide concern. Several researchers proposed their mathematical models to understand and describe the dynamics of tumor cells under some cancer treatments. In this paper, we present a fractional partial differential equation system to describe the dynamics in space and time of the concentration of normal cells, tumor cells, nutrient, M1 virus, and cytotoxic T lymphocytes (CTL) cells, as well as the interaction between them. We study and analyze the equilibrium points of the presented system. The global stability of these equilibrium points is proved by constructing adequate Lyapunov functional for each equilibrium point. Furthermore, we give some numerical simulations to illustrate our results. [ABSTRACT FROM AUTHOR]

• Obtain threshold values and formulas of the Hopf bifurcation. • Show the interesting chaotic attractors and the periodic oscillation. • Use bifurcation theory to explain the chaotic attractor formation. • Obtain the biomedical significance corresponding to model dynamics. In this paper, a tumor and Lymphatic immune system interaction model with two time delays is discussed in which the delays describe the proliferation of tumor cells and the transmission from immature T lymphocytes to mature T lymphocytes respectively. Conditions for the asymptotic stability of the equilibrium and the existence of Hopf bifurcations are obtained by analyzing the roots of a characteristic equation. The computing formulas for the stability and the direction of the Hopf bifurcating periodic solutions are given. Numerical simulation show that different values of time delays can generate different behaviors, including the stable-state, the periodic oscillation and the chaotic attractors, as well as the coexistence of two periodic oscillations. These theoretical and numerical results not only can be useful for explaining the occurrence of chaotic attractors, but also can help for understanding the biomedical significance corresponding to the interaction dynamics of tumor cells and T lymphocytes. [ABSTRACT FROM AUTHOR]

• A mathematical model of the interactions between Th1 and Th2 cells with Treg cell inhibition and stochastic effects is developed. • Sufficient conditions for different asymptotic phases of Th1 and Th2 responses under the Treg cell regulation are obtained. • Numerical simulations are performed to identify the basins of attraction of different steady states and illustrate different dynamical scenarios. • The effect of stochastic effect under the Treg cell regulation is discussed. • The switching probability and the mean residence time are applied to study the effect of noise. T cells differentiate into Th1 or Th2 cells upon maturation to influence different patterns of the immune response. Th1 and Th2 cells regulate each other and their responses are inhibited by Treg cells. With noisy external stimulation, Th1/Th2 cell differentiation can be dynamically balanced. The underlying mechanisms of Th cell differentiation under Treg cell inhibition and the extrinsic noise effects are not yet completely understood. In this paper, a mathematical model of the interactions between Th1 and Th2 cells with Treg cell inhibition and stochastic effects is developed to study the preference of outcomes and the noise-induced hopping among different states. First, we provide the conditions for different asymptotic phases of Th1 and Th2 responses under Treg cell regulation. Numerical simulations are applied to calculate the switching probability and the mean residence time to study how the noise affects the attractiveness of different states. Our results support that due to the stronger inhibitory effect of Treg cells on Th1 cell development, the high-Th2-low-Th1 state is more attractive under small noise effects. Additionally, we show that the attractiveness of the states is affected mainly by the extrinsic noise in Th2 cell signaling. [ABSTRACT FROM AUTHOR]

In this paper, we formulate the intricate process of Human Immunodeficiency Virus (HIV) infection in a mathematical model. In the formulation of the model, the density of CD 4 + T-cells is categorized into healthy and infected classes while the density of free HIV viruses in the human host's blood is considered a separate class. It is reported that when HIV enters a human's body, it infects a large amount of CD 4 + T-cells and unbalance the supply of new cells from the thymus. Therefore, we incorporate variable source term relying on the viral load for the supply of new cells instead of using a fixed value for the supply of these cells. We implement a continuous Galerkin Petrov time discretization scheme, particularly cGP(2)-scheme to visualize the dynamical behavior of the mentioned model and a detailed description of the effects of different physical parameters of interest are depicts graphically and discuss that how the level of healthy, infected CD 4 + T-cells and free HIV particles varies concerning the emerging parameters in the model. In the proposed cGP(2)-method, two unknowns terms can be found by solving a 2 × 2 block system. This method is accurate of order 3 in the whole time interval and shows even superconvergence of order 4 in the discrete-time points. Furthermore, determine the solution of the model utilizing the fourth-order Runge-Kutta (RK4)-method and find out the absolute errors between the solutions obtained from both approaches. Finally, the validity and reliability of the proposed scheme are verified by comparing the numerical and graphical results with the RK-4 method. We examine the accuracy of the cGP(2)-sheme and observe that it produces more accurate results at relatively larger step sizes as in comparison to RK-4 scheme. Correspondence between the findings of cGP(2)-method and RK4-method reveal that the new technique is a promising tool for obtaining approximate solutions to the nonlinear systems of real-world problems. [ABSTRACT FROM AUTHOR]

This paper proposes and analyzes an adaptive immunity HIV infection model. The model describes the interaction between healthy CD 4 + T cells, silent (latent) infected cells, active infected cells, free HIV particles, Cytotoxic T lymphocytes (CTLs) and antibodies. The healthy CD 4 + T cells can be infected when they are contacted by one of the following: (i) free HIV particles, and this is known as virus-to-cell (VTC) transmission (ii) silent infected cells, and we call this mode of infection as silent HIV-infected cell-to-cell (CTC) transmission, and (iii) active infected cells, and we call this mechanism active HIV-infected CTC transmission. The incidence rates of the healthy CD 4 + T cells with free HIV particles, silent infected cells, and active infected cells are given by general functions. Moreover, the production/proliferation and removal/death rates of all compartments are represented by general functions. The model is an improvement of the existing HIV infection models which have neglected the incidence between the silent infected cells and healthy CD 4 + T cells. We first show that the model is well-posed. Then, we show that the model has five equilibria and their existence are governed by five threshold parameters. Under a set of conditions on the general functions and the threshold parameters, we have proven the global asymptotic stability of all equilibria by using Lyapunov's method. We have illustrated the theoretical results via numerical simulations. We have studied the effect of CTC transmission on the dynamical behavior of the system. We have shown that inclusion of CTC transmission decreases the concentration of the healthy CD4 + T cells and increases the concentrations of the infected cells and free HIV particles. [ABSTRACT FROM AUTHOR]