Analysis of HIV latent infection model with multiple infection stages and different drug classes

Latently infected CD[Formula: see text] T cells represent one of the major obstacles to HIV eradication even after receiving prolonged highly active anti-retroviral therapy (HAART). Long-term use of HAART causes the emergence of drug-resistant virus which is then involved in HIV transmission. In thi...

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Main Authors: Areej Alshorman, Nidal Al-hosainat, Trachette Jackson
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Journal of Biological Dynamics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17513758.2022.2113828
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author Areej Alshorman
Nidal Al-hosainat
Trachette Jackson
author_facet Areej Alshorman
Nidal Al-hosainat
Trachette Jackson
author_sort Areej Alshorman
collection DOAJ
description Latently infected CD[Formula: see text] T cells represent one of the major obstacles to HIV eradication even after receiving prolonged highly active anti-retroviral therapy (HAART). Long-term use of HAART causes the emergence of drug-resistant virus which is then involved in HIV transmission. In this paper, we develop mathematical HIV models with staged disease progression by incorporating entry inhibitor and latently infected cells. We find that entry inhibitor has the same effect as protease inhibitor on the model dynamics and therefore would benefit HIV patients who developed resistance to many of current anti-HIV medications. Numerical simulations illustrate the theoretical results and show that the virus and latently infected cells reach an infected steady state in the absence of treatment and are eliminated under treatment whereas the model including homeostatic proliferation of latently infected cells maintains the virus at low level during suppressive treatment. Therefore, complete cure of HIV needs complete eradication of latent reservoirs.
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spelling doaj.art-3569a5484713478a8009b7ab919f4aa02022-12-22T03:25:18ZengTaylor & Francis GroupJournal of Biological Dynamics1751-37581751-37662022-12-0116171373210.1080/17513758.2022.2113828Analysis of HIV latent infection model with multiple infection stages and different drug classesAreej Alshorman0Nidal Al-hosainat1Trachette Jackson2Department of Mathematics, University of Michigan, Ann Arbor, MI, USARochester Regional Health/Unity Hospital, Rochester, NY, USADepartment of Mathematics, University of Michigan, Ann Arbor, MI, USALatently infected CD[Formula: see text] T cells represent one of the major obstacles to HIV eradication even after receiving prolonged highly active anti-retroviral therapy (HAART). Long-term use of HAART causes the emergence of drug-resistant virus which is then involved in HIV transmission. In this paper, we develop mathematical HIV models with staged disease progression by incorporating entry inhibitor and latently infected cells. We find that entry inhibitor has the same effect as protease inhibitor on the model dynamics and therefore would benefit HIV patients who developed resistance to many of current anti-HIV medications. Numerical simulations illustrate the theoretical results and show that the virus and latently infected cells reach an infected steady state in the absence of treatment and are eliminated under treatment whereas the model including homeostatic proliferation of latently infected cells maintains the virus at low level during suppressive treatment. Therefore, complete cure of HIV needs complete eradication of latent reservoirs.https://www.tandfonline.com/doi/10.1080/17513758.2022.2113828HIV infection stagesstabilitylatently infected CD T cellshomeostatic proliferation of latently infected cellsentry inhibitors
spellingShingle Areej Alshorman
Nidal Al-hosainat
Trachette Jackson
Analysis of HIV latent infection model with multiple infection stages and different drug classes
Journal of Biological Dynamics
HIV infection stages
stability
latently infected CD T cells
homeostatic proliferation of latently infected cells
entry inhibitors
title Analysis of HIV latent infection model with multiple infection stages and different drug classes
title_full Analysis of HIV latent infection model with multiple infection stages and different drug classes
title_fullStr Analysis of HIV latent infection model with multiple infection stages and different drug classes
title_full_unstemmed Analysis of HIV latent infection model with multiple infection stages and different drug classes
title_short Analysis of HIV latent infection model with multiple infection stages and different drug classes
title_sort analysis of hiv latent infection model with multiple infection stages and different drug classes
topic HIV infection stages
stability
latently infected CD T cells
homeostatic proliferation of latently infected cells
entry inhibitors
url https://www.tandfonline.com/doi/10.1080/17513758.2022.2113828
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