Optimal HIV treatment by maximising immune response

被引:178
作者
Culshaw, RV
Ruan, S
Spiteri, RJ
机构
[1] Clarke Coll, Dept Math, Dubuque, IA 52001 USA
[2] Dalhousie Univ, Sch Biomed Engn, Dept Math & Stat, Halifax, NS B3H 3J5, Canada
[3] Univ Miami, Dept Math, Coral Gables, FL 33124 USA
[4] Dalhousie Univ, Fac Comp Sci, Dept Math & Stat, Halifax, NS B3H 3J5, Canada
关键词
HIV; immune response; optimal control; cytotoxic lymphocytes; numerical methods;
D O I
10.1007/s00285-003-0245-3
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
We present an optimal control model of drug treatment of the human immunodeficiency virus (HIV). Our model is based upon ordinary differential equations that describe the interaction between HIV and the specific immune response as measured by levels of natural killer cells. We establish stability results for the model. We approach the treatment problem by posing it as an optimal control problem in which we maximise the benefit based on levels of healthy CD4+ T cells and immune response cells, less the systemic cost of chemotherapy. We completely characterise the optimal control and compute a numerical solution of the optimality system via analytic continuation.
引用
收藏
页码:545 / 562
页数:18
相关论文
共 30 条
[1]   HIV-1 dynamics revisited: biphasic decay by cytotoxic T lymphocyte killing? [J].
Arnaout, RA ;
Nowak, MA ;
Wodarz, D .
PROCEEDINGS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES, 2000, 267 (1450) :1347-1354
[2]  
Ascher U.M., 1988, NUMERICAL SOLUTION B
[3]   COLLOCATION SOFTWARE FOR BOUNDARY-VALUE DIFFERENTIAL-ALGEBRAIC EQUATIONS [J].
ASCHER, UM ;
SPITERI, RJ .
SIAM JOURNAL ON SCIENTIFIC COMPUTING, 1994, 15 (04) :938-952
[4]   CD8(+) lymphocyte responses to antiretroviral therapy of HIV infection [J].
Carr, A ;
Emery, S ;
Kelleher, A ;
Law, M ;
Cooper, DA .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1996, 13 (04) :320-326
[5]   IDENTIFICATION OF RANTES, MIP-1-ALPHA, AND MIP-1-BETA AS THE MAJOR HIV-SUPPRESSIVE FACTORS PRODUCED BY CD8(+) T-CELLS [J].
COCCHI, F ;
DEVICO, AL ;
GARZINODEMO, A ;
ARYA, SK ;
GALLO, RC ;
LUSSO, P .
SCIENCE, 1995, 270 (5243) :1811-1815
[6]  
CULSHAW RV, 2002, THESIS DALHOUSIE U
[7]  
Ermentrout B, 2002, Simulating, Analyzing, and Animating Dynamical Systems: A Guide to XPPAUT for Researchers and Students
[8]  
Fister K., 1998, ELECT J DIFFERENTIAL, V32, P1
[9]  
Fleming WH., 1975, SPRINGER
[10]  
Gray CM, 1999, J IMMUNOL, V162, P1780