/* * Modelling the Population Dynamics of Virus Infected Cells * * Model Status * * This CellML model runs in OpenCell and COR to replicate the * published results (figure 4 - up until the introduction of the * drug, which is not described in this set of equations). The * units have been checked and they are consistent. This particular * CellML model represents model 3 from the published paper. * * Model Structure * * ABSTRACT: BACKGROUND: Structured interruptions of antiretroviral * therapy of HIV-1 infected individuals are currently being tested * in clinical trials to study the effect interruptions have on * the immune responses and control of virus replication. OBJECTIVE: * To investigate the potential risks and benefits of interrupted * therapy using standard population dynamical models of HIV replication * kinetics. METHODS: Standard population dynamical models were * used to study the effect of structured therapy interruptions * on the immune effector cells, the latent cell compartment and * the emergence of drug resistance. CONCLUSIONS: The models suggest * that structured therapy interruption only leads to transient * or sustained virus control if the immune effector cells increase * during therapy. This increase must more than counterbalance * the increase in susceptible target cells induced by therapy. * The risk of inducing drug resistance by therapy interruptions * or the risk of repopulating the pool of latent cells during * drug-free periods may be small if the virus population remains * at levels considerably below baseline. However, if the virus * load increases during drug-free periods to levels similar to * or higher than baseline before therapy, both these risks increase * dramatically. * * The original paper reference is cited below: * * Risks and benefits of structured antiretroviral drug therapy * interruptions in HIV-1 infection, Sebastian Bonhoeffer, Michal * Rembiszewski, Gabriel M. Ortiz, and Douglas F. Nixon, 2000, * AIDS, 14, 2313-2322. PubMed ID: 11089619 * * cell diagram * * [[Image file: bonhoeffer_rembiszewski_ortiz_nixon_2000.png]] * * Schematic diagram of a mathematical model of the interaction * between HIV and the immune system. */ import nsrunit; unit conversion on; unit day=86400 second^1; unit first_order_rate_constant=1.1574074E-5 second^(-1); math main { realDomain time day; time.min=0; extern time.max; extern time.delta; real T(time) dimensionless; when(time=time.min) T=1.0; real s first_order_rate_constant; s=10.0; real dT first_order_rate_constant; dT=0.01; real b first_order_rate_constant; b=0.001; real I(time) dimensionless; when(time=time.min) I=1.0; real p first_order_rate_constant; p=0.05; real dI first_order_rate_constant; dI=0.3; real E(time) dimensionless; when(time=time.min) E=1.0; real c first_order_rate_constant; c=0.3; real dE first_order_rate_constant; dE=0.1; // // T:time=(s-(dT*T+b*T*I)); // I:time=(b*T*I-(dI*I+p*I*E)); // E:time=(c*I-dE*E); // }