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异常先天性免疫反应的最佳控制策略。

Optimal control strategy for abnormal innate immune response.

作者信息

Tan Jinying, Zou Xiufen

机构信息

School of Mathematics and Statistics, Wuhan University, Wuhan 430072, China ; College of Science, Huazhong Agricultural University, Wuhan 430070, China.

School of Mathematics and Statistics, Wuhan University, Wuhan 430072, China.

出版信息

Comput Math Methods Med. 2015;2015:386235. doi: 10.1155/2015/386235. Epub 2015 Apr 8.

Abstract

Innate immune response plays an important role in control and clearance of pathogens following viral infection. However, in the majority of virus-infected individuals, the response is insufficient because viruses are known to use different evasion strategies to escape immune response. In this study, we use optimal control theory to investigate how to control the innate immune response. We present an optimal control model based on an ordinary-differential-equation system from a previous study, which investigated the dynamics and regulation of virus-triggered innate immune signaling pathways, and we prove the existence of a solution to the optimal control problem involving antiviral treatment or/and interferon therapy. We conduct numerical experiments to investigate the treatment effects of different control strategies through varying the cost function and control efficiency. The results show that a separate treatment, that is, only inhibiting viral replication (u1(t)) or enhancing interferon activity (u2(t)), has more advantages for controlling viral infection than a mixed treatment, that is, controlling both (u1(t)) and (u2(t)) simultaneously, including the smallest cost and operability. These findings would provide new insight for developing effective strategies for treatment of viral infectious diseases.

摘要

天然免疫反应在病毒感染后病原体的控制和清除中发挥着重要作用。然而,在大多数病毒感染个体中,这种反应并不充分,因为已知病毒会采用不同的逃避策略来逃避免疫反应。在本研究中,我们使用最优控制理论来研究如何控制天然免疫反应。我们基于先前一项研究中的常微分方程系统提出了一个最优控制模型,该研究调查了病毒触发的天然免疫信号通路的动力学和调节,并且我们证明了涉及抗病毒治疗或/和干扰素治疗的最优控制问题存在解。我们通过改变成本函数和控制效率进行数值实验,以研究不同控制策略的治疗效果。结果表明,单独治疗,即仅抑制病毒复制(u1(t))或增强干扰素活性(u2(t)),在控制病毒感染方面比联合治疗,即同时控制两者(u1(t))和(u2(t)),具有更多优势,包括最小的成本和可操作性。这些发现将为开发有效的病毒感染性疾病治疗策略提供新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5a/4407413/b1ca217376d5/CMMM2015-386235.001.jpg

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