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时变药效动力学在简单的非整数 HIV 感染模型中的应用。

Time-varying pharmacodynamics in a simple non-integer HIV infection model.

机构信息

School of Engineering, Polytechnic of Porto, Rua Dr António Bernardino de Almeida, 431, Porto 4249-015, Portugal.

Faculty of Sciences, University of Porto, Rua do Campo Alegre s/n, Porto 4440-452, Portugal.

出版信息

Math Biosci. 2019 Jan;307:1-12. doi: 10.1016/j.mbs.2018.11.001. Epub 2018 Nov 3.

Abstract

In this paper we study the effect of time-varying drug exposure in the dynamics of a fractional order model for the human immunodeficiency virus infection. We compute the reproduction number of the model and verify the stability of the disease-free equilibrium. The model is simulated for parameters directly modelling the pharmacodynamics of HIV, namely the slope of the dose-response curve, the drug's half-life, and the dosing interval. The later affect in a significant way the infection patterns. The order of the fractional derivative is also a key player of the model, adding more information, which could be useful for a deeper understanding of the pharmacodynamics of HIV, necessary for more accurate therapeutic regimens.

摘要

本文研究了时变药物暴露对人类免疫缺陷病毒感染分数阶模型动力学的影响。我们计算了模型的繁殖数,并验证了无病平衡点的稳定性。该模型是针对直接模拟 HIV 药物动力学的参数进行模拟的,即剂量-反应曲线的斜率、药物半衰期和给药间隔。这些因素对感染模式有显著影响。分数阶导数的阶数也是模型的一个关键因素,它提供了更多的信息,这对于深入了解 HIV 的药物动力学是有用的,这对于更准确的治疗方案是必要的。

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