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类风湿关节炎的数学模型分析。

Analysis of a mathematical model of rheumatoid arthritis.

机构信息

Department of Mathematics, Ohio State University, Columbus, OH, 43210, USA.

出版信息

J Math Biol. 2020 May;80(6):1857-1883. doi: 10.1007/s00285-020-01482-1. Epub 2020 Mar 5.

Abstract

Rheumatoid arthritis is an autoimmune disease characterized by inflammation in the synovial fluid within the synovial joint connecting two contiguous bony surfaces. The inflammation diffuses into the cartilage adjacent to each of the bony surfaces, resulting in their gradual destruction. The interface between the cartilage and the synovial fluid is an evolving free boundary. In this paper we consider a two-phase free boundary problem based on a simplified model of rheumatoid arthritis. We prove global existence and uniqueness of a solution, and derive properties of the free boundary. In particular it is proved that the free boundary increases in time, and the cartilage shrinks to zero as [Formula: see text], even under treatment by a drug. It is also shown in the reduced one-phased problem, with cartilage alone, that a larger prescribed inflammation function leads to a faster destruction of the cartilage.

摘要

类风湿性关节炎是一种自身免疫性疾病,其特征是连接两个相邻骨面的滑膜关节内的滑膜液发炎。炎症扩散到每个骨面相邻的软骨,导致其逐渐破坏。软骨和滑膜液之间的界面是一个不断演变的自由边界。本文基于类风湿性关节炎的简化模型,考虑了一个两相自由边界问题。我们证明了一个解的整体存在性和唯一性,并推导了自由边界的性质。特别是,证明了自由边界随时间增加,软骨在[Formula: see text]时收缩到零,即使在药物治疗下也是如此。在仅有软骨的简化单相问题中也表明,更大的规定炎症函数会导致软骨更快地破坏。

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