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一项关于艾滋病治疗病例中耐药病毒出现情况的数学研究。

A mathematical study on the drug resistant virus emergence with HIV/AIDS treatment cases.

作者信息

Chang Hyeygjeon

机构信息

School of Electrical Engineering, Kookmin University, Seoul, 136-702, South Korea.

出版信息

Heliyon. 2021 Jan 9;7(1):e05883. doi: 10.1016/j.heliyon.2020.e05883. eCollection 2021 Jan.

Abstract

HIV/AIDS drug treatments, one of which is highly active anti-retroviral ther-apy (HAART), often fail by the emergence of drug resistant virus. In this paper we study a quantitative method to evaluate the chance of resistant virus gen-eration. To this end we develop a mathematical description of the possibility of the emergence of resistant virus species against drug treatments, depend-ing on the trajectories of the state variables of HIV infection dynamic model. By simulation studies of mathematical models we apply the proposed analy-sis method to HIV/AIDS drug therapies, improved gradual dosage reduction (iGDR) and structured treatment interruption (STI). Based on the analysis it can be explained the reason why STI therapy often fails. Moreover it is con-cluded that iGDR is desirable particularly by decreasing the threat of resistant virus emergence.

摘要

艾滋病病毒/艾滋病药物治疗,其中一种是高效抗逆转录病毒疗法(HAART),常常因耐药病毒的出现而失败。在本文中,我们研究了一种定量方法来评估耐药病毒产生的可能性。为此,我们根据艾滋病毒感染动态模型状态变量的轨迹,建立了针对药物治疗出现耐药病毒种类可能性的数学描述。通过数学模型的模拟研究,我们将所提出的分析方法应用于艾滋病病毒/艾滋病药物疗法、改良逐步减量法(iGDR)和结构化治疗中断法(STI)。基于该分析,可以解释结构化治疗中断法治疗常常失败的原因。此外,得出的结论是,改良逐步减量法尤其可取,因为它降低了耐药病毒出现的威胁。

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