Vemparala Bharadwaj, Chowdhury Shreya, Guedj Jérémie, Dixit Narendra M
Department of Chemical Engineering, Indian Institute of Science, Bengaluru, India.
Université Paris Cité, IAME, INSERM, F-75018, Paris, France.
NPJ Syst Biol Appl. 2024 Aug 8;10(1):84. doi: 10.1038/s41540-024-00407-8.
Remarkable advances are being made in developing interventions for eliciting long-term remission of HIV-1 infection. The success of these interventions will obviate the need for lifelong antiretroviral therapy, the current standard-of-care, and benefit the millions living today with HIV-1. Mathematical modelling has made significant contributions to these efforts. It has helped elucidate the possible mechanistic origins of natural and post-treatment control, deduced potential pathways of the loss of such control, quantified the effects of interventions, and developed frameworks for their rational optimization. Yet, several important questions remain, posing challenges to the translation of these promising interventions. Here, we survey the recent advances in the mathematical modelling of HIV-1 control and remission, highlight their contributions, and discuss potential avenues for future developments.
在开发促使HIV-1感染长期缓解的干预措施方面正取得显著进展。这些干预措施若取得成功,将不再需要目前作为标准治疗方法的终身抗逆转录病毒疗法,并使数百万现今感染HIV-1的人受益。数学建模为这些努力做出了重大贡献。它有助于阐明自然控制和治疗后控制的可能机制起源,推断这种控制丧失的潜在途径,量化干预措施的效果,并开发合理优化这些措施的框架。然而,仍有几个重要问题存在,给这些有前景的干预措施的转化带来了挑战。在此,我们综述了HIV-1控制和缓解数学建模的最新进展,强调了它们的贡献,并讨论了未来发展的潜在途径。