Book contents
- Frontmatter
- Contents
- Introduction
- Participants
- Non-Participant Contributors
- Part 1 Transmissible diseases with long development times and vaccination strategies
- Part 2 Dynamics of immunity (development of disease within individuals)
- Evolutionary dynamics of HIV infections
- Statistical models for analysis of longitudinal, CD4 data
- Some mathematical and statistical issues in assessing the evidence for acquired immunity to schistosomiasis
- Virulence and transmissibility in P. falciparum malaria
- Invited Discussion
- Invited Discussion
- Invited Discussion
- Lifespan of human T lymphocytes
- Diversity and virulence thresholds in AIDS
- Statistical analysis of AZT effect on CD4 cell counts in HIV disease
- Modeling progression of HIV infection: staging and the Chicago MACS cohort
- The interpretation of immunoepidemiological data for helminth infections
- The distribution of malaria parasites in the mosquito vector: consequences for assessing infection intensity in the field
- When susceptible and infective human hosts are not equally attractive to mosquitoes: a generalisation of the Ross malaria model
- The dynamics of blood stage malaria: modelling strain specific and strain transcending immunity
- Part 3 Population heterogeneity (mixing)
- Part 4 Consequences of treatment interventions
- Part 5 Prediction
Diversity and virulence thresholds in AIDS
Published online by Cambridge University Press: 04 August 2010
- Frontmatter
- Contents
- Introduction
- Participants
- Non-Participant Contributors
- Part 1 Transmissible diseases with long development times and vaccination strategies
- Part 2 Dynamics of immunity (development of disease within individuals)
- Evolutionary dynamics of HIV infections
- Statistical models for analysis of longitudinal, CD4 data
- Some mathematical and statistical issues in assessing the evidence for acquired immunity to schistosomiasis
- Virulence and transmissibility in P. falciparum malaria
- Invited Discussion
- Invited Discussion
- Invited Discussion
- Lifespan of human T lymphocytes
- Diversity and virulence thresholds in AIDS
- Statistical analysis of AZT effect on CD4 cell counts in HIV disease
- Modeling progression of HIV infection: staging and the Chicago MACS cohort
- The interpretation of immunoepidemiological data for helminth infections
- The distribution of malaria parasites in the mosquito vector: consequences for assessing infection intensity in the field
- When susceptible and infective human hosts are not equally attractive to mosquitoes: a generalisation of the Ross malaria model
- The dynamics of blood stage malaria: modelling strain specific and strain transcending immunity
- Part 3 Population heterogeneity (mixing)
- Part 4 Consequences of treatment interventions
- Part 5 Prediction
Summary
We propose a novel model for the interaction between HIV and the immune system. Two differential equations describe the interactions between one strain of virus and one clone of T-lymphocytes. We employ the model to generalize earlier results on the AIDS diversity threshold (Nowak et al. 1990, Nowak et al. 1991). Virus diversity is implemented in the model by assuming that all virus strains and all T-cell clones are identical. Given this assumption, diversity is represented as a parameter.
First we confirm the earlier results by showing that our model has a diversity threshold corresponding to a saddle-node bifurcation. We derive an analytical expression for the local bifurcation point in terms of the parameters. This shows that the diversity threshold corresponds to a linear combination of the diversity, infectivity, and antigenicity of the virus quasi-species. The mechanism by which an increase in diversity causes AIDS is by increasing the total virus concentration.
Secondly we derive a ‘virulence’ threshold corresponding to a global bifurcation involving the basins of attraction. Here ‘virulence’ is defined as the infectivity and antigenicity of a virus strain. We derive an analytical expression for the global bifurcation point in terms of the parameters. A numerical study of the relation between the diversity and virulence thresholds suggests that the condition for the development of AIDS is a linear combination of diversity and virulence.
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- Information
- Models for Infectious Human DiseasesTheir Structure and Relation to Data, pp. 193Publisher: Cambridge University PressPrint publication year: 1996