A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection

The COVID-19 pandemic has underscored the importance of understanding the interplay between the cardiovascular and immune systems during viral infections. SARS-CoV-2 enters human cells via the ACE-2 enzyme, initiating a cascade of immune responses. This study presents a coupled mathematical model th...

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Main Authors: Camila Ribeiro Passos, Alexandre Altamir Moreira, Ruy Freitas Reis, Rodrigo Weber dos Santos, Marcelo Lobosco, Bernardo Martins Rocha
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:BioTech
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Online Access:https://www.mdpi.com/2673-6284/14/1/19
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author Camila Ribeiro Passos
Alexandre Altamir Moreira
Ruy Freitas Reis
Rodrigo Weber dos Santos
Marcelo Lobosco
Bernardo Martins Rocha
author_facet Camila Ribeiro Passos
Alexandre Altamir Moreira
Ruy Freitas Reis
Rodrigo Weber dos Santos
Marcelo Lobosco
Bernardo Martins Rocha
author_sort Camila Ribeiro Passos
collection DOAJ
description The COVID-19 pandemic has underscored the importance of understanding the interplay between the cardiovascular and immune systems during viral infections. SARS-CoV-2 enters human cells via the ACE-2 enzyme, initiating a cascade of immune responses. This study presents a coupled mathematical model that integrates the cardiovascular system (CVS) and immune system (IS), capturing their complex interactions during infection. The CVS model, based on ordinary differential equations, describes heart dynamics and pulmonary and systemic circulation, while the IS model simulates immune responses to SARS-CoV-2, including immune cell interactions and cytokine production. A coupling strategy transfers information from the IS to the CVS at specific intervals, enabling the exploration of immune-driven cardiovascular effects. Numerical simulations examined how these interactions influence infection severity and recovery. The coupled model accurately replicated the evolution of cardiac function in survivors and non-survivors of COVID-19. Survivors exhibited a left ventricular ejection fraction (LVEF) reduction of up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>25</mn><mo>%</mo></mrow></semantics></math></inline-formula> while remaining within normal limits, whereas non-survivors showed a severe 4-fold decline, indicative of myocardial dysfunction. Similarly, the right ventricular ejection fraction (RV EF) decreased by approximately <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>50</mn><mo>%</mo></mrow></semantics></math></inline-formula> in survivors but underwent a drastic 5-fold reduction in non-survivors. These findings highlight the model’s capacity to distinguish differential cardiac dysfunction across clinical outcomes and its potential to enhance our understanding of COVID-19 pathophysiology.
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spelling doaj-art-1d0ce99f4fe74becbc308bd74421f2772025-08-20T03:43:33ZengMDPI AGBioTech2673-62842025-03-011411910.3390/biotech14010019A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 InfectionCamila Ribeiro Passos0Alexandre Altamir Moreira1Ruy Freitas Reis2Rodrigo Weber dos Santos3Marcelo Lobosco4Bernardo Martins Rocha5Computational Engineering, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilMechanical Engineering, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilGraduate Program in Computational Modeling, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilGraduate Program in Computational Modeling, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilGraduate Program in Computational Modeling, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilGraduate Program in Computational Modeling, Federal University of Juiz de Fora, Juiz de Fora 36036-900, BrazilThe COVID-19 pandemic has underscored the importance of understanding the interplay between the cardiovascular and immune systems during viral infections. SARS-CoV-2 enters human cells via the ACE-2 enzyme, initiating a cascade of immune responses. This study presents a coupled mathematical model that integrates the cardiovascular system (CVS) and immune system (IS), capturing their complex interactions during infection. The CVS model, based on ordinary differential equations, describes heart dynamics and pulmonary and systemic circulation, while the IS model simulates immune responses to SARS-CoV-2, including immune cell interactions and cytokine production. A coupling strategy transfers information from the IS to the CVS at specific intervals, enabling the exploration of immune-driven cardiovascular effects. Numerical simulations examined how these interactions influence infection severity and recovery. The coupled model accurately replicated the evolution of cardiac function in survivors and non-survivors of COVID-19. Survivors exhibited a left ventricular ejection fraction (LVEF) reduction of up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>25</mn><mo>%</mo></mrow></semantics></math></inline-formula> while remaining within normal limits, whereas non-survivors showed a severe 4-fold decline, indicative of myocardial dysfunction. Similarly, the right ventricular ejection fraction (RV EF) decreased by approximately <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>50</mn><mo>%</mo></mrow></semantics></math></inline-formula> in survivors but underwent a drastic 5-fold reduction in non-survivors. These findings highlight the model’s capacity to distinguish differential cardiac dysfunction across clinical outcomes and its potential to enhance our understanding of COVID-19 pathophysiology.https://www.mdpi.com/2673-6284/14/1/19COVID-19viral infectioncardiovascular systemimmune systemmathematical models
spellingShingle Camila Ribeiro Passos
Alexandre Altamir Moreira
Ruy Freitas Reis
Rodrigo Weber dos Santos
Marcelo Lobosco
Bernardo Martins Rocha
A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
BioTech
COVID-19
viral infection
cardiovascular system
immune system
mathematical models
title A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
title_full A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
title_fullStr A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
title_full_unstemmed A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
title_short A Coupled Model of the Cardiovascular and Immune Systems to Analyze the Effects of COVID-19 Infection
title_sort coupled model of the cardiovascular and immune systems to analyze the effects of covid 19 infection
topic COVID-19
viral infection
cardiovascular system
immune system
mathematical models
url https://www.mdpi.com/2673-6284/14/1/19
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