Modelling HIV superinfection among men who have sex with men

Superinfection, a phenomenon that an individual infected by one HIVstrain is re-infected by the second heterologous HIV strain, occursin HIV infection. A mathematical model is formulated to examine howsuperinfection affects transmission dynamics of drugsensitive/resistant strains. Three reproduct...

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Main Authors: Xiaodan Sun, Yanni Xiao, Zhihang Peng
Format: Article
Language:English
Published: AIMS Press 2015-09-01
Series:Mathematical Biosciences and Engineering
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Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.171
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author Xiaodan Sun
Yanni Xiao
Zhihang Peng
author_facet Xiaodan Sun
Yanni Xiao
Zhihang Peng
author_sort Xiaodan Sun
collection DOAJ
description Superinfection, a phenomenon that an individual infected by one HIVstrain is re-infected by the second heterologous HIV strain, occursin HIV infection. A mathematical model is formulated to examine howsuperinfection affects transmission dynamics of drugsensitive/resistant strains. Three reproduction numbers are defined:reproduction numbers $R_r$ and $R_s$ for drug-resistant anddrug-sensitive strains, respectively, and the invasion reproductionnumber $R_s^r$. The disease-free equilibrium always exists and islocally stable when the larger of $R_s$ and $R_r$ is less thanone. The drug resistant strain-only equilibrium is locally stable when$R_r>1$ and $R_s^r<1$. Numerical studies show that as thesuperinfection coefficient of the sensitive strain increases thesystem may (1) change to bistable states of disease-free equilibriumand the coexistence state from the stable disease-freeequilibrium under no superinfection; (2) experience the stable resistant-strain onlyequilibrium, the bistable states of resistant-strain onlyequilibrium and the coexistence state, and the stable coexistencestate in turn. This implies that superinfection of the sensitive strain isbeneficial for two strains to coexist. While superinfection ofthe resistant strain makes resistant strain more likely to be sustained.The findings suggest that superinfection induces the complicateddynamics, and brings more difficulties in antiretroviral therapy.
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spelling doaj-art-70c964426f654f92bdc8b5495c62b7f22025-01-24T02:34:05ZengAIMS PressMathematical Biosciences and Engineering1551-00182015-09-0113117119110.3934/mbe.2016.13.171Modelling HIV superinfection among men who have sex with menXiaodan Sun0Yanni Xiao1Zhihang Peng2Department of Applied Mathematics, Xi'an Jiaotong University, Xi'an 710049Department of Applied Mathematics, Xi'an Jiaotong University, Xi'an 710049Department of Epidemiology and Biostatistics, Nanjing Medical University, Nanjing 210029Superinfection, a phenomenon that an individual infected by one HIVstrain is re-infected by the second heterologous HIV strain, occursin HIV infection. A mathematical model is formulated to examine howsuperinfection affects transmission dynamics of drugsensitive/resistant strains. Three reproduction numbers are defined:reproduction numbers $R_r$ and $R_s$ for drug-resistant anddrug-sensitive strains, respectively, and the invasion reproductionnumber $R_s^r$. The disease-free equilibrium always exists and islocally stable when the larger of $R_s$ and $R_r$ is less thanone. The drug resistant strain-only equilibrium is locally stable when$R_r>1$ and $R_s^r<1$. Numerical studies show that as thesuperinfection coefficient of the sensitive strain increases thesystem may (1) change to bistable states of disease-free equilibriumand the coexistence state from the stable disease-freeequilibrium under no superinfection; (2) experience the stable resistant-strain onlyequilibrium, the bistable states of resistant-strain onlyequilibrium and the coexistence state, and the stable coexistencestate in turn. This implies that superinfection of the sensitive strain isbeneficial for two strains to coexist. While superinfection ofthe resistant strain makes resistant strain more likely to be sustained.The findings suggest that superinfection induces the complicateddynamics, and brings more difficulties in antiretroviral therapy.https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.171drug resistancehivmathematical modelmsm.superinfection
spellingShingle Xiaodan Sun
Yanni Xiao
Zhihang Peng
Modelling HIV superinfection among men who have sex with men
Mathematical Biosciences and Engineering
drug resistance
hiv
mathematical model
msm.
superinfection
title Modelling HIV superinfection among men who have sex with men
title_full Modelling HIV superinfection among men who have sex with men
title_fullStr Modelling HIV superinfection among men who have sex with men
title_full_unstemmed Modelling HIV superinfection among men who have sex with men
title_short Modelling HIV superinfection among men who have sex with men
title_sort modelling hiv superinfection among men who have sex with men
topic drug resistance
hiv
mathematical model
msm.
superinfection
url https://www.aimspress.com/article/doi/10.3934/mbe.2016.13.171
work_keys_str_mv AT xiaodansun modellinghivsuperinfectionamongmenwhohavesexwithmen
AT yannixiao modellinghivsuperinfectionamongmenwhohavesexwithmen
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