The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth

Chronic HBV affects 350 million people and can lead to death through cirrhosis-inducedliver failure or hepatocellular carcinoma. We analyze the dynamics of a model consideringlogistic hepatocyte growth and a standard incidence function governing viral infection.This model also considers an explicit...

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Main Authors: Steffen Eikenberry, Sarah Hews, John D. Nagy, Yang Kuang
Format: Article
Language:English
Published: AIMS Press 2009-02-01
Series:Mathematical Biosciences and Engineering
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Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2009.6.283
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author Steffen Eikenberry
Sarah Hews
John D. Nagy
Yang Kuang
author_facet Steffen Eikenberry
Sarah Hews
John D. Nagy
Yang Kuang
author_sort Steffen Eikenberry
collection DOAJ
description Chronic HBV affects 350 million people and can lead to death through cirrhosis-inducedliver failure or hepatocellular carcinoma. We analyze the dynamics of a model consideringlogistic hepatocyte growth and a standard incidence function governing viral infection.This model also considers an explicit time delay in virus production. With this modelformulation all model parameters can be estimated from biological data; we also simulatea course of lamivudine therapy and find that the model gives good agreement with clinicaldata. Previous models considering constant hepatocyte growth have permitted only twodynamical possibilities: convergence to a virus free or a chronic steady state. Ourmodel admits a third possibility of sustained oscillations. We show that when thebasic reproductive number is greater than 1 there exists a biologically meaningfulchronic steady state, and the stability of this steady state is dependent upon boththe rate of hepatocyte regeneration and the virulence of the disease. When thechronic steady state is unstable, simulations show the existence of an attractingperiodic orbit. Minimum hepatocyte populations are very small in the periodicorbit, and such a state likely represents acute liver failure. Therefore, theoften sudden onset of liver failure in chronic HBV patients can be explained asa switch in stability caused by the gradual evolution of parameters representingthe disease state.
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spelling doaj-art-8520ae4e60f34eee8a3042dd3f19aa832025-01-24T01:59:06ZengAIMS PressMathematical Biosciences and Engineering1551-00182009-02-016228329910.3934/mbe.2009.6.283The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growthSteffen Eikenberry0Sarah Hews1John D. Nagy2Yang Kuang3Department of Mathematics and Statistics, Arizona State University, Tempe, AZ 85287Department of Mathematics and Statistics, Arizona State University, Tempe, AZ 85287Department of Mathematics and Statistics, Arizona State University, Tempe, AZ 85287Department of Mathematics and Statistics, Arizona State University, Tempe, AZ 85287Chronic HBV affects 350 million people and can lead to death through cirrhosis-inducedliver failure or hepatocellular carcinoma. We analyze the dynamics of a model consideringlogistic hepatocyte growth and a standard incidence function governing viral infection.This model also considers an explicit time delay in virus production. With this modelformulation all model parameters can be estimated from biological data; we also simulatea course of lamivudine therapy and find that the model gives good agreement with clinicaldata. Previous models considering constant hepatocyte growth have permitted only twodynamical possibilities: convergence to a virus free or a chronic steady state. Ourmodel admits a third possibility of sustained oscillations. We show that when thebasic reproductive number is greater than 1 there exists a biologically meaningfulchronic steady state, and the stability of this steady state is dependent upon boththe rate of hepatocyte regeneration and the virulence of the disease. When thechronic steady state is unstable, simulations show the existence of an attractingperiodic orbit. Minimum hepatocyte populations are very small in the periodicorbit, and such a state likely represents acute liver failure. Therefore, theoften sudden onset of liver failure in chronic HBV patients can be explained asa switch in stability caused by the gradual evolution of parameters representingthe disease state.https://www.aimspress.com/article/doi/10.3934/mbe.2009.6.283delayacute liver failure.hbvhepatitis bmathematical model
spellingShingle Steffen Eikenberry
Sarah Hews
John D. Nagy
Yang Kuang
The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
Mathematical Biosciences and Engineering
delay
acute liver failure.
hbv
hepatitis b
mathematical model
title The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
title_full The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
title_fullStr The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
title_full_unstemmed The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
title_short The dynamics of a delay model of hepatitis B virus infection with logistic hepatocyte growth
title_sort dynamics of a delay model of hepatitis b virus infection with logistic hepatocyte growth
topic delay
acute liver failure.
hbv
hepatitis b
mathematical model
url https://www.aimspress.com/article/doi/10.3934/mbe.2009.6.283
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