Eradication Conditions of Infected Cell Populations in the 7-Order HIV Model with Viral Mutations and Related Results

Abstract

In this paper, we study possibilities of eradication of populations at an early stage of a patient’s infection in the framework of the seven-order Stengel model with 11 model parameters and four treatment parameters describing the interactions of wild-type and mutant HIV particles with various immune cells. We compute ultimate upper bounds for all model variables that define a polytope containing the attracting set. The theoretical possibility of eradicating HIV-infected populations has been investigated in the case of a therapy aimed only at eliminating wild-type HIV particles. Eradication conditions are expressed via algebraic inequalities imposed on parameters. Under these conditions, the concentrations of wild-type HIV particles, mutant HIV particles, and infected cells asymptotically tend to zero with increasing time. Our study covers the scope of acceptable therapies with constant concentrations and values of model parameters where eradication of infected particles/cells populations is observed. Sets of parameter values for which Stengel performed his research do not satisfy our local asymptotic stability conditions. Therefore, our exploration develops the Stengel results where he investigated using the optimal control theory and numerical dynamics of his model and came to a negative health prognosis for a patient. The biological interpretation of these results is that after a sufficiently long time, the concentrations of wild-type and mutant HIV particles, as well as infected cells will be maintained at a sufficiently low level, which means that the viral load and the concentration of infected cells will be minimized. Thus, our study theoretically confirms the possibility of efficient treatment beginning at the earliest stage of infection. Our approach is based on a combination of the localization method of compact invariant sets and the LaSalle theorem.