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A Hybrid Game Theoretical Approach to Control Drug Delivery in HIV Infection

机译:一种混合博弈控制艾滋病毒感染药物递送的理论方法

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HIV (human immunodeficiency virus) infection is fatal because it directly damages human's immune system by infecting CD4+ T cells. Treatment for HIV infection is a complex process that involves interactions among the virus population, the immune system and antiretroviral drugs. However, it is difficult to treat HIV infection because the high mutation rate helps HIV to escape from drug attacks. Therefore, the purpose of this paper is to seek optimal drug dosage strategy that can decrease the side effects of drugs and at the same time control HIV replication from explosion. In this paper, we use Game Theory to describe the interaction among HIV, immune system and drug. Nash Equilibrium is sought to get an equilibrium where both HIV and immune system-drug coalition can benefit most. And due to the high mutation rate of HIV, the population structure keeps changing all the time. Evolutionary Game is used among the different quasispecies of HIV population. Therefore, we use a hybrid game theory, i.e. to combine evolutionary game played by different quasispecies of HIV with conventional game played by immune system-drug coalition and the HIV population as a whole. The dosage of drug is calculated when both Evolutionary Stable Strategy (ESS) and Nash Equilibrium (NE) is satisfied. At this dosage, the drug can keep the HIV from explosively mutating into dangerous drug resistant ones while the population of CD4+ T cells remains at a proper level. This brings a new drug therapy during HIV infection to prolong the life of patient.
机译:HIV(人类免疫缺陷病毒)感染是致命的,因为它通过感染CD4 + T细胞直接损害人类的免疫系统。艾滋病毒感染的治疗是一种复杂的方法,涉及病毒群体之间的相互作用,免疫系统和抗逆转录病毒药物。然而,难以治疗HIV感染,因为高突变率有助于艾滋病毒逃离药物攻击。因此,本文的目的是寻求最佳的药物剂量策略,可以降低药物的副作用,同时控制艾滋病毒杂志爆炸。在本文中,我们使用博弈论描述艾滋病毒,免疫系统和药物之间的相互作用。纳什均衡被寻求获得均衡,艾滋病毒和免疫系统 - 药物联盟可以受益。并且由于HIV的高突变率,人口结构一直保持不断变化。进化游戏在艾滋病毒人群的不同Quasispies中使用。因此,我们使用混合博弈论,即结合与免疫系统 - 药物联盟和整个艾滋病毒群众的常规游戏与传统游戏一起使用的艾滋病毒的进化游戏。当满足进化稳定策略(ESS)和纳什平衡(NE)时,计算药物的剂量。在这种剂量下,该药物可以使艾滋病毒保持危险毒性抗毒性抗毒性抗毒性,而CD4 + T细胞的群体保持在适当水平。这为艾滋病毒感染期间带来了一种新的药物治疗,延长了患者的生命。

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