Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach

In this study, the treatment of Human Immunodeficiency Virus (HIV) infection is investigated through an optimal structured treatment interruption (STI) schedule of two classes of antiretroviral drugs, mainly, reverse transcriptase inhibitors and protease inhibitors. An STI treatment strategy may be...

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Main Authors: Divya Thakur, Belinda Marchand
Format: Article
Language:English
Published: AIMS Press 2012-09-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2012.9.899
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author Divya Thakur
Belinda Marchand
author_facet Divya Thakur
Belinda Marchand
author_sort Divya Thakur
collection DOAJ
description In this study, the treatment of Human Immunodeficiency Virus (HIV) infection is investigated through an optimal structured treatment interruption (STI) schedule of two classes of antiretroviral drugs, mainly, reverse transcriptase inhibitors and protease inhibitors. An STI treatment strategy may be beneficial in lowering the risk of HIV mutating to drug-resistant strains, and could provide patients with respite from toxic side effects of HAART. A shorter treatment period is considered compared to previous studies and the solution to the HIV STI problem is obtained via the Finite Set Control Transcription (FSCT) formulation. The FSCT formulation offers a unique approach for handling multiple independent decision variables simultaneously, and, as is shown by the results of this study, is well-suited for an effective treatment of the optimal STI problem. The results obtained in the present investigation demonstrate that immune boosting and subsequent natural suppression of the viral load are possible even when a reduced STI therapy treatment duration is in consideration.
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spelling doaj-art-d24fa8d3856f4aba931740ac478472522025-01-24T02:07:06ZengAIMS PressMathematical Biosciences and Engineering1551-00182012-09-019489991410.3934/mbe.2012.9.899Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approachDivya Thakur0Belinda Marchand1Department of Aerospace Engineering and Engineering Mechanics, The University of Texas at Austin, Austin, TX 78712Department of Aerospace Engineering and Engineering Mechanics, The University of Texas at Austin, Austin, TX 78712In this study, the treatment of Human Immunodeficiency Virus (HIV) infection is investigated through an optimal structured treatment interruption (STI) schedule of two classes of antiretroviral drugs, mainly, reverse transcriptase inhibitors and protease inhibitors. An STI treatment strategy may be beneficial in lowering the risk of HIV mutating to drug-resistant strains, and could provide patients with respite from toxic side effects of HAART. A shorter treatment period is considered compared to previous studies and the solution to the HIV STI problem is obtained via the Finite Set Control Transcription (FSCT) formulation. The FSCT formulation offers a unique approach for handling multiple independent decision variables simultaneously, and, as is shown by the results of this study, is well-suited for an effective treatment of the optimal STI problem. The results obtained in the present investigation demonstrate that immune boosting and subsequent natural suppression of the viral load are possible even when a reduced STI therapy treatment duration is in consideration.https://www.aimspress.com/article/doi/10.3934/mbe.2012.9.899hybrid optimal controldrug therapystructured treatment interruption.
spellingShingle Divya Thakur
Belinda Marchand
Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
Mathematical Biosciences and Engineering
hybrid optimal control
drug therapy
structured treatment interruption.
title Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
title_full Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
title_fullStr Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
title_full_unstemmed Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
title_short Hybrid optimal control for HIV multi-drug therapies: A finite set control transcription approach
title_sort hybrid optimal control for hiv multi drug therapies a finite set control transcription approach
topic hybrid optimal control
drug therapy
structured treatment interruption.
url https://www.aimspress.com/article/doi/10.3934/mbe.2012.9.899
work_keys_str_mv AT divyathakur hybridoptimalcontrolforhivmultidrugtherapiesafinitesetcontroltranscriptionapproach
AT belindamarchand hybridoptimalcontrolforhivmultidrugtherapiesafinitesetcontroltranscriptionapproach