• Title/Summary/Keyword: Non-progressor

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Treatment to induce long-term non-progressor with constant drug dosage (일정한 약물 투여를 통한 HIV 환자의 long-term non-progressor 전환 치료)

  • Kim, Jin-Young;Kim, Won-Hee;Ko, Ji-Hyun;Chung, Chung-Choo
    • Proceedings of the KIEE Conference
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    • 2004.07d
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    • pp.2233-2235
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    • 2004
  • This paper presents a therapy that uses a constant drug dosage for leading a HIV patient to a LTNP (Long-Tenn Non-Progressor). From analysis of CTLp (Cytotoxic T Lymphocyte precursor) concentration at equilibrium point and bifurcation of equilibrium points, we found the therapy with a drug whose efficacy is less than one brings higher CTLp concentration at the equilibrium point. From this fact, we propose a treatment with constant drug dosage. which can induce LTNP.

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Treatment for HIV-Infected Patients to Induce Long-Term Non-Progressor with Constant Drug Dosage (일정한 약물 투여를 통한 HIV 감염자의 long-term Non-Progressor 전환 치료)

  • Kim Jinyoung;Kim Won Hee;Ko Ji Hyun;Chung Han Byul;Chung Chung Choo
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.54 no.4
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    • pp.259-266
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    • 2005
  • This paper presents a therapy that uses a constant drug dosage for leading HIV-infected patient to LTNP (Long-Term Non-Progressor). Based on analysis of CTLp (Cytotoxic T Lymphocyte precursor) concentration at equilibrium point and its bifurcation, we found the therapy with a drug whose efficacy is less than a certain level brings higher CTLp concentration at the equilibrium point. We observed a treatment with constant drug dosage whose efficacy is less than full treatment may lead HIV-infected patient to LTNP. It turns out that the treatment whose efficacy is less than full treatment is better in the point of performance on controllability.

Gradual Reduction of Drug Dosage on an HIV Infection Model with Helper-independent CTL (보조세포 비의존형 CTL 반응이 고려된 HIV 감염 모형에 대한 점진적 약물 감소 기법의 적용)

  • Chang Hyeygjeon;Jo Nam Hoon;Shim Hyungbo
    • Journal of Institute of Control, Robotics and Systems
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    • v.10 no.12
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    • pp.1148-1154
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    • 2004
  • The goal of this paper is to verity that the gradual reduction of drug dose (GRDD), which has already been shown by authors to be effective for a simplified HIV infection model, still works for a more realistic model. While the simplified HIV infection model does not take into account an helper-independent CTL, the five state nonlinear model proposed by Wodarz describes the dynamics of both helper-dependent and helper-independent CTL in HIV infection. In this paper, it is shown that, by applying GRDD to Wodarz's five state HIV infection model, the state of HIV infected patient converges to that of non-progressor whose immune response is excited so that his symptom would not be developed into AIDS. Roughly speaking, GRDD is 'slow reduction of dose after the maximum dose for a certain period.' It turns out that an equilibrium representing non-progressor is locally asymptotically stable for the most values of drug dosage, which is required to hold in order to apply GRDD. Simulation results establish that GRDD is still considerably effective both for an AIDS patient and a patient who has been on HAART for a long time.

NvBAT Treatment for AIDS Patients: The Superiority of PI Over RTI (AIDS환자 치료를 위한 NvBAT 치료기법: RTI에 대한 PI의 우수성)

  • Jo, Nam-Hoon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.10
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    • pp.1836-1843
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    • 2007
  • In this paper, we study the NvBAT treatment for AIDS patients that is combined with PI rather than RTI, while the Previous results have been focused on the NvBAT in conjuction with RTI. To this end, we obtain a bifurcation diagram which shows a change in the equilibrium points, and in their stability properties as the PI drug effect is varied. Based on the bifurcation diagram, we show that the NvBAT can be combined with drug PI for the treatment of AIDS patients. Various computer simulation results are included, which show the superiority of the NvBAT with PI over that with RTI. Accordition to simulation result, the NvBAT combined with PI is able to keep virus load level lower than that combined with RTI, which is crucial to avoid the emergence of drug-resistant mutants. Moreover, it is shown that, for some AIDS patients, NvBAT with RTI cannot make patients into long term non-progressor, while NvBAT with PI can.

Biological Characterization of HIV-1 Isolates from Long-term non-progressors (LTNP) and Rapid Progressors (RP) in Korea

  • Nam, Jeong-Gu;Kang, Chun;Lee, Sung-Rae;Lee, Joo-Shil
    • The Journal of Korean Society of Virology
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    • v.28 no.4
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    • pp.347-358
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    • 1998
  • To analyze the correlation between biological phenotypes of HIV-1 isolates and disease progression, we selected 9 long-term non-progressors (LTNP) and 12 rapid progressors (RP) from HIV-1 infected Korean. We isolated HIV-1 isolates by culture of PBMC of LTNP and RP with normal PBMC and measured HIV-1 p24 antigen production. The HIV-1 isolation rate from LTNP was 55.6% (5/9). And 4 HIV-1 LTNP isolates were non-syncytium inducing (NSI) phenotype and showed slow/low replication. The HIV-1 isolation rate from RP was 91.7% (11/12) which was higher than that from LTNP. Besides 3 RP HIV-1 isolates which showed syncytium inducing (SI) phenotype, 8 RP HIV-1 isolates showed NSI phenotype in normal PBMC and MT-2 cell line. All RP HIV-1 isolates replicated more rapidly than LTNP HIV-1 isolates. Comparing the replication kinetics and syncytium forming capacity of HIV-1 isolates from LTNP and RP, we suggest that the difference of biological phenotype of HIV-1 isolates could be related with disease progression of HIV-1 infected persons.

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The influence of infection ratio on Gradual Reduction of Drug Dose for the treatment of AIDS patients (AIDS환자 치료를 위한 점진적 약물감소기법에 감염속도상수가 미치는 영향)

  • Lee, Kang-Hyun;Jo, Nam-Hoon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.1
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    • pp.174-182
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    • 2007
  • In this paper, we study the influence of infection ratio on gradual reduction of drug dose for the five state HIV infection model that explicitly includes the population of the virus. We first compute all equilibrium points of the model and investigate the stabilities of them. As a result, a bifurcation diagram is obtained which shows a change in the equilibrium points, or in their stability properties, as the drug effect $\eta$ is varied from 0 to 1(alternatively, drug dose is changed from 1 to 0). Based on the bifurcation diagram, we show that the gradual reduction of drug dose can be applied for the treatment of AIDS patients. Moreover, we analyze the influence of the variation of infection ratio on the gradual reduction treatment. Computer simulation results are also presented to validate the proposed results.