A drug pharmacodynamics and pharmacokinetics based approach towards stabilization of HIV infection dynamics

In our study we developed a computational algorithm for finding optimal dosages of antiretroviral drug administration for the stabilization of HIV load at low levels. The novelty is that the pharmacokinetics and pharmacodynamics of the antiretroviral drugs were taken into account. A standard closed-...

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Detalles Bibliográficos
Autores: Tretyakova, Rufina M., Meyerhans, Andreas, Bocharov, Gennady A.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/25930
Acceso en línea:http://hdl.handle.net/10230/25930
http://dx.doi.org/10.1515/rnam-2015-0027
Access Level:acceso abierto
Palabra clave:VIH (Virus)
Farmacodinàmica
HIV dynamics
Stabilization
Feedback control
Pharmacodynamics
Pharmacokinetics
Descripción
Sumario:In our study we developed a computational algorithm for finding optimal dosages of antiretroviral drug administration for the stabilization of HIV load at low levels. The novelty is that the pharmacokinetics and pharmacodynamics of the antiretroviral drugs were taken into account. A standard closed-loop control of HIV dynamics was constructed that stabilizes the viral load and the optimal drug administration mode was formulated. We analyze the appropriateness of the ‘drug efficacy’ based control and its relationship to a realistic drug dosage and kinetic models in the human body. The translation of the efficacy function into drug concentration is implemented via the pharmacodynamics model of the drug effect. Optimal approximation of the idealized concentration functions is based on the orthogonal projection on linear subspace of drug pharmacokinetics functions.