Journal of NeuroVirology

, Volume 23, Issue 4, pp 577–586

Modeling brain lentiviral infections during antiretroviral therapy in AIDS

  • Weston C. Roda
  • Michael Y. Li
  • Michael S. Akinwumi
  • Eugene L. Asahchop
  • Benjamin B. Gelman
  • Kenneth W. Witwer
  • Christopher Power
Article

Abstract

Understanding HIV-1 replication and latency in different reservoirs is an ongoing challenge in the care of patients with HIV/AIDS. A mathematical model was created to describe and predict the viral dynamics of HIV-1 and SIV infection within the brain during effective combination antiretroviral therapy (cART). The mathematical model was formulated based on the biology of lentiviral infection of brain macrophages and used to describe the dynamics of transmission and progression of lentiviral infection in brain. Based on previous reports quantifying total viral DNA levels in brain from HIV-1 and SIV infections, estimates of integrated proviral DNA burden were made, which were used to calibrate the mathematical model predicting viral accrual in brain macrophages from primary infection. The annual rate at which susceptible brain macrophages become HIV-1 infected was estimated to be 2.90×10−7–4.87×10−6 per year for cART-treated HIV/AIDS patients without comorbid neurological disorders. The transmission rate for SIV infection among untreated macaques was estimated to be 5.30×10−6–1.37×10−5 per year. An improvement in cART effectiveness (1.6–48%) would suppress HIV-1 infection in patients without neurological disorders. Among patients with advanced disease, a substantial improvement in cART effectiveness (70%) would eradicate HIV-1 provirus from the brain within 3–32 (interquartile range 3–9) years in patients without neurological disorders, whereas 4–51 (interquartile range 4–16) years of efficacious cART would be required for HIV/AIDS patients with comorbid neurological disorders. HIV-1 and SIV provirus burdens in the brain increase over time. A moderately efficacious antiretroviral therapy regimen could eradicate HIV-1 infection in the brain that was dependent on brain macrophage lifespan and the presence of neurological comorbidity.

Keywords

Mathematical model Viral dynamics Brain macrophage HIV-1 SIV Combination antiretroviral therapy (cART) 

Supplementary material

13365_2017_530_MOESM1_ESM.docx (108 kb)
ESM 1(DOCX 108 kb)

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Copyright information

© Journal of NeuroVirology, Inc. 2017

Authors and Affiliations

  • Weston C. Roda
    • 1
  • Michael Y. Li
    • 1
  • Michael S. Akinwumi
    • 1
  • Eugene L. Asahchop
    • 2
  • Benjamin B. Gelman
    • 3
  • Kenneth W. Witwer
    • 4
  • Christopher Power
    • 2
  1. 1.Department of Mathematical and Statistical SciencesUniversity of AlbertaEdmontonCanada
  2. 2.Division of Neurology, Department of MedicineUniversity of AlbertaEdmontonCanada
  3. 3.Texas NeuroAIDS Research Center and Department of PathologyUniversity of Texas Medical BranchGalvestonUSA
  4. 4.Department of Molecular and Comparative Pathobiology and Department of NeurologyJohns Hopkins University School of MedicineBaltimoreUSA

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