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Unraveling autonomic cardiovascular control complexity during orthostatic stress: Insights from a mathematical model 揭示正压力时自律性心血管控制的复杂性:数学模型的启示
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-10-10 DOI: 10.1016/j.mbs.2024.109306
Martin Miranda Hurtado , Rafael Kaempfer , Justen R. Geddes , Mette S. Olufsen , Maria Rodriguez-Fernandez
Understanding cardiovascular control mediated by the autonomic system remains challenging due to its inherent complexity. Consequently, syndromes such as orthostatic intolerance continue to evoke debates regarding the underlying pathophysiological mechanisms. This study develops a comprehensive mathematical model simulating the control of the sympathetic branch of the cardiovascular system in individuals with normal and abnormal responses to the head-up-tilt test. We recruited four young women: one control, one with vasovagal syncope, one with orthostatic hypertension, and one with orthostatic hypotension, exposing them to an orthostatic head-up tilt test (HUTT) employing non-invasive methods to measure electrocardiography and continuous blood pressure.
Our work encompasses a compartmental model formulated using a system of ordinary differential equations. Using heart rate as input, we predict blood pressure, flow, and volume in compartments representing the veins, arteries, heart, and the sympathetic branch of the baroreflex control system. The latter is modulated by high- and low-pressure baroreceptor afferents activated by changes in blood pressure induced by the HUTT. Sensitivity analysis, parameter subset selection, and optimization are employed to estimate patient-specific parameters associated with autonomic performance. The model has seven sensitive and identifiable parameters with significant physiological relevance that can serve as biomarkers for patient classification.
Results show that the model can reproduce a spectrum of blood pressure responses successfully, fitting the trajectory displayed by the experimental data. The controller exhibits behavior that emulates the operation of the sympathetic system. These encouraging findings underscore the potential of computational methods in evaluating pathologies associated with autonomic nervous system control, warranting further exploration and novel approaches.
由于自律神经系统固有的复杂性,了解它对心血管的控制仍然具有挑战性。因此,诸如直立性不耐受等综合征仍在引起有关其潜在病理生理机制的争论。本研究建立了一个全面的数学模型,模拟了心血管系统交感神经分支对抬头仰卧试验的正常和异常反应。我们招募了四名年轻女性:一名对照组、一名血管迷走性晕厥患者、一名直立性高血压患者和一名直立性低血压患者,采用无创方法测量心电图和连续血压,让她们接受直立性抬头倾斜试验(HUTT)。我们的工作包括使用常微分方程系统建立一个分区模型。使用心率作为输入,我们预测了代表静脉、动脉、心脏和巴反射控制系统交感神经分支的分区中的血压、血流和血量。后者由 HUTT 引起的血压变化激活的高压和低压气压感受器传入进行调节。利用敏感性分析、参数子集选择和优化来估算与自律神经表现相关的患者特异性参数。该模型有七个敏感且可识别的参数,这些参数具有重要的生理相关性,可作为患者分类的生物标志物。结果表明,该模型能成功再现血压反应谱,与实验数据显示的轨迹相吻合。控制器表现出模拟交感系统运行的行为。这些令人鼓舞的发现强调了计算方法在评估与自主神经系统控制有关的病理方面的潜力,值得进一步探索和采用新方法。
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引用次数: 0
Ecoepidemic modeling and dynamics of alveolar echinococcosis transmission 肺泡棘球蚴病的生态流行模型和传播动态。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-10-03 DOI: 10.1016/j.mbs.2024.109304
Xinmiao Rong , Meng Fan
Alveolar echinococcosis, transmitted between definitive hosts and intermediate hosts via predation, threatens the health of humans and causes great economic losses in western China. In order to explore the transmission mechanism of this disease, an eco-epidemiological lifecycle model is formulated to illustrate interactions between two hosts. The basic and demographic reproduction numbers are developed to characterize the stability of the disease-free and endemic equilibria as well as bifurcation dynamics. The existence of forward bifurcation and Hopf bifurcation are confirmed and are used to explain the threshold transmission dynamics. Numerical simulations and bifurcation diagrams are also presented to depict rich dynamics of the model. Numerical analysis suggests that improving the control rate of voles will reduce the risk of transmission, while the high predation rate of foxes may also lead to a lower transmission risk, which is different from the predictions of previous studies. The evaluation of three control measures on voles implies that, when the fox’s predation rate is low (high), the chemical (integrated) control will be more effective.
在中国西部,肺泡棘球蚴病通过捕食在终宿主和中间宿主之间传播,威胁人类健康并造成巨大经济损失。为了探索该病的传播机制,本文建立了一个生态流行病学生命周期模型,以说明两种宿主之间的相互作用。建立了基本繁殖数和人口繁殖数,以表征无病平衡和流行平衡的稳定性以及分叉动力学。证实了正向分岔和霍普夫分岔的存在,并用来解释阈值传播动力学。数值模拟和分岔图也用来描述模型的丰富动态。数值分析表明,提高田鼠的控制率将降低传播风险,而狐狸的高捕食率也可能导致传播风险降低,这与以往研究的预测不同。对田鼠三种控制措施的评估表明,当狐狸捕食率低(高)时,化学(综合)控制会更有效。
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引用次数: 0
An in-silico approach to the dynamics of proliferation potential in stem cells and the study of different therapies in cases of ovarian dysfunction 对干细胞增殖潜能动态和卵巢功能障碍病例中不同疗法的研究,采用了一种模拟方法。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-10-02 DOI: 10.1016/j.mbs.2024.109305
A.M. Portillo , J.A. García-Velasco , E. Varela
A discrete mathematical model based on ordinary differential equations and the associated continuous model formed by a partial differential equation, which simulate the generational and temporal evolution of a stem cell population, are proposed. The model parameters are the maximum proliferation potential and the rates of mitosis, death events and telomerase activity. The mean proliferation potential at each point in time is suggested as an indicator of population aging. The model is applied on hematopoietic stem cells (HSCs), with different telomerase activity rates, in a range of variation of maximum proliferation potential in healthy individuals, to study the temporal evolution of aging. HSCs express telomerase, however not at levels that are sufficient for maintaining constant telomere length with aging [1], [2]. Women with primary ovarian insufficiency (POI) are known to have low telomerase activity in granulosa cells and peripheral blood mononuclear cells [3]. Extrapolating this to hematopoietic stem cells, the mathematical model shows the differences in proliferation potential of the cell populations when telomerase expression is activated using sexual steroids, though the endogenous promoter or with gene therapy using exogenous, stronger promoters within the adeno-associated virus. In the first case, proliferation potential of cells from POI condition increases, but when adeno-associated viruses are used, the proliferation potential reaches the levels of healthy cell populations.
本文提出了一个基于常微分方程的离散数学模型和由偏微分方程形成的相关连续模型,模拟干细胞群体的世代和时间演变。模型参数为最大增殖潜能以及有丝分裂率、死亡事件和端粒酶活性。建议将每个时间点的平均增殖潜能作为群体老化的指标。该模型适用于健康人最大增殖潜能变化范围内具有不同端粒酶活性率的造血干细胞(HSCs),以研究老化的时间演变。造血干细胞能表达端粒酶,但其水平不足以在衰老过程中维持端粒长度不变[1](齐默尔曼和马腾斯,2008年;弗洛雷斯等人,2008年)。众所周知,患有原发性卵巢功能不全(POI)的女性颗粒细胞和外周血单核细胞中端粒酶活性较低(Xu 等人,2017 年)。将此推断到造血干细胞,该数学模型显示了当端粒酶表达被性类固醇激活、被内源性启动子激活或被腺相关病毒中的外源性强启动子基因治疗激活时,细胞群增殖潜力的差异。在第一种情况下,POI 状态下细胞的增殖潜力会增加,但当使用腺相关病毒时,增殖潜力会达到健康细胞群的水平。
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引用次数: 0
A joint-threshold Filippov model describing the effect of intermittent androgen-deprivation therapy in controlling prostate cancer 描述间歇性雄激素剥夺疗法在控制前列腺癌方面效果的联合阈值菲利波夫模型。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-20 DOI: 10.1016/j.mbs.2024.109301
Aili Wang , Rong Yan , Haixia Li , Xiaodan Sun , Weike Zhou , Stacey R. Smith?
Intermittent androgen-deprivation therapy (IADT) can be beneficial to delay the occurrence of treatment resistance and cancer relapse compared to the standard continuous therapy. To study the effect of IADT in controlling prostate cancer, we developed a Filippov prostate cancer model with a joint threshold function: therapy is implemented once the total population of androgen-dependent cells (AC-Ds) and androgen-independent cells (AC-Is) is greater than the threshold value ET, and it is suspended once the population is less than ET. As the parameters vary, our model undergoes a series of sliding bifurcations, including boundary node, focus, saddle, saddle-node and tangency bifurcations. We also obtained the coexistence of one, two or three real equilibria and the bistability of two equilibria. Our results demonstrate that the population of AC-Is can be contained at a predetermined level if the initial population of AC-Is is less than this level, and we choose a suitable threshold value.
与标准的连续疗法相比,间歇性雄激素剥夺疗法(IADT)有利于延缓治疗耐药性的发生和癌症复发。为了研究间歇性雄激素剥夺疗法在控制前列腺癌方面的效果,我们建立了一个具有联合阈值函数的菲利波夫前列腺癌模型:一旦雄激素依赖性细胞(AC-Ds)和雄激素非依赖性细胞(AC-Is)的总数量大于阈值 ET,就会实施治疗;一旦数量小于 ET,就会暂停治疗。随着参数的变化,我们的模型经历了一系列滑动分岔,包括边界节点分岔、焦点分岔、鞍形分岔、鞍节点分岔和切线分岔。我们还获得了一个、两个或三个真实平衡态的共存以及两个平衡态的双稳态。我们的结果表明,如果 AC-Is 的初始数量小于这一水平,并且我们选择了一个合适的临界值,那么 AC-Is 的数量就可以控制在一个预定的水平上。
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引用次数: 0
Adolescent vaping behaviours: Exploring the dynamics of a social contagion model 青少年吸烟行为:探索社会传染模式的动态变化
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-17 DOI: 10.1016/j.mbs.2024.109303
Sarah I. Machado-Marques, Iain R. Moyles

Vaping, or the use of electronic cigarettes (e-cigarettes), is an ongoing issue for public health. The rapid increase in e-cigarette usage, particularly among adolescents, has often been referred to as an epidemic. Drawing upon this epidemiological analogy between vaping and infectious diseases as a theoretical framework, we present a deterministic compartmental model of adolescent e-cigarette smoking which accounts for social influences on initiation, relapse, and cessation behaviours. We use results from a sensitivity analysis of the model’s parameters on various response variables to identify key influences on system dynamics and simplify the model into one that can be analysed more thoroughly. We identify a single feasible endemic equilibrium for the proportion of smokers that decreases as social influence on cessation increases. Through steady state and stability analyses, as well as simulations of the model, we conclude that social influences from and on temporary quitters are not important in overall model dynamics, and that social influences from permanent quitters can have a significant impact on long-term system dynamics. In particular, we show that social influence on cessation can induce persistent recurrent smoking outbreaks.

吸食电子烟(Vaping)或使用电子香烟(e-cigarettes)是一个持续的公共卫生问题。电子烟使用量的快速增长,尤其是在青少年中,经常被称为一种流行病。以电子烟和传染病之间的流行病学类比为理论框架,我们提出了一个青少年吸食电子烟的确定性分区模型,该模型考虑了对开始吸烟、复吸和戒烟行为的社会影响。我们利用模型参数对各种反应变量的敏感性分析结果来确定系统动态的关键影响因素,并将模型简化为一个可以进行更深入分析的模型。我们为吸烟者比例确定了一个单一可行的地方性平衡,该平衡随着社会对戒烟影响的增加而降低。通过稳态和稳定性分析以及对模型的模拟,我们得出结论:来自临时戒烟者的社会影响和对临时戒烟者的社会影响在整个模型动力学中并不重要,而来自永久戒烟者的社会影响会对长期系统动力学产生重大影响。特别是,我们表明对戒烟的社会影响会诱发持续的、反复的吸烟爆发。
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引用次数: 0
Modeling virus-stimulated proliferation of CD4+ T-cell, cell-to-cell transmission and viral loss in HIV infection dynamics 模拟艾滋病毒感染动态过程中病毒刺激的 CD4+ T 细胞增殖、细胞间传播和病毒丢失
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-12 DOI: 10.1016/j.mbs.2024.109302
Jiawei Deng , Hongying Shu , Lin Wang , Xingfu Zou

Human immunodeficiency virus (HIV) can persist in infected individuals despite prolonged antiretroviral therapy and it may spread through two modes: virus-to-cell and cell-to-cell transmissions. Understanding viral infection dynamics is pivotal for elucidating HIV pathogenesis. In this study, we incorporate the loss term of virions, and both virus-to-cell and cell-to-cell infection modes into a within-host HIV model, which also takes into consideration the proliferation of healthy target cells stimulated by free viruses. By constructing suitable Lyapunov function and applying geometric methods, we establish global stability results of the infection free equilibrium and the infection persistent equilibrium, respectively. Our findings highlight the crucial role of the basic reproduction number in the threshold dynamics. Moreover, we use the loss rate of virions as the bifurcation parameter to investigate stability switches of the positive equilibrium, local Hopf bifurcation, and its global continuation. Numerical simulations validate our theoretical results, revealing rich viral dynamics including backward bifurcation, saddle–node bifurcation, and bistability phenomenon in the sense that the infection free equilibrium and a limit cycle are both locally asymptotically stable. These insights contribute to a deeper understanding of HIV dynamics and inform the development of effective therapeutic strategies.

尽管长期接受抗逆转录病毒治疗,人类免疫缺陷病毒(HIV)仍可在感染者体内持续存在,并可能通过两种模式传播:病毒到细胞和细胞到细胞的传播。了解病毒感染动态对于阐明 HIV 的发病机制至关重要。在本研究中,我们将病毒的损失项、病毒到细胞和细胞到细胞的感染模式纳入了宿主内 HIV 模型,该模型还考虑了游离病毒刺激健康靶细胞增殖的情况。通过构建合适的 Lyapunov 函数和应用几何方法,我们分别建立了无感染平衡和持续感染平衡的全局稳定性结果。我们的研究结果强调了基本繁殖数量在阈值动力学中的关键作用。此外,我们使用病毒损失率作为分岔参数,研究了正平衡、局部霍普夫分岔及其全局延续的稳定性开关。数值模拟验证了我们的理论结果,揭示了丰富的病毒动力学,包括后向分叉、鞍节点分叉和双稳态现象,即无感染平衡和极限循环都是局部渐近稳定的。这些见解有助于加深对艾滋病毒动力学的理解,并为制定有效的治疗策略提供依据。
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引用次数: 0
Efficacy of the Sterile Insect Technique in the presence of inaccessible areas: A study using two-patch models 昆虫不育技术在无法进入区域的有效性:使用双补丁模型的研究。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-06 DOI: 10.1016/j.mbs.2024.109290
P.A. Bliman , N. Nguyen , N. Vauchelet

The Sterile Insect Technique (SIT) is one of the sustainable strategies for the control of disease vectors, which consists of releasing sterilized males that will mate with the wild females, resulting in a reduction and, eventually a local elimination, of the wild population. The implementation of the SIT in the field can become problematic when there are inaccessible areas where the release of sterile insects cannot be carried out directly, and the migration of wild insects from these areas to the treated zone may influence the efficacy of this technique. However, we can also take advantage of the movement of sterile individuals to control the wild population in these unreachable places. In this paper, we derive a two-patch model for Aedes mosquitoes where we consider the discrete diffusion between the treated area and the inaccessible zone. We investigate two different release strategies (constant and impulsive periodic releases), and by using the monotonicity of the model, we show that if the number of released sterile males exceeds some threshold, the technique succeeds in driving the whole population in both areas to extinction. This threshold depends on not only the biological parameters of the population but also the diffusion between the two patches.

昆虫不育技术(SIT)是控制病媒的可持续战略之一,包括释放已绝育的雄性昆虫与野生雌性昆虫交配,从而减少并最终消灭野生种群。在无法直接释放不育昆虫的交通不便地区,野外昆虫从这些地区迁移到处理区,可能会影响这项技术的效果。不过,我们也可以利用不育个体的迁移来控制这些无法到达地区的野生种群。在本文中,我们推导了一个伊蚊的双斑块模型,其中我们考虑了处理区和无法到达区之间的离散扩散。我们研究了两种不同的释放策略(恒定释放和脉冲周期性释放),并利用模型的单调性证明,如果释放的不育雄蚊数量超过某个阈值,该技术就会成功地使两个区域的整个种群灭绝。这个阈值不仅取决于种群的生物参数,还取决于两个斑块之间的扩散。
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引用次数: 0
Interplay of virulence factors shapes ecology and treatment outcomes in polymicrobial infections 毒力因素的相互作用影响着多微生物感染的生态学和治疗效果。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-06 DOI: 10.1016/j.mbs.2024.109293
C. Herzberg , E.N. van Meegen , J.G.C. van Hasselt

Polymicrobial infections, caused by a community of multiple micro-organisms, are often associated with increased infection severity and poorer patient outcomes. The design of improved antimicrobial treatment strategies for PMIs can be supported by an understanding of their ecological and evolutionary dynamics. Bacterial species present in polymicrobial infections can produce virulence factors to inhibit host immune responses, such as neutrophil recruitment and phagocytosis. The presence of virulence factors can indirectly affect other bacterial species acting as a type of host-mediated interspecies interaction. The aim of this study was to assess how bacterial virulence factors targeting neutrophil function influence ecology and treatment outcomes of PMIs. An agent-based model was constructed which describes a dual-species bacterial population in the presence of neutrophils and a bacteriostatic drug. Our analysis has revealed unforeseen dynamics of the interplay of multiple virulence factors acting as interspecies interaction. We found that the distribution of two phagocytosis-inhibiting virulence factors amongst species can impact whether they have a mutually protective effect for both species. The addition of a virulence factor inhibiting neutrophil recruitment was found to reduce the protective effect of phagocytosis-inhibiting virulence factors. Furthermore we demonstrate the importance of virulence strength of a species relative to other virulent species to determine the fate of a species. We conclude that virulence factors are an important driver of population dynamics in polymicrobial infections, and may be a relevant therapeutic target for treatment of polymicrobial infections.

由多种微生物群落引起的多微生物感染往往与感染严重程度增加和患者预后较差有关。了解多微生物感染的生态和进化动态,有助于针对多微生物感染设计更好的抗菌治疗策略。存在于多微生物感染中的细菌可产生毒力因子来抑制宿主的免疫反应,如中性粒细胞的招募和吞噬作用。毒力因子的存在会间接影响其他细菌物种,这也是一种宿主介导的种间相互作用。本研究旨在评估针对中性粒细胞功能的细菌毒力因子如何影响 PMIs 的生态学和治疗效果。我们构建了一个基于代理的模型,该模型描述了存在中性粒细胞和抑菌药物的双种细菌种群。我们的分析揭示了作为种间相互作用的多种毒力因子相互作用的未预见动态。我们发现,两种抑制吞噬作用的毒力因子在物种间的分布会影响它们是否对两个物种都有相互保护的作用。我们发现,添加抑制中性粒细胞募集的毒力因子会降低吞噬抑制毒力因子的保护作用。此外,我们还证明了一个物种的毒力强度相对于其他毒力物种的重要性,这决定了一个物种的命运。我们的结论是,毒力因子是多微生物感染中种群动态的重要驱动因素,可能是治疗多微生物感染的相关治疗靶点。
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引用次数: 0
A mathematical model of melatonin synthesis and interactions with the circadian clock 褪黑激素合成及与昼夜节律钟相互作用的数学模型。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-06 DOI: 10.1016/j.mbs.2024.109280
Janet Best , Ruby Kim , Michael Reed , H. Frederik Nijhout

A new mathematical model of melatonin synthesis in pineal cells is created and connected to a slightly modified previously created model of the circadian clock in the suprachiasmatic nucleus (SCN). The SCN influences the production of melatonin by upregulating two key enzymes in the pineal. The melatonin produced enters the blood and the cerebrospinal fluid and thus the SCN, influencing the circadian clock. We show that the model of melatonin synthesis corresponds well with extant experimental data and responds similarly to clinical experiments on bright light in the middle of the night. Melatonin is widely used to treat jet lag and sleep disorders. We show how the feedback from the pineal to the SCN causes phase resetting of the circadian clock. Melatonin doses early in the evening advance the clock and doses late at night delay the clock with a dead zone in between where the phase of the clock does not change.

建立了松果体细胞合成褪黑激素的新数学模型,并将其与之前建立的昼夜节律钟模型稍作修改后连接起来。SCN 通过上调松果体中的两种关键酶来影响褪黑激素的产生。产生的褪黑激素进入血液和脑脊液,进而进入 SCN,影响昼夜节律表。我们的研究表明,褪黑激素合成模型与现有的实验数据十分吻合,并对半夜强光的临床实验做出了类似的反应。褪黑素被广泛用于治疗时差和睡眠障碍。我们展示了松果体对SCN的反馈如何导致昼夜节律表的相位重置。褪黑素剂量在傍晚较早时使时钟提前,在深夜较晚时使时钟延迟,在这两者之间有一个死区,时钟的相位不会发生变化。
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引用次数: 0
Modelling the continuum of macrophage phenotypes and their role in inflammation 模拟巨噬细胞表型的连续性及其在炎症中的作用。
IF 1.9 4区 数学 Q2 BIOLOGY Pub Date : 2024-09-05 DOI: 10.1016/j.mbs.2024.109289
Suliman Almansour , Joanne L. Dunster , Jonathan J. Crofts , Martin R. Nelson

Macrophages are a type of white blood cell that play a significant role in determining the inflammatory response associated with a wide range of medical conditions. They are highly plastic, having the capacity to adopt numerous polarisation states or ‘phenotypes’ with disparate pro- or anti-inflammatory roles. Many previous studies divide macrophages into two categorisations: M1 macrophages are largely pro-inflammatory in nature, while M2 macrophages are largely restorative. However, there is a growing body of evidence that the M1 and M2 classifications represent the extremes of a much broader spectrum of phenotypes, and that intermediate phenotypes can play important roles in the progression or treatment of many medical conditions. In this article, we present a model of macrophage dynamics that includes a continuous description of phenotype, and hence incorporates intermediate phenotype configurations. We describe macrophage phenotype switching via nonlinear convective flux terms that scale with background levels of generic pro- and anti-inflammatory mediators. Through numerical simulation and bifurcation analysis, we unravel the model’s resulting dynamics, paying close attention to the system’s multistability and the extent to which key macrophage–mediator interactions provide bifurcations that act as switches between chronic states and restoration of health. We show that interactions that promote M1-like phenotypes generally result in a greater array of stable chronic states, while interactions that promote M2-like phenotypes can promote restoration of health. Additionally, our model admits oscillatory solutions reminiscent of relapsing–remitting conditions, with macrophages being largely polarised toward anti-inflammatory activity during remission, but with intermediate phenotypes playing a role in inflammatory flare-ups. We conclude by reflecting on our observations in the context of the ongoing pursuance of novel therapeutic interventions.

巨噬细胞是一种白细胞,在决定与多种疾病相关的炎症反应方面发挥着重要作用。巨噬细胞具有很强的可塑性,能采取多种极化状态或 "表型",发挥不同的促炎或抗炎作用。以前的许多研究将巨噬细胞分为两类:M1 巨噬细胞主要具有促炎作用,而 M2 巨噬细胞主要具有修复作用。然而,越来越多的证据表明,M1 和 M2 两种分类只是表型范围更广的极端,中间表型在许多疾病的进展或治疗中都能发挥重要作用。在这篇文章中,我们提出了一个巨噬细胞动态模型,该模型包括表型的连续描述,因此包含了中间表型配置。我们通过非线性对流通量项来描述巨噬细胞的表型转换,该通量项随一般促炎和抗炎介质的背景水平而变化。通过数值模拟和分岔分析,我们揭示了该模型所产生的动力学,并密切关注了系统的多稳定性以及巨噬细胞与介质的关键相互作用在多大程度上提供了分岔,在慢性状态和恢复健康之间起到了切换作用。我们的研究表明,促进类似 M1 表型的相互作用通常会导致更多稳定的慢性状态,而促进类似 M2 表型的相互作用则会促进健康的恢复。此外,我们的模型还提供了让人联想到复发-缓解状态的振荡解决方案,即巨噬细胞在缓解期主要极化为抗炎活性,但中间表型在炎症复发时发挥作用。最后,我们将结合正在进行的新型治疗干预,对我们的观察结果进行反思。
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引用次数: 0
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