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Models for plasma kinetics during simultaneous therapeutic plasma exchange and extracorporeal membrane oxygenation 同时治疗性血浆交换和体外膜氧合过程中的血浆动力学模型
Pub Date : 2021-01-01 DOI: 10.1093/imammb/dqab003
Charles Puelz;Zach Danial;Jay S Raval;Jonathan L Marinaro;Boyce E Griffith;Charles S Peskin
This paper focuses on the derivation and simulation of mathematical models describing new plasma fraction in blood for patients undergoing simultaneous extracorporeal membrane oxygenation and therapeutic plasma exchange. Models for plasma exchange with either veno-arterial or veno-venous extracorporeal membrane oxygenation are considered. Two classes of models are derived for each case, one in the form of an algebraic delay equation and another in the form of a system of delay differential equations. In special cases, our models reduce to single compartment ones for plasma exchange that have been validated with experimental data (Randerson et al., 1982, Artif. Organs, 6, 43–49). We also show that the algebraic differential equations are forward Euler discretizations of the delay differential equations, with timesteps equal to transit times through model compartments. Numerical simulations are performed to compare different model types, to investigate the impact of plasma device port switching on the efficiency of the exchange process, and to study the sensitivity of the models to their parameters.
本文着重于推导和模拟描述体外膜肺氧合和治疗性血浆交换患者血液中新血浆分数的数学模型。考虑了静脉-动脉或静脉-静脉体外膜肺氧合的血浆交换模型。对于每种情况,都导出了两类模型,一类是代数延迟方程的形式,另一类是延迟微分方程组的形式。在特殊情况下,我们的模型简化为单室模型,用于血浆交换,这些模型已通过实验数据进行了验证(Randerson等人,1982,Artif.Organics,6,43-49)。我们还证明了代数微分方程是延迟微分方程的前向欧拉离散化,时间步长等于通过模型隔间的传输时间。进行了数值模拟,以比较不同的模型类型,研究等离子体器件端口切换对交换过程效率的影响,并研究模型对其参数的敏感性。
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引用次数: 0
Partial differential model of lactate neuro-energetics: analytic results and numerical simulations 乳酸神经能量学的偏微分模型:分析结果和数值模拟
Pub Date : 2021-01-01 DOI: 10.1093/imammb/dqaa016
Angélique Perrillat-Mercerot;Alain Miranville;Abramo Agosti;Elisabetta Rocca;Pasquale Ciarletta;Rémy Guillevin
Interfaces play a key role on diseases development because they dictate the energy inflow of nutrients from the surrounding tissues. What is underestimated by existing mathematical models is the biological fact that cells are able to use different resources through nonlinear mechanisms. Among all nutrients, lactate appears to be a sensitive metabolic when talking about brain tumours or neurodegenerative diseases. Here we present a partial differential model to investigate the lactate exchanges between cells and the vascular network in the brain. By extending an existing kinetic model for lactate neuro-energetics, we first provide analytical proofs of the uniqueness and the derivation of precise bounds on the solutions of the problem including diffusion of lactate in a representative volume element comprising the interface between a capillary and cells. We further perform finite element simulations of the model in two test cases, discussing the relevant physical parameters governing the lactate dynamics.
界面在疾病发展中起着关键作用,因为它们决定了周围组织营养物质的能量流入。现有数学模型低估了一个生物学事实,即细胞能够通过非线性机制使用不同的资源。在所有营养素中,当谈到脑瘤或神经退行性疾病时,乳酸似乎是一种敏感的代谢物质。在这里,我们提出了一个偏微分模型来研究大脑中细胞和血管网络之间的乳酸交换。通过扩展现有的乳酸神经能量学动力学模型,我们首先提供了问题解的唯一性和精确边界的推导的分析证明,包括乳酸在包括毛细管和细胞之间界面的代表性体积单元中的扩散。我们在两个测试案例中进一步对模型进行了有限元模拟,讨论了控制乳酸动力学的相关物理参数。
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引用次数: 0
Modeling the transmission of the new coronavirus in São Paulo State, Brazil—assessing the epidemiological impacts of isolating young and elder persons 模拟巴西<s:1>圣保罗州新型冠状病毒的传播——评估隔离年轻人和老年人的流行病学影响
Pub Date : 2021-01-01 DOI: 10.1093/imammb/dqaa015
Hyun Mo Yang;Luis Pedro Lombardi Junior;Ariana Campos Yang
We developed a mathematical model to describe the new coronavirus transmission in São Paulo State, Brazil. The model divided a community into subpopulations composed of young and elder persons considering a higher risk of fatality among elder persons with severe CoViD-19. From the data collected in São Paulo State, we estimated the transmission and additional mortality rates. Based on the estimated model parameters, we calculated the basic reproduction number $R_{0}$, and we retrieved the number of deaths due to CoViD-19, which was three times lower than those found in the literature. Considering isolation as a control mechanism, we varied the isolation rates in the young and elder subpopulations to assess the epidemiological impacts. The epidemiological scenarios focused mainly on evaluating the reduction in the number of severe CoViD-19 cases and deaths due to this disease when isolation is introduced in a population.
我们开发了一个数学模型来描述新型冠状病毒在巴西圣保罗州的传播。该模型将社区划分为由年轻人和老年人组成的亚群,考虑到患有严重新冠肺炎的老年人的死亡风险更高。根据在圣保罗州收集的数据,我们估计了传播率和额外死亡率。根据估计的模型参数,我们计算了基本繁殖数$R_{0}$,并检索了因新冠肺炎而死亡的人数,这比文献中发现的人数低三倍。考虑到隔离是一种控制机制,我们改变了年轻人和老年人亚群的隔离率,以评估流行病学影响。流行病学情景主要集中于评估在人群中实施隔离时,因该疾病导致的重症新冠肺炎病例和死亡人数的减少。
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引用次数: 3
Calculating prescription rates and addiction probabilities for the four most commonly prescribed opioids and evaluating their impact on addiction using compartment modelling 计算四种最常用的阿片类药物的处方率和成瘾概率,并使用隔室模型评估其对成瘾的影响
Pub Date : 2021-01-01 DOI: 10.1093/imammb/dqab001
Samantha R Rivas;Alex C Tessner;Eli E Goldwyn
In 2016, more than 11 million Americans abused prescription opioids. The National Institute on Drug Abuse considers the opioid crisis a national addiction epidemic, as an increasing number of people are affected each year. Using the framework developed in mathematical modelling of infectious diseases, we create and analyse a compartmental opioid-abuse model consisting of a system of ordinary differential equations. Since $40%$ of opioid overdoses are caused by prescription opioids, our model includes prescription compartments for the four most commonly prescribed opioids, as well as for the susceptible, addicted and recovered populations. While existing research has focused on drug abuse models in general and opioid models with one prescription compartment, no previous work has been done comparing the roles that the most commonly prescribed opioids have had on the crisis. By combining data from the Substance Abuse and Mental Health Services Administration (which tracked the proportion of people who used or misused one of the four individual opioids) with data from the Centers of Disease Control and Prevention (which counted the total number of prescriptions), we estimate prescription rates and probabilities of addiction for the four most commonly prescribed opioids. Additionally, we perform a sensitivity analysis and reallocate prescriptions to determine which opioid has the largest impact on the epidemic. Our results indicate that oxycodone prescriptions are both the most likely to lead to addiction and have the largest impact on the size of the epidemic, while hydrocodone prescriptions had the smallest impact.
2016年,超过1100万美国人滥用处方阿片类药物。美国国家药物滥用研究所认为,阿片类药物危机是一种全国性的成瘾流行病,因为每年受到影响的人数不断增加。利用在传染病数学建模中开发的框架,我们创建并分析了一个由常微分方程系统组成的室状阿片类药物滥用模型。由于40%的阿片类药物过量是由处方阿片类药物引起的,我们的模型包括四种最常用的阿片类药物的处方室,以及易感人群、成瘾人群和康复人群。虽然现有的研究主要集中在一般的药物滥用模型和具有一个处方隔间的阿片类药物模型上,但以前没有进行过比较最常用的阿片类药物在危机中所起作用的工作。通过将药物滥用和精神健康服务管理局(追踪使用或滥用四种阿片类药物之一的人的比例)的数据与疾病控制和预防中心(计算处方总数)的数据相结合,我们估计了四种最常用的阿片类药物的处方率和成瘾概率。此外,我们进行敏感性分析并重新分配处方,以确定哪种阿片类药物对流行病的影响最大。我们的研究结果表明,羟考酮处方最容易导致成瘾,对流行病规模的影响最大,而氢可酮处方的影响最小。
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引用次数: 4
Existence of solutions and numerical approximation of a non-local tumor growth model 非局部肿瘤生长模型解的存在性及数值逼近
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz005
Lucia Maddalena;Stefania Ragni
In order to model the evolution of a heterogeneous population of cancer stem cells and tumor cells, we analyse a nonlinear system of integro-differential equations. We provide an existence and uniqueness result by exploiting a suitable iterative scheme of functions which converge to the solution of the system. Then, we discretize the model and perform some numerical simulations. Numerical approximations are obtained by applying finite differences for space discretization and an exponential Runge–Kutta scheme for time integration. We exploit the numerical tool in order to investigate the effects that niches have on cancer development. In this respect, the numerical procedure is applied in the case when the function of cell redistribution is assumed to be spatially explicit. It allows for finding an approximate solution which is spatially inhomogeneous as time progresses. In this framework, numerical investigation may help in understanding the process of niche construction, which plays an important role in cancer population biology.
为了对癌症干细胞和肿瘤细胞的异质群体的进化进行建模,我们分析了一个非线性积分微分方程系统。我们通过利用一个合适的函数迭代方案来提供一个存在唯一性的结果,该迭代方案收敛于系统的解。然后,我们对模型进行离散化,并进行了一些数值模拟。数值近似是通过应用有限差分进行空间离散化和应用指数Runge–Kutta格式进行时间积分来获得的。我们利用数值工具来研究生态位对癌症发展的影响。在这方面,当假设细胞重新分布的函数在空间上是明确的时,应用数值过程。它允许找到一个随着时间的推移在空间上不均匀的近似解。在这个框架下,数值研究可能有助于理解生态位构建的过程,这在癌症群体生物学中起着重要作用。
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引用次数: 3
A hybrid discrete–continuum approach for modelling microcirculatory blood flow 模拟微循环血流的一种混合离散-连续方法
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz006
Rebecca J Shipley;Amy F Smith;Paul W Sweeney;Axel R Pries;Timothy W Secomb
In recent years, biological imaging techniques have advanced significantly and it is now possible to digitally reconstruct microvascular network structures in detail, identifying the smallest capillaries at sub-micron resolution and generating large 3D structural data sets of size >106 vessel segments. However, this relies on ex vivo imaging; corresponding in vivo measures of microvascular structure and flow are limited to larger branching vessels and are not achievable in three dimensions for the smallest vessels. This suggests the use of computational modelling to combine in vivo measures of branching vessel architecture and flows with ex vivo data on complete microvascular structures to predict effective flow and pressures distributions. In this paper, a hybrid discrete–continuum model to predict microcirculatory blood flow based on structural information is developed and compared with existing models for flow and pressure in individual vessels. A continuum-based Darcy model for transport in the capillary bed is coupled via point sources of flux to flows in individual arteriolar vessels, which are described explicitly using Poiseuille's law. The venular drainage is represented as a spatially uniform flow sink. The resulting discrete–continuum framework is parameterized using structural data from the capillary network and compared with a fully discrete flow and pressure solution in three networks derived from observations of the rat mesentery. The discrete–continuum approach is feasible and effective, providing a promising tool for extracting functional transport properties in situations where vascular branching structures are well defined.
近年来,生物成像技术取得了显著进步,现在可以对微血管网络结构进行详细的数字重建,以亚微米分辨率识别最小的毛细血管,并生成大小>106个血管段的大型3D结构数据集。然而,这依赖于离体成像;微血管结构和流动的相应体内测量仅限于较大的分支血管,并且对于最小的血管来说在三维中是不可实现的。这表明使用计算建模将分支血管结构和流量的体内测量与完整微血管结构的离体数据相结合,以预测有效流量和压力分布。本文开发了一种基于结构信息的混合离散-连续模型来预测微循环血流,并与现有的单个血管中的流量和压力模型进行了比较。毛细管床中传输的基于连续介质的Darcy模型通过点通量源与单个小动脉中的流动相耦合,这是使用Poiseuille定律明确描述的。小静脉引流表现为空间上均匀的流汇。使用毛细管网络的结构数据对所得的离散-连续框架进行参数化,并将其与根据大鼠肠系膜观察得出的三个网络中的完全离散的流量和压力溶液进行比较。离散-连续方法是可行和有效的,为在血管分支结构明确的情况下提取功能转运特性提供了一种很有前途的工具。
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引用次数: 24
A Markov decision process approach to optimizing cancer therapy using multiple modalities 利用马尔可夫决策过程方法优化多种方式的癌症治疗
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz004
Kelsey Maass;Minsun Kim
There are several different modalities, e.g. surgery, chemotherapy and radiotherapy, that are currently used to treat cancer. It is common practice to use a combination of these modalities to maximize clinical outcomes, which are often measured by a balance between maximizing tumor damage and minimizing normal tissue side effects due to treatment. However, multi-modality treatment policies are mostly empirical in current practice and are therefore subject to individual clinicians' experiences and intuition. We present a novel formulation of optimal multi-modality cancer management using a finite-horizon Markov decision process approach. Specifically, at each decision epoch, the clinician chooses an optimal treatment modality based on the patient's observed state, which we define as a combination of tumor progression and normal tissue side effect. Treatment modalities are categorized as (1) type 1, which has a high risk and high reward, but is restricted in the frequency of administration during a treatment course; (2) type 2, which has a lower risk and lower reward than type 1, but may be repeated without restriction; and (3) type 3, no treatment (surveillance), which has the possibility of reducing normal tissue side effect at the risk of worsening tumor progression. Numerical simulations using various intuitive, concave reward functions show the structural insights of optimal policies and demonstrate the potential applications of using a rigorous approach to optimizing multi-modality cancer management.
目前有几种不同的治疗方式,如手术、化疗和放疗,用于治疗癌症。通常的做法是结合使用这些方式来最大化临床结果,这通常是通过最大化肿瘤损伤和最小化治疗引起的正常组织副作用之间的平衡来衡量的。然而,在目前的实践中,多模式治疗政策大多是经验性的,因此受到临床医生个人经验和直觉的影响。我们提出了一种使用有限视界马尔可夫决策过程方法的最佳多模态癌症管理的新公式。具体而言,在每个决策阶段,临床医生根据患者的观察状态选择最佳治疗方式,我们将其定义为肿瘤进展和正常组织副作用的结合。治疗方式分为(1)1型,风险高,回报高,但在治疗过程中给药频率受到限制;(2)第2类,风险和回报均低于第1类,但可以不受限制地重复;(3) 3型,不治疗(监测),有可能减少正常组织的副作用,但有恶化肿瘤进展的风险。使用各种直观的凹形奖励函数的数值模拟显示了最优策略的结构见解,并展示了使用严格方法优化多模态癌症管理的潜在应用。
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引用次数: 7
A mathematical model of viral oncology as an immuno-oncology instigator 病毒肿瘤学作为免疫肿瘤学教唆者的数学模型
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz008
Tyler Cassidy;Antony R Humphries
We develop and analyse a mathematical model of tumour–immune interaction that explicitly incorporates heterogeneity in tumour cell cycle duration by using a distributed delay differential equation. We derive a necessary and sufficient condition for local stability of the cancer-free equilibrium in which the amount of tumour–immune interaction completely characterizes disease progression. Consistent with the immunoediting hypothesis, we show that decreasing tumour–immune interaction leads to tumour expansion. Finally, by simulating the mathematical model, we show that the strength of tumour–immune interaction determines the long-term success or failure of viral therapy.
我们开发并分析了肿瘤-免疫相互作用的数学模型,该模型通过使用分布式延迟微分方程明确地将肿瘤细胞周期持续时间的异质性纳入其中。我们得到了无癌平衡局部稳定的充分必要条件,其中肿瘤-免疫相互作用的数量完全表征了疾病的进展。与免疫编辑假说一致,我们表明减少肿瘤免疫相互作用导致肿瘤扩张。最后,通过模拟数学模型,我们表明肿瘤免疫相互作用的强度决定了病毒治疗的长期成功或失败。
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引用次数: 13
A model of strongly biased chemotaxis reveals the trade-offs of different bacterial migration strategies 一个强烈偏向趋化的模型揭示了不同细菌迁移策略的权衡
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz007
R N Bearon;W M Durham
Many bacteria actively bias their motility towards more favourable nutrient environments. In liquid, cells rotate their corkscrew-shaped flagella to swim, but in surface attached biofilms cells instead use grappling hook-like appendages called pili to pull themselves along. In both forms of motility, cells selectively alternate between relatively straight 'runs' and sharp reorientations to generate biased random walks up chemoattractant gradients. However, recent experiments suggest that swimming and biofilm cells employ fundamentally different strategies to generate chemotaxis: swimming cells typically suppress reorientations when moving up a chemoattractant gradient, whereas biofilm cells increase reorientations when moving down a chemoattractant gradient. The reason for this difference remains unknown. Here we develop a mathematical framework to understand how these different chemotactic strategies affect the distribution of cells at the population level. Current continuum models typically assume a weak bias in the reorientation rate and are not able to distinguish between these two strategies, so we derive a model for strong chemotaxis that resolves how both the drift and diffusive components depend on the underlying chemotactic strategy. We then test predictions from our continuum model against individual-based simulations and identify further refinements that allow our continuum model to resolve boundary effects. Our analyses reveal that the strategy employed by swimming cells yields a larger chemotactic drift, but the strategy used by biofilm cells allows them to more tightly aggregate where the chemoattractant is most abundant. This new modelling framework provides new quantitative insights into how the different chemical landscapes experienced by swimming and biofilm cells might select for divergent ways of generating chemotaxis.
许多细菌主动地将它们的运动倾向于更有利的营养环境。在液体中,细胞旋转螺旋状的鞭毛游泳,但在表面附着的生物膜中,细胞反而使用称为菌毛的抓钩状附属物来拉动自己。在这两种运动形式中,细胞选择性地在相对笔直的“运行”和尖锐的重新定向之间交替,以产生有偏差的随机向上行走的化学引诱剂梯度。然而,最近的实验表明,游泳细胞和生物膜细胞采用根本不同的策略来产生趋化性:游泳细胞通常在向上移动化学引诱剂梯度时抑制重定向,而生物膜细胞在向下移动化学引诱物梯度时增加重定向。造成这种差异的原因仍然未知。在这里,我们开发了一个数学框架来了解这些不同的趋化策略如何影响细胞在群体水平上的分布。目前的连续体模型通常假设重新定向率存在弱偏差,并且无法区分这两种策略,因此我们推导了一个强趋化性模型,该模型解决了漂移和扩散成分如何依赖于潜在的趋化策略。然后,我们将连续体模型的预测与基于个体的模拟进行比较,并确定进一步的改进,使我们的连续体模型能够解决边界效应。我们的分析表明,游泳细胞采用的策略产生了更大的趋化漂移,但生物膜细胞使用的策略使它们能够在化学引诱剂最丰富的地方更紧密地聚集。这一新的建模框架为游泳和生物膜细胞所经历的不同化学景观如何选择产生趋化性的不同方式提供了新的定量见解。
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引用次数: 3
Optimal control with MANF treatment of photoreceptor degeneration MANF处理光感受器退化的最优控制
Pub Date : 2020-02-01 DOI: 10.1093/imammb/dqz003
Erika T Camacho;Suzanne Lenhart;Luis A Melara;M Cristina Villalobos;Stephen Wirkus
People afflicted with diseases such as retinitis pigmentosa and age-related macular degeneration experience a decline in vision due to photoreceptor degeneration, which is currently unstoppable and irreversible. Currently there is no cure for diseases linked to photoreceptor degeneration. Recent experimental work showed that mesencephalic astrocyte-derived neurotrophic factor (MANF) can reduce neuron death and, in particular, photoreceptor death by reducing the number of cells that undergo apoptosis. In this work, we build on an existing system of ordinary differential equations that represent photoreceptor interactions and incorporate MANF treatment for three experimental mouse models having undergone varying degrees of photoreceptor degeneration. Using MANF treatment levels as controls, we investigate optimal control results in the three mouse models. In addition, our numerical solutions match the experimentally observed surviving percentage of photoreceptors and our uncertainty and sensitivity analysis identifies significant parameters in the math model both with and without MANF treatment.
患有色素性视网膜炎和老年性黄斑变性等疾病的人由于光感受器变性而导致视力下降,这是目前无法阻止和不可逆转的。目前还没有治愈与光感受器退化有关的疾病的方法。最近的实验工作表明,中脑星形细胞源性神经营养因子(MANF)可以通过减少凋亡细胞的数量来减少神经元死亡,特别是光感受器死亡。在这项工作中,我们建立了一个现有的常微分方程系统,该系统代表了光感受器的相互作用,并将MANF治疗纳入了三种经历不同程度光感受器变性的实验小鼠模型。以MANF处理水平为对照,我们研究了三种小鼠模型的最优控制结果。此外,我们的数值解与实验观察到的光感受器存活百分比相匹配,我们的不确定性和灵敏度分析确定了有和没有MANF处理的数学模型中的重要参数。
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引用次数: 7
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Mathematical medicine and biology : a journal of the IMA
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