Estimating HIV-1 Fitness Characteristics from Cross-Sectional Genotype Data
Figure 7
Two stage mechanistic model of in vivo HIV-1 infection dynamics [6].
Target cells TU (T-cells) and MU (macrophages) can be infected by infective viruses (with effective infection rate constants
and
), resulting in early stage infected cells
and
, respectively. Infection can also be unsuccessful after fusion of the virus, rendering the cell uninfected and thereby eliminating the virus (
).
and
can also possibly return to uninfected states by destruction of essential viral proteins or DNA prior to integration (
).
cells can enter into a latent state
(with probability
) that can get re-activated with a rate constant
. Integration of viral DNA in the host genome proceeds with reaction rate constant
in the T-cells and
in the macrophages, resulting in late stage infected T-cells
and macrophages
, respectively. The infected
cells release new viruses (
) and non-infective (
) viruses (with rate constants
and
, respectively) while the infected
cells release new infective and non-infective viruses (with rate constants
and
, respectively). Target cells TU and MU are produced by the immune system at constant rate with rate constants
and
, respectively.
,
,
,
,
and
can be cleared by the immune system with reaction rate constants
,
,
,
,
and
, respectively. Viruses are cleared by the immune system with a rate constant
. Mutations are modelled to occur at the stage of integration of the viral DNA. The incorporation of the various drug classes is indicated by the inhibition of corresponding processes: EI/FI - entry/fusion inhibitors, NRTI/NNRTI - nucleoside/non-nucleoside reverse transcriptase inhibitors, InI - integrase inhibitors, PI/MI - protease/maturation inhibitors.