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A stochastic model of HIV infection incorporating combined therapy of HAART driven by Lévy jumps
Advances in Difference Equations volume 2019, Article number: 321 (2019)
Abstract
A stochastic HIV infection model of virus-to-cell transmission is proposed, incorporating the antiretroviral drug therapy by introducing efficacy parameters of RTI and PI drugs, considering the Lévy noise for the inherent stochastic biochemical processes. First, we discuss the model existence of a global positive solution and, by applying Itô’s formula, establish a sufficient condition for the extinction of infected CD4+ T-cells and virus particles. Then, for proving the persistence in mean, a special method is investigated to handle the model. It is obtained that if \(\tilde{R}_{1}>1\) the infected CD4+ T-cells and virus particles will be persistent in mean. Finally, some numerical simulations are carried out to show the effects of inherent stochastic fluctuation.
1 Introduction
Human immunodeficiency virus (HIV) began to spread world-wide decades ago. The CD4+ T-cells are the primary targets of HIV infection, when virus particles invade the human immune system [1]. The progress of HIV infection has several different stages, including the early stage of infection, the clinical latency stage, the stage of immune system becoming damaged, and the final stage when HIV progresses to acquired immunodeficiency syndrome (AIDS)—a fatal disease, so far, there is no cure [2].
At the early stage of infection, virus-to-cell transmission is the main route of HIV viral infection in within-host dynamics. When virus invades the human immune system, the immune system can produce antibodies and destroy most of the virus, just the virus concentration declines. But in this stage, patients always show flu-like symptoms, which generally are diagnosed. If medication starts in this stage, the virus concentration is low, random fluctuations may have a significant effect on the dynamics of the disease, there is a probability to prevent the disease development, it can prolong the life expectancy of patients; therefore, therapy in the early stage is of vital importance [3].
Over the last two decades, there has been extensive research on the early stage of HIV infection. Mathematical models describing the interaction between virus and CD4+ T-cells have been a major area of the research, which plays an important role in analyzing the behavior of the system on a cellular level to explain different phenomena. Various models have been researched from the perspective of virus-to-cell transmission [4,5,6,7,8,9,10,11].
The general pattern of viral load decay in the early stage of HIV patients is to treat them with antiretroviral therapy and to suppress HIV replication inside the host cell [12]. Mathematical models including antiretroviral therapy have been proposed to study the effects of drug therapy, and they provided theoretical principles to facilitate the development of treatment strategies for HIV infected patients. In Ref. [13], the authors considered the therapy of reverse transcriptase inhibitors (RTIs) drugs which have different drug efficacy on CD4+ T cells, to block conversion of uninfected cells to infected cells. In Refs [14, 15], protease inhibitor (PI) drugs therapy was designed to intervene replication of the virus, make the newly produced virus noninfectious. Currently, evidence showed that highly active antiretroviral therapy (HAART) is one of the most effective ways to suppress virus replication and progression, which is a combination prevention interventions strategy. HAART comprises the effect of reverse transcriptase inhibitor (RTI) drugs and protease inhibitor (PI) drugs. In Refs [16, 17], by establishing mathematical models to describe the effects of combined RTIs and PIs treatments on HIV infection, the result confirmed that PIs drugs are more effective than RTIs drugs, and the combined therapy of RTIs and PIs is more effective than monotherapy of RTIs or PIs.
Mathematical models of HIV infection process traditionally take the form of deterministic differential equations. Various deterministic models have been established in the literature to describe the dynamics of healthy and infected CD4+ T-cells and virus particles. Especially, in Ref. [18], Mao et al. proposed a deterministic model to describe the viral dynamics of HIV-1 infection in the presence of HAART:
The parameters in the model are as follows:
- \(x_{1}(t)\) :
-
is the concentration of healthy CD4+ T-cells;
- \(x_{2}(t)\) :
-
is the concentration of infected CD4+ T-cells;
- \(x_{3}(t)\) :
-
is the concentration of free virus particles;
- λ :
-
is the rate at which new target cells are generated per unit time;
- δ :
-
is the death rate of healthy cells;
- β :
-
is the transmission coefficient between uninfected cells and infective virus particles;
- a :
-
is the death rate of infected cells and viral lysis;
- N :
-
is the number of new particles released by each infected cell when it lyses;
- μ :
-
is the rate of virus particles cleared from the system;
- \(\gamma _{\mathrm{RTI}}\) :
-
is the efficacy of reverse transcriptase inhibitor drug effect;
- \(\eta _{\mathrm{PI}}\) :
-
is the efficacy of protease inhibitor drug.
In the presence of antiretroviral drugs therapy, not all cells are able to react to the drugs, so the healthy CD4+ T-cells diminish by infection through contact with the virus at a reduced rate \(\beta (1- \gamma _{\mathrm{RTI}})\), and \(0<\gamma _{\mathrm{RTI}}<1\). Due to the effects of PIs drugs, viral burst size N is reduced to \(N(1-\eta _{\mathrm{PI}})\), and \(0<\eta _{P}I<1\). When a single infective virus particle infects a single healthy CD4+ T-cell, the virus particle is absorbed into the healthy CD4+ T-cell and effectively dies, hence the term \(\beta (1-\gamma _{\mathrm{RTI}})x_{1}x_{3}\) appears in all the three equations.
The basic reproduction number is obtained in Ref. [18]:
which means the expected number of secondary infected cells caused by a single infected cell entering the disease-free population at equilibrium. If \(R_{0}<1\), the model has a disease-free equilibrium \((\frac{\lambda }{\delta _{1}},0,0)\); when \(R_{0}>1\), there is a unique endemic equilibrium given by \((x_{1}^{*},x_{2}^{*},x_{3}^{*})\), where
and the infected cells and infective virus particles will persist to exist (see Ref. [18]).
However, for the process of HIV infection in the early stage, the successful infection may be affected by many factors after a virus particle attaches to a healthy CD4+ T-cell, such as reverse transcription, nuclear import, and the patient immune system strength. The effect of these factors on the dynamics of early infection is important. Deterministic models are not applicable to describe this random behavior.
It is well recognized that HIV infection is an inherently random process in viral gene production, different CD4+ T-cells and infective virus particles reacting in the same environment can often give different results [19]. Singh et al. showed that stochastic expression of human immunodeficiency virus HIV proteins can affect the viral fate-decision between active replication and post integration latency in single cells by experimental data [20]. Deterministic models are not applicable to describe the random variations in many biological factors; therefore, it is feasible to consider the random variable in an HIV dynamical model, see Refs [21,22,23,24,25]. In [18] Mao et al. considered the effect of environmental stochasticity on some of the model parameters (1.1), then the stochastic differential equations become:
Here, \(B_{1}(t)\) and \(B_{2}(t)\) are independent standard Brownian motions.
However, due to the inherent stochastic nature of biochemical processes, the dynamic process of HIV viral infection may suffer the strong fluctuation such that the classical stochastic model (1.2) cannot explain the strong, occasional fluctuations of the biological environment. In this work, we propose an extracellular stochastic model to describe the phenomena in the initial stages of HIV infection. The jump diffusion model can describe the phenomena causing a big jump to occur occasionally [26,27,28]. The stochastic differential equations derived by considering the Poisson process are as follows:
Here, \(x_{1}(t-)\), \(x_{2}(t-)\), and \(x_{3}(t-)\) are the left limit of \(x_{1}(t)\), \(x_{2}(t)\), and \(x_{3}(t)\), \(\tilde{N}(\mathrm{d}t, \mathrm{d}u)=N(\mathrm{d}t,\mathrm{d}u)-\nu (\mathrm{d}u)\,\mathrm{d}t\), N is a Poisson counting measure with characteristic measure ν on a measurable subset Y of \((0,+\infty )\) with \(\nu (Y)< \infty \). \(\gamma _{i}(u):Y\times \varOmega \rightarrow R\) is bounded and continuous (\(i=1, 2, 3\)). We assume that \(B_{i}(t)\) (\(i=1, 2, 3\)) and N are independent throughout the paper.
By considering the results in the above references, the main contributions of this paper are as follows:
-
Describe the strong fluctuation of HIV viral infection by introducing a Lévy jump process into the HIV viral dynamical model, it can be seen as an extension of [18];
-
By using the Hasminskii–Mao theorem and stochastic Lyapunov function, we show that the model has a unique global positive solution;
-
In order to investigate the sufficient conditions of infected CD4+ T-cells and virus particles persistence in mean, we applied a new method to establish a stochastic Lyapunov function.
2 Preliminaries
First, we introduce the following notations. Throughout this paper, let \((\varOmega ,\mathcal{F},\{\mathcal{F}_{t}\}_{t\geq 0},P)\) denote a complete probability space with a filtration \(\{\mathcal{F}_{t}\}\) satisfying the usual conditions (i.e., it is increasing and right continuous while \(\mathcal{F}_{0}\) contains all P-null sets), \(B_{i}(t)\) are defined on this probability space.
We also introduce the following notations:
Assume that \(X(t)\in R^{+}\) is an Itô–Lévy process of the form
where \(F:R^{n}\times R^{+}\times S\rightarrow R^{n}\), \(G:R^{n}\times R_{+}\times S\rightarrow R^{n}\), and \(H:R^{n}\times R_{+}\times S \times Y\rightarrow R^{n}\) are measurable functions.
Given \(V\in C^{2,1}(R^{n}\times R^{+}\times S;R^{+})\), the operator LV is defined by
where
Then the generalized Itô’s formula with Lévy jumps is given by
For convenience, we introduce the following lemmas and assumption which will be used later.
Assumption 1
We assume that \(1+\gamma _{i}(u)>0\), \(u\in Y\) \((i=1,2,3)\), and there is a positive constant c such that
Lemma 2.1
We assume that, for some \(p>2\), \(\mu ^{*}-\frac{p-1}{2}\sigma ^{2}-\frac{1}{p}\lambda ^{*}>0\) holds. For any initial value \((x_{1}(0),x_{2}(0),x_{3}(0))\in \mathbb{R}_{+}^{3}\), model (1.3) has a unique positive solution \((x_{1}(t),x_{2}(t), x _{3}(t))\in \mathbb{R}_{+}^{3}\) for any \(t\geq 0\) almost surely. Furthermore, the solution \((x_{1}(t),x_{2}(t),x_{3}(t))\) of model (1.3) has the following properties:
Moreover,
where \(\sigma ^{2}=\sigma _{1}^{2}\vee \sigma _{2}^{2}\vee \sigma _{3} ^{2}\), \(\mu ^{*}=\min \{\delta ,a,\mu \}-(1-\eta _{\mathrm{PI}})Na\), and \(\lambda ^{*}=\int _{Y}[(1+\gamma _{1}(u)\vee \gamma _{2}(u)\vee \gamma _{3}(u))^{p}-1-\gamma _{1}(u)\wedge \gamma _{2}(u)\wedge \gamma _{3}(u)] \nu (\mathrm{d}u)\).
Proof
Define \(X=x_{1}+2x_{2}+x_{3}\), \(V=X^{p}\), applying Itô’s formula, we get
where
where \(\mu ^{*}=\min \{\delta ,a,\mu \}\), \(p>2\), \(b=\mu ^{*}-(1-\eta _{\mathrm{PI}})Na-\frac{p-1}{2}\sigma ^{2}-\frac{1}{p}\lambda ^{*}>0\), \(\sigma ^{2}=\sigma _{1}^{2}\vee \sigma _{2}^{2}\vee \sigma _{3}^{2}\), \(\lambda ^{*}=\int _{Y}[(1+\gamma _{1}\vee \gamma _{2}\vee \gamma _{3})^{p}-1-( \gamma _{1}\wedge \gamma _{2}\wedge \gamma _{3})]v(\mathrm{d}u)\).
Thus, we have
The following proof is similar to [29]. □
Lemma 2.2
We assume that, for some \(p>2\), \(\mu ^{*}-\frac{p-1}{2}\sigma ^{2}-\frac{1}{p}\lambda ^{*}>0\) holds. For any initial value \((x_{1}(0),x_{2}(0),x_{3}(0))\in \mathbb{R}_{+}^{3}\), model (1.3) has a unique positive solution \((x_{1}(t),x_{2}(t), x _{3}(t))\in \mathbb{R}_{+}^{3}\) for any \(t\geq 0\) almost surely. Furthermore, the solution \((x_{1}(t),x_{2}(t),x_{3}(t))\) of model (1.3) has the following properties:
where \(\sigma ^{2}=\sigma _{1}^{2}\vee \sigma _{2}^{2}\vee \sigma _{3} ^{2}\), \(\mu ^{*}=\min \{\delta ,a,\mu \}-(1-\eta _{\mathrm{PI}})Na\), and \(\lambda ^{*}=\int _{Y}[(1+\gamma _{1}(u)\vee \gamma _{2}(u)\vee \gamma _{3}(u))^{p}-1-\gamma _{1}(u)\wedge \gamma _{2}(u)\wedge \gamma _{3}(u)] \nu (\mathrm{d}u)\).
The proof of Lemma 2.2 is obtained based on ref [30], the Burkholder–Davis–Gundy inequality, and Hölder inequality.
Lemma 2.3
([31])
Suppose that \(Z(t)\in C(\varOmega \times [0,\infty ),\mathbb{R}_{+})\). Under Assumption 1,
-
(I)
if there are two positive constants T and \(\delta _{0}\) such that
$$ \ln Z(t)\leq \delta t-\delta _{0} \int _{0}^{t}Z(s)\,\mathrm{d}s+\sum _{i=1} ^{n}\alpha _{i}B(t)+\sum _{i=1}^{n}k_{i} \int _{0}^{t} \int _{Y}\ln \bigl(1+ \gamma _{i}(u)\bigr) \tilde{N}(\mathrm{d}t,\mathrm{d}u), \quad \mathrm{a.s.} $$for all \(t>T\), where \(\alpha _{i}\), δ, and \(k_{i}\) are constants, then
$$ \textstyle\begin{cases} \langle Z\rangle ^{*}\leq \frac{\delta }{\delta _{0}} \quad \mathrm{a.s.}, &\textit{if } \delta \geq 0; \\ \lim_{t\rightarrow \infty }Z(t)=0\quad \mathrm{a.s.}, &\textit{if } \delta < 0. \end{cases} $$ -
(II)
if there exist three positive constants T, δ, and \(\delta _{0}\) such that
$$ \ln Z(t)\geq \delta t-\delta _{0} \int _{0}^{t}Z(s)\,\mathrm{d}s+\sum _{i=1} ^{n}\alpha _{i}B(t)+\sum _{i=1}^{n}k_{i} \int _{0}^{t} \int _{Y}\ln \bigl(1+ \gamma _{i}(u)\bigr) \tilde{N}(\mathrm{d}t,\mathrm{d}u),\quad \mathrm{a.s.} $$for all \(t>T\), then \(\langle Z\rangle _{*}\geq \frac{\delta }{\delta _{0}}\).
3 Existence and global positive solution
Theorem 3.1
For any given initial value \((x_{1}(0),x _{2}(0),x_{3}(0))\) ∈ \(\mathbb{R}_{+}^{3}\), there is a unique positive solution \((x_{1}(t), x_{2}(t), x_{3}(t))\) of model (1.3) on \(t\geq 0\) and the solution will remain in \(\mathbb{R}_{+}^{3}\) with probability 1, namely \((x_{1}(t),x_{2}(t),x_{3}(t)) \in \mathbb{R}_{+}^{3}\) for all \(t\geq 0\) almost surely.
Proof
Since the coefficients of the equations are locally Lipschitz continuous, for any given initial value \((x_{1}(0),x_{2}(0),x _{3}(0))\) ∈ \(\mathbb{R}_{+}^{3}\), there is a unique local solution \((x_{1}(t),x_{2}(t),x_{3}(t))\) on \(t \in [0, \tau _{e})\), where \(\tau _{e}\) is the explosion time. To show this solution is global, we need to show that \(\tau _{e}=\infty \) a.s. At first, we prove \(x_{1}(t)\), \(x_{2}(t)\), and \(x_{3}(t)\) do not explode to infinity in a finite time. Set \(m_{0}>0\) to be sufficiently large so that all \(x_{1}(0)\), \(x_{2}(0)\), and \(x_{3}(0)\) lie within the interval \([\frac{1}{m_{0}},m_{0} ]\). For each integer \(m\geq m_{0}\), define the stopping time
Clearly, \(\tau _{m}\) is increasing as \(m\rightarrow \infty \) a.s. Set \(\tau _{\infty }=\lim_{m\rightarrow \infty }\tau _{m}\), where \(\tau _{\infty }\leq \tau _{e}\) a.s. If we can show that \(\tau _{\infty }=\infty \) is true, then \(\tau _{e}=\infty \) and \((x_{1}(t),x_{2}(t),x _{3}(t))\in \mathbb{R}_{+}^{3}\) a.s. If this statement is false, then there exist a pair of constants \(T>0\) and \(0<\varepsilon <1\) such that
Hence, there is an integer \(m_{1}\geq m_{0}\) such that
Define a \(C^{3}\)-function by
where \(a_{1}\), \(a_{2}\) are positive constants to be defined later. The nonnegativity of this function can be seen from
Let \(m\geq m_{0}\) and \(T>0\) be arbitrary. Using Itô’s formula [32], we get
where
where \(a_{1}=\frac{a_{2}u}{(1-\gamma _{\mathrm{RTI}})\beta }\), \(a_{2}= \min \{\frac{ \delta }{(1-\gamma _{\mathrm{RTI}})\beta },\frac{1}{(1-\eta _{\mathrm{PI}})N}\}\), so we have \(a_{1}-\frac{a_{2}u}{(1-\gamma _{\mathrm{RTI}})\beta }=0\), \(a_{2}-\frac{\delta }{(1- \gamma _{\mathrm{RTI}})\beta }\leq 0\), and \(a_{2}- \frac{1}{(1-\eta _{\mathrm{PI}})N}\leq 0\), and \(K_{1}=\max \{ a_{1}\int _{Y}[ \gamma _{1}(u)-\ln (1+\gamma _{1}(u))]\nu (\mathrm{d}u), \int _{Y}[ \gamma _{2}(u)-\ln (1+\gamma _{2}(u))]\nu (\mathrm{d}u),a_{2}\int _{Y}[ \gamma _{3}(u)-\ln (1+\gamma _{3}(u))]\nu (\mathrm{d}u)\}\).
The proof of the remaining part follows the proof in Ref. [26]. □
4 Extinction of the disease
For HIV infection, the main concern is the conditions which make the infected CD4+ T-cells and free virus particles eradicate in a long term. In this section, we will give a result of extinction of infected CD4+ T-cells and free virus particles in stochastic model with Lévy noise.
Denote
Theorem 4.1
Assume that \(\sigma _{1}^{2}-2[(1- \eta _{\mathrm{PI}})Na-a]>0\), then for any given initial value \((x_{1}(0),x_{2}(0),x _{3}(0))\in \mathbb{R}_{+}^{3}\), the solution \((x_{1}(t),x_{2}(t),x _{3}(t))\in \mathbb{R}_{+}^{3}\) of model (1.3) has the property
if \(\tilde{R_{0}}<1\) holds.
Proof
Applying Itô’s formula, we can conclude that
where \(\beta _{3}=\int _{Y}\ln [(1+\frac{x_{2}\gamma _{2}(u)+x_{3}\gamma _{3}(u)}{x_{2}+x_{3}}) -\frac{x_{2}\gamma _{2}(u)+x_{3}\gamma _{3}(u)}{x _{2}+x_{3}}]\nu (\mathrm{d}u)<0\).
Let
if conditions
and
are satisfied, then we can conclude that the matrix A is negative-definite, with the largest (negative) eigenvalue \(\lambda _{\max }\). Then we have
Integrating from 0 to t on both sides of (4.1) yields
where \(\gamma (u)=\gamma _{2}(u)\vee \gamma _{3}(u)\).
Combined with Lemma 2.1, Lemma 2.2, and Lemma 2.3, clearly,
The proof is completed. □
Remark 4.1
The sufficient criteria of extinction are established for the infected CD4+ T-cells and free virus particles in the stochastic model with Lévy noise. From Theorem 4.1, we can obtain that strong fluctuation in internal HIV viral dynamics accelerates the extinction of the infected CD4+ T-cells and free virus particles.
5 Persistence in mean
For simplicity, we introduce the following notation:
Definition 5.1
Model (1.3) is said to be persistent in the mean if
Denote
Theorem 5.1
Assume that \((1-\eta _{\mathrm{PI}})N-1>0\), then for any solution \((x_{1}(t),x_{2}(t),x_{3}(t))\in \mathbb{R}_{+} ^{3}\) of model (1.3) with initial value \((x_{1}(0),x_{2}(0),x_{3}(0)) \in \mathbb{R}_{+}^{3}\), if \(\tilde{R}_{1}>1\), then
Proof
Define \(V(x_{1},x_{2},x_{3})=-\ln x_{1}-c_{1}\ln x _{2}-c_{2}(\ln x_{3}-\frac{(1-\gamma _{\mathrm{RTI}})\beta }{\delta }x_{1})\). Applying Itô’s formula, we obtain
where
Note \(\bar{\sigma }_{1}=\frac{1}{2}\sigma _{1}^{2}+\int _{Y}[\gamma _{1}(u)- \ln (1+\gamma _{1}(u))]\nu (\mathrm{d}u)\), \(\bar{\sigma }_{2}= \frac{1}{2}\sigma _{2}^{2}+\int _{Y}[\gamma _{2}(u)-\ln (1+\gamma _{2}(u))] \nu (\mathrm{d}u)\), and \(~\bar{\sigma }_{3}=\frac{1}{2}\sigma _{3}^{2}+ \int _{Y}[\gamma _{3}(u)-\ln (1+\gamma _{3}(u))]\nu (\mathrm{d}u)\), then let
we have
So,
where
We obtain that
Let \(c_{3}=\frac{c_{2}(1-\gamma _{\mathrm{RTI}})\beta }{\delta }\), when \(\rho \geq 0\), that is, \(\tilde{R}_{1}>1\). Integrating from 0 to t on both sides of (5.1), we obtain
Take the limit on both sides of (5.2), considering Lemma 2.1, Lemma 2.2, and Lemma 2.3, we have
and
The same as
On the other hand, applying Itô’s formula, we can conclude that
where
Integrating both sides of (5.5) from 0 to t yields
Clearly, we can derive that
where
According to Lemma 2.1 and Lemma 2.2, we have
Together with (5.4) and (5.6), we obtain
The same as
Therefore, if \(\tilde{R_{1}}>1\), we get the conclusion of Theorem 5.1. So, the proof is completed. □
Remark 5.1
From the expression of \(\tilde{R_{1}}\), we can realize that the persistence of the infected CD4+ cells and virus particles depend not only on the highly active antiretroviral treatment (HAART), but also on the stochastic fluctuation intensity of the biochemical circumstance. Obviously, \(\tilde{R_{1}}\leq R_{0}\), if and only if \(\bar{\sigma _{1}}=0\), \(\bar{\sigma _{2}}=0\), \(\bar{\sigma _{3}}=0\), then \(\tilde{R_{1}}= R_{0}\). This means that strong stochastic fluctuation can suppress the replication of virus particles and the release of new particles.
6 Numerical results
In this section, the results of various simulations of HIV infection dynamics are presented. By an order \(\frac{1}{2}\) Euler scheme approximation [33, 34], we discuss the effect of white noises and Lévy noise on the viral dynamics.
Firstly, we verify the extinction of system (1.3), choose parameters as in Table 1, the intensity of noise \((\sigma _{1},\sigma _{2},\sigma _{3})=(4.2,4,1.8)\), \(( \gamma _{1},\gamma _{2},\gamma _{3})=(1.2,0.9,1.4)~N=20\). For stochastic model with Lévy jump, we obtain \(\tilde{R}_{0}=0.42<1\). Figure 1(a1) and Fig. 1(b1) show that the solutions of infected CD4+ cells and virus particles will tend to zero with probability 1, respectively. The probability density of the values of \(x_{2}\) and \(x_{3}\) are shown in Fig. 1(a2) and Fig. 1(b2) driven by Lévy noise and Fig. 1(a3) and (b3) affected by white noise. By comparing the results, we found that strong fluctuation will result in faster extinction of infected CD4+ cells and virus particles than white noise. While we set \((\sigma _{1},\sigma _{2},\sigma _{3})=(0.55,0.4,0.7)\), \((\gamma _{1},\gamma _{2},\gamma _{3})=(0.2,0.3,0.4)\), \(N=80\), then \(\tilde{R}_{1}>1\), from Fig. 2 we can see that the infected CD4+ cells and virus particles are both persistent in mean.
Numerical simulation of the path \(x_{2}(t)\) and \(x_{3}(t)\) for the deterministic model, the stochastic model with white noise, and the stochastic model with Lévy jump; The density functions of \(x_{2}(t)\) and \(x_{3}(t)\) are driven by Lévy noise and white noise, respectively. We apply an order \(\frac{1}{2}\) Euler scheme approximation with initial value \((x_{1}(0),x_{2}(0),x_{3}(0))=(1000,1,1)\),\(( \sigma _{1},\sigma _{2},\sigma _{3})=(4.2,4,1.8)\), \((\gamma _{1},\gamma _{2}, \gamma _{3})=(1.2,0.9,1.4)\)
Numerical simulation of the path \(x_{2}(t)\) and \(x_{3}(t)\) for the deterministic model, the stochastic model with white noise, and the stochastic model with Lévy jump; The density functions of \(x_{2}(t)\) and \(x_{3}(t)\) are driven by Lévy noise and white noise, respectively. We apply an order \(\frac{1}{2}\) Euler scheme approximation with initial value \((x_{1}(0),x_{2}(0),x_{3}(0))=(1000,1,1)\), \((\sigma _{1},\sigma _{2}, \sigma _{3})=(0.55,0.4,0.7)\), \((\gamma _{1},\gamma _{2},\gamma _{3})=(0.2,0.3,0.4)\)
Next, we assume that the intensity of noise is \((\sigma _{1},\sigma _{2},\sigma _{3})=(10,5,1.8)\) and \((\gamma _{1},\gamma _{2},\gamma _{3})=(1.6,1.3,1.4)\), \(N=80\), there are some interesting results found in the numerical simulations, see Fig. 3. For the stochastic model with Lévy jump, we obtain \(\tilde{R}_{0}=0.84<1\), the infected CD4+ cells and virus particles are both extinct, while for the deterministic model \(R_{0}=2.9>1\), the infected CD4+ cells and virus particles are both persistent.
Numerical simulation of the path \(x_{2}(t)\) and \(x_{3}(t)\) for the deterministic model, the stochastic model with white noise, and the stochastic model with Lévy jump; The density functions of \(x_{2}(t)\) and \(x_{3}(t)\) are driven by Lévy noise and white noise, respectively. We apply an order \(\frac{1}{2}\) Euler scheme approximation with initial value \((x_{1}(0),x_{2}(0),x_{3}(0))=(1000,1,1)\), \((\sigma _{1},\sigma _{2}, \sigma _{3})=(10,5,1.8)\), \((\gamma _{1},\gamma _{2},\gamma _{3})=(1.6,1.3,1.4)\)
7 Conclusion
This paper investigated the dynamics of a stochastic HIV infection model with combined therapy of highly active antiretroviral treatment (HAART) and Lévy jumps. To our knowledge, this part of work has not been done so far. Through theoretical analysis and numerical simulations, we obtained some results about the HIV infection on a cellular level driven by Lévy noise. First, we investigated the global existence and unique positive solutions; then, by constructing a suitable stochastic Lyapunov function, we gave the sufficient conditions that \(\tilde{R} _{0}<1\), the infected CD4+ cells and virus particles extinct in probability. Then, we adopted a special method to deal with the model, and obtained if \(\tilde{R}_{1}>1\) the infected CD4+ cells and virus particles are persistent in mean. By numerical simulations, the theoretical results were verified. We also observed some phenomena that strong perturbation of the environment is beneficial to the extinction of the infected CD4+ cells and virus particles.
Due to the inherent stochastic nature of HIV infection, some interesting topics deserve further discussion, such as considering another common random perturbation regime-switching that was studied by several authors recently [36, 37]. We will go about these cases subsequently.
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Funding
This work was supported by the Fund of Taiyuan University of Technology (No. 1205-04020203) and the bidding project of Gannan Normal University (16zb02).
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YC carried out the modeling studies, participated in the theoretical analysis, and drafted the manuscript. FZ carried out the simulations of the model. MZ participated in the design of the study and performed the theoretical analysis. All authors read and approved the final manuscript.
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Cheng, Y., Zhang, F. & Zhao, M. A stochastic model of HIV infection incorporating combined therapy of HAART driven by Lévy jumps. Adv Differ Equ 2019, 321 (2019). https://doi.org/10.1186/s13662-019-2108-2
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DOI: https://doi.org/10.1186/s13662-019-2108-2
Keywords
- Stochastic epidemic model
- Lévy jump
- Antiretroviral drug therapy
- Persistence in mean