Abstract
Chronic immune activation and viral latency are among the main factors behind the persistence of Human Immunodeficiency Virus (HIV) and other viral diseases. Immune activation is chiefly lead by dendritic cells which detect the presence of Virus (HIV) and notify other immune cells particularly the helper T cells via the process called antigen presentation. However, antigen presentation process increases the chances of T cells to be infected by the viral particles trapped by dendritic cells. In this paper, a time-fractional diffusion model is proposed to investigate the impact of dendritic cells on the spread of HIV among susceptible T cells with respect to time and anomalous diffusion posed by cells crowding. The equilibrium points of the model are obtained and analysed. The disease free steady state proved to be stable both in spatially homogeneous case and in the presence diffusion and chemotaxis. The endemic steady state is stable in the absence of diffusion and chemotaxis, however the presence of diffusion induces instability if a thresshold value is exceeded. A priori estimates were also obtained in the appropriate Sobolev spaces. Furthermore, the numerical experiments were conducted to examine the dynamic behaviour of cells densities with respect to time and the sub-diffusion parameter.
Introduction
Dendritic cells (DCs) play multiple roles at different stages of HIV infection characterized by microbe sensing and communication with T cell (antigen presentation) via soluble and cell-associated molecules. Only antigen-presenting cells such as macrophages, B lymphocytes, and DCs can activate a naive helper T cell when the matching antigen is presented [17, 21], because every helper T cell is dedicated to a specific antigen. However, macrophages and B cells can only activate memory T cells whereas DCs can activate both memory and naive T cells. These make DCs the most potent of all the antigen-presenting cells [17].
Unfortunately, their very close interactions with CD4+ T cells create an avenue for the infection of new target cells. The HIV virions are captured by DCs using C-C chemokine receptor type 5 (CCR5) and C-X-C chemokine receptor type 4 (CXCR4) and retain infectious viruses for long periods [21]. There are strong evidences that DCs are not productively infected by HIV; rather, DCs serve as a reservoir of virions at their surface with high probability of infecting the target CD4+ T cells [47]. DC maturation is associated with a diminished ability to support HIV replication as compared to immature DC [18].
The mystery behind persistent progress of HIV infection lies in chronic immune activation lead by DCs and viral reservoirs. However, research on HIV infection particularly amongst computational scientists is majorly directed to examining key variables responsible for the progress of the disease. For instance, mathematical modellers were initially interested to study the dynamics of the susceptible target cells, infected target cells and the free viral particles [22, 52]. Even though the model is able to fit data, major factors such as immune response and other transmission mechanisms were not included. In the last four decades, there had been growing body of literature dedicated to extended models that capture virus-to-cell transmission [57, 50], direct cell-to-cell transmission [34, 56], antiretroviral therapies [39], latency of infected CD4+ T cells [8], drug resistance [44, 48] and time delays [38, 51].
Mathematical modelling of immune response to HIV is still an underdeveloped research area with few articles found in literature which capture CD8+ responses [27, 35, 53], the interactions between virus, CD4+ T cells and CD8+ T cells [54]. All these models focus only on time evolution while the spatial distribution of interacting cells receives less or no attention. In addition, the impact of DCs on progression and pathology of HIV cannot be overemphasised and it remains a gap in mathematical modelling of infectious disease. Truly, war against most viral infections such as HIV cannot be won without a clear understanding of immune cells activation and mobilization.
Fractional calculus is now an indispensable modelling tool in science and engineering systems that deviate from the classical laws [32]. Examples of such models are found in hydrology [12], plasma turbulence [10], finance [7], epidemiology [6, 20, 14, 45] and ecology [9, 19]. Indeed, the modelling of HIV epidemic using fractional derivatives has received reasonable attention over the past two decades. Mainly, these time fractional models focus on basic target cells dynamics [16], viral latency [41], therapy [3] and time delay [59] with respect to time evolution.
The diffusion of a particle in a simple medium is modelled using classical Fick’s law where mean-square displacement of a diffusing particle is linearly scaled by
Preliminaries
In this section we will recall some basic definitions and results that are useful in the sequel.
.
(Fractional Integrals) [43]: Let
.
(Fractional Derivatives) [43]: Caputo and Riemann-Liouville fractional left and right hands derivatives of order
and
Note: In the paper, we denote
.
For an integer
equipped with the following norms
Now, for
.
The one and two parameters Mittag-Lefler functions are given as [30]
.
Useful Inequalities
Young’s inequality: Let
Poincaré inequality: Let
Generalized Grönwall’s inequality [58]: Suppose
then
To account for the effect of anomalous diffusion (subdiffusion) of immune cells due to cell crowding, we will capture the nonlinear time scaling phenomenon (with
In this model, the unknowns include:
Dendritic cells
DCs are called matured only when they complete the antigen presentation process. Naive immature DCs move randomly in the body to keep watch against invasion of pathogens. Once a viral particle is located, the DC binds and takes it to helper T cells. Here, we modelled in Eq. (17)
In this model, the T-cells are divided into susceptible (
Here,
Note that, the normal diffusion system is recovered for
This correction technique was introduced by [14]. Hence, the correct form of the model is given as
where
Parameter values
Equilibrium states
By setting the kinetic parts of the equation to zero and solving simultaneously, the disease free and endemic equilibrium states of the system Eqs (23)–(28) are obtained respectively:
where
.
The disease free equilibrium point
Proof..
The absence of the virus reduces system into
which leads to the homogenous disease free equilibrium point
This implies that the kinetic system of Eqs (31)–(32) is stable. To examine diffusion induced instability of the system, Eqs (31)–(32) is rewritten as
Let
This matrix has the following eigenvalues
Since all the eigenvalues are negative, the system remains stable in the presence of diffusion. ∎
.
(Gershgorin circle theorem) [5]: Let
.
The endemic equilibrium point
Proof..
Assume that the diffusion and the chemotactic movement of cells are negligible. Then we obtain the Jacobian matrix of the system Eqs (23)–(28) as
We need to prove that the real parts of the eigenvalues of are strictly negative. Using parameter values in Table 1, for
and solving characteristic polynomial, we obtained
Since all the eigenvalues are negative, we deduce that the endemic equilibrium point of the system is uniformly and asymptotically stable. Next, the linearization of the full diffusion-chemotaxis time independent system of Eqs (23)–(28) leads to matrix
where
The stability of the system is examined using Gershgorin circle theorem. We evaluate the Gershgorin disc for rows
where
All the eigenvalues are centered on the negative part of the real axis. However, by numerical inspection using the parameter values in Table 1, we discover that the Gershgorin disc corresponding to row
With this, we conclude that the stable endemic equilibrium point
.
Let
where
In addition, for constants
where
Proof..
The main goal of the proof is to obtain a priori estimates with which boundedness and uniqueness will be checked.
integrating the diffusion term by parts and applying the boundary conditions
Applying the young’s inequality,
since
Secondly, multiplying Eq. (18) by
The diffusion and chemotaxis terms are integrated by parts
but by Young’s inequality
which follow from Sobolev embedding for
Similarly, using the Young’s inequality, it leads to
By Cauchy-Schwarz inequality this leads to
Next, we follow the same argument for the remaining equations to have
Now, adding Eqs (58), (4.2) and (66), ignoring the negative terms, we arrive at
where we used the fact that
Then, using the substitution Eq. (53), we take the fractional integral on both sides of Eq. (67) and apply generalized Grönwall’s lemma to realize
where the constants
Integrating all the terms by parts except the diffusion term and applying the boundary conditions we have
where we dropped the negative term and the Young’s inequality is applied to have
Secondly, we multiplying Eq. (18) by
but it is easy to see that
Due to the fact that, for
Note that, the Young’s inequality was again invoked to disassemble the products.
Now, we proceed with the same series of argument to obtain estimate for the remaining equation however, details are omitted. This yields the following equations:
Combining Eqs (71), (4.2)–(79) and dropping the negative terms
Thanks to Poincaré inequality, for a constant
so that the right hand side of Eq. (81) can easily be absorbed in Eq. (80) which leads to
where
Using the substitution in Eq. (54), Eq. (82) is rewritten as
Taking the fractional integral on both sides of Eq. (83), we have
Uniqueness: Uniqueness of the solution of the system can be investigated by assuming that the system has two solutions
The desired result follows upon the application of generalized Grönwall’s lemma, hence the proof. ∎
In this section, we used the Grunwald-Letnikov formula in time [40], central in space scheme [42] to solve the system. Fractional derivatives hold feature of nonlocality that makes them difficult to discretize. In literature, Caputo derivative is often discretized through the definition of Grunwald-Letnikov fractional derivative [40, 46, 15] and via quadrature approximations of the fractional integral [60, 2]. This can also be achieved by generalized Taylor series expansion where fractional Euler scheme is obtained [49, 36]. Now, we take advantage of the relationship between Grunwald-Letnikov, Riemann-Liouville and Caputo fractional derivatives to obtain the desired scheme. Let
where
Using an equidistant grid in
where
Now, the Riemann-Liouville fractional derivative is defined in terms Grunwald-Letnikov approximation formula as
In view of Eqs (90)–(92), the Caputo fractional derivative is approximated as
The correction term Eq. (94) vanishes with homogeneous initial conditions. To solve the system on a rectangular domain
Densities of Interacting Cells at 
For simplicity, we denote explicit discrete Caputo fractional derivatives of
For notational convenience, central in space discrete forms of 2 dimensions space derivatives is denoted by
Densities of Interacting Cells at 
Now, substituting Eqs (95)–(5) into Eqs (23)–(28), we have the discretize system thus
where * is element wise multiplication of matrices. The stability of the scheme is ensured by
Density of Partially Mature DCs at 
Density of Infected T Cells at 
In this section, the results will be presented both for normal and subdiffusion cases. Recall that the normal diffusion system is recovered for
Using a square domain
In Figs 1 and 2 above, we examine the cell densities at two different time scenarios for normal diffusion (
Subdiffusion
Here, the aim of the numerical study is to examine the impact of subdiffusion diffusion on the infection of T Cells. The plots are only shown for partially matured (activated) DCs (Fig. 3) and the density of infected T cells (Fig. 4). We inferred from the numerical experiments that, as the diffusion of DCs gets slower, the probability of the captured viral particles by DCs to infect T Cells becomes high. This reflects on density of infected T Cell shown in Fig. 4, as the time scaling parameter
Conclusion
In this paper, a time-fractional diffusion model was proposed to study the effect of antigen presentation process by DCs on the progress of HIV. The spatial homogeneous equilibrium states of the model were obtain, the disease free case proved to be uniformly and asymptotically stable even with the presence of diffusion and chemotaxis. However, the endemic steady state is only stable with the presence of diffusion provided a threshold condition is fulfilled. A priori estimates were also obtained in the appropriate Sobolev spaces. The numerical simulations further revealed that, crowd induced slower diffusion (subdiffusion) affects the movement DCs and antigen presentation process in general. Unfortunately, subdiffusion due to crowded cells favours the pathogenesis of HIV by increasing the probability of infection of T cells during antigen presentation. Of course, this model can be generalized to include other immune cells and necessary factors. We recommend that, vivo experiments should investigate this result through cells tracking and other relevant technology. This may help the improvement of antiviral drugs and reduce chronic immune activation associated with the disease.
Footnotes
Acknowledgments
Authors are thankful to anonymous referees for their insightful inputs to increase the quality of manuscript.
