Table 1. Parameter definitions and values.
Parameter | Description | Value | Units | Reference |
---|---|---|---|---|
dT | Uninfected CD4+ T-cell death rate | 0.01 | per day | [18,53] |
rT | CD4+ T-cell proliferation rate | per day | Estimated for individual macaques | |
κ | Carrying capacity for the CD4+ T cell population | a | cells/ml | Calculated |
α | Latent cell activation rate | 0.001 | per day | [7] |
dL | Latent cell death rate | b | per day | Calculated |
rL | Latent cell proliferation rate | b | per day | Calculated |
dL+ α -rL | Decay rate of the latent cell reservoir | 0.0182b | per day | [32] |
f | Fraction of infections resulting in latency | 10−5 | Calibratedc | |
m | Rate cytotoxic effector cells kill infected cell | ml/cell per day | Estimated for individual macaques | |
δ | Infected cell death rate due to viral cytopathic effects in baseline model | 0.60 | per day | Calibrated |
p | Viral production rate | RNA copies per cell per day | Estimated for individual macaques | |
c | Viral clearance rate | 23 | per day | [54–56] |
λE | Effector cell source rate | 103 | cells / ml per day | Calibratedd |
μ | Death rate of cytotoxic effector cells | 0.32 | per day | [30] |
bE | Maximum proliferation rate for cytotoxic effector cells | 1.62 | per day | [30,31] |
dE | Maximum exhaustion rate for cytotoxic effector cells in baseline model | 1.35 | per day | Calibrated |
KB | Saturation constant for cytotoxic effector cell expansion | cells/ml | Estimated for individual macaques | |
KD | Saturation constant for cytotoxic effector cell exhaustion | 55 KB | cells/ml | [32] |
ε | Efficacy of cART | 0.90 | Assumed | |
T(0)β | Free virus infection rate | 5 ⨉ 10−3 | cells/SIV RNA per day | Assumed |
Aα4β7 | Total amount of anti-α4β7 antibody infused | 805 | μg/ml | 50 mg/kg for a 5.3 kg [57] macaque with 329 ml of blood |
V(0) | Initial virus concentration | 413 | SIV RNA copies/ml | Estimated |
k0 | Elimination rate of anti-α4β7 antibody | 0.048 | per day | Estimated |
k12 | Distribution rate of anti-α4β7 antibody to tissue | 0.165 | per day | Estimated |
k21 | Distribution rate of anti-α4β7 antibody to blood from tissue | 0.008 | per day | Calibratede |
κα4β7 | Fraction of CD4+ T cells that are α4β7+ | 0.73 | [1] | |
EC50 | Half-maximal concentration for anti-α4β7 antibody binding to CD4 T cells | 2.76 ⨉ 10-2 | μg/ml | [58] |
KP | Saturation constant for the source of effector cells in the saturated source model | cell/ml | Estimated for individual macaques | |
γ | Fold increase in viral clearance rate | Estimated for individual treated macaques | ||
1/ψC | Antibody concentration of half-maximal effect for increased viral clearance | μg/ml | Estimated for individual treated macaques | |
1/ψN | Antibody concentration of half-maximal effect for neutralization | 1/ψN = 1/ψC | μg/ml | Estimated for individual treated macaques |
𝕀N | Indicator variable for the presence of the effect of viral neutralization from the anti-α4β7 antibody | 1 when present; 0 otherwise | ||
𝕀A | Indicator variable for the presence of the effect of an increase in the effector cell source rate from the anti-α4β7 antibody | 1 when present; 0 otherwise | ||
⍵ | Maximum rate protection wanes | per day | Estimated for individual treated macaques | |
⍴ | Maximum rate target cells become protected | per day | Estimated for individual treated macaques | |
Ω | Half-saturation constant for the effect the anti-α4β7 antibody has on increasing antigen presentation | μg/ml | Estimated for individual treated macaques |
a The carrying capacity was calculated such that in the absence of productively infected and latently infected cells the CD4+ T cell population would be in steady state at the initial target cell concentration.
b Specifying the latent cell activation rate, the difference between the latent cell death rate and the latent cell proliferation rate is such that the half-life of the latent cell reservoir is 38 days.
c The fraction of infections resulting in latency was calibrated during the initial stages of fitting such that the viral load under cART was greater than 1 SIV RNA copies/ml during chronic HIV infection.
d The source rate of effector cells was chosen such that the effector cell concentration in the baseline model was relatively comparable to the concentration of HIV specific CD8+ T cells during HIV infection.
e The distribution rate of the antibody to the blood from the tissue was calibrated at 0.001 intervals to maximize the likelihood of the antibody dynamics from the pharmacokinetic model.