Influence of backward bifurcation in a model of hepatitis B and C viruses

Math Biosci. 2010 Apr;224(2):118-25. doi: 10.1016/j.mbs.2010.01.002. Epub 2010 Jan 18.

Abstract

In the 1990 s, liver transplantation for hepatitis B and C virus (HBV and HCV) related-liver diseases was a very controversial issue since recurrent infection of the graft was inevitable. Significant progress has been made in the prophylaxis and treatment of recurrent hepatitis B/C (or HBV/HCV infection) after liver transplantation. In this paper, we propose a mathematical model of ordinary differential equations describing the dynamics of the HBV/HCV and its interaction with both liver and blood cells. A single model is used to describe infection of either virus since the dynamics in-host (infected of the liver) are similar. Analyzing the model, we observe that the system shows either a transcritical or a backward bifurcation. Explicit conditions on the model parameters are given for the backward bifurcation to be present. Consequently, we investigate possible factors that are responsible for HBV/HCV infection and assess control strategies to reduce HBV/HCV reinfection and improve graft survival after liver transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Basic Reproduction Number
  • Blood Cells / virology
  • Graft Survival
  • Hepacivirus / physiology
  • Hepatitis B / prevention & control
  • Hepatitis B / surgery
  • Hepatitis B / virology*
  • Hepatitis B virus / physiology
  • Hepatitis C / prevention & control
  • Hepatitis C / surgery
  • Hepatitis C / virology*
  • Hepatocytes / virology
  • Humans
  • Liver Transplantation
  • Models, Biological*
  • Viral Load