A study of latency, reactivation and apoptosis throughout HIV pathogenesis

The capability of the HIV to persist latent inside CD4+ T-cells is currently regarded as a barrier to recovery from infection. On the other hand, immune activation, which is a normal immune reaction to pathogens, is now recognized as a key ingredient to sustaining the HIV caused infection. Further, it has been shown that activation of infected memory T-cells indirectly promotes apoptosis (programmed cell death) of bystander CD4+ and CD8+ T-cells. In this paper we use standard modeling techniques to develop a model compliant with the above mentioned mechanisms. Our farthest goal is to study how the long-term depletion of T-cells that characterizes HIV pathogenesis depends on these mechanisms. Consequently, we conduct parameter estimation, and apply standard results of sensitivity analysis and principal component analysis of the state variables with respect to the parameters.