Optimal control in a simple mathematical model of infectious disease Tim Π. Seleznev 1,a. 1 Far Eastern Federal University, Sukhanova st. 8, 690950 Vladivostok, Russia a [email protected]. Keywords: optimal control, simple mathematical model of infections disease, The Pontryagin Maximum Principle, numerical solution of optimal control problem. Abstract. This article discusses the possibility of setting an optimal control problem for a simple mathematical model of infectious disease. And consider attempts to solve the control problem analytically (for the linearized system) and numerically. Intorduction Nowadays clinicians and immunologists accumulate many materials about different infectious diseases. Basing on analysis of this materials, many fundamental results concerning the mechanisms interaction of antigens and antibodies at different levels of detail are founded. These results allowed to approach the construction of mathematical models immune processes [1], [2]. Using a mathematical model described in reference [1], [2] Chapter 1, we describe the model and deliver it to the problem of optimal control. In Chapter 2, optimality system is derived for a nonlinear system and conducted her research. On the example the algorithm of solutions derived optimality systems, and analyzed the influence of some parameters on the initial treatment strategy. 1. Formalization of the simple mathematical model of infections disease and formulation of the optimal control problem. We assume that the main variable factors of infection are the following values. 1) The concentration of pathogenic antigens V (t). 2) Concentration of antibody F (t). In this case, antibodies is substrates of immune system, which neutralizing antigens (immunoglobulins, cell receptors). 3) Concentration of plasma cells C (t). This is a population of carriers and producers of antibodies (immune-competent cells and immunoglobulin producers). 4) Relating to the characteristics of the affected organ m (t), we define it as follows. Let M - characteristic of a healthy body (mass or area), and M * - corresponding to the characteristic of the part of affected body. Then, let m (t) = 1 - (M * / M). So we can obtain (according to the reference [1],[2]) the following equations, which determine the interaction of described variables. The equation of change in the number of antigens in the body: ππ = Ξ²Vdt-Ξ³FVdt (i) Where the first term on the left side of this equation describes the growth dV antigens during the interval dt, at the expense of reproduction. It is proportional to V and a number of ο’, which we call the multiplication factor antigens. ο§FVdt describes the number of antigens neutralized by antibodies F over the time interval dt. Where ο§ - probability of meeting neutralizing antibody and antigen. The second equation of change the number of plasma cells in the body: ππΆ = ΞΎ(m)Ξ±V(t-Ο)F(t-Ο)dt-ππΆ (C-πΆ β )dt (ii) Here - the first term on the right-hand side describes the generation plasma cells, ο΄ - time nedeed to form a cascade of plasma cells, ο‘ - the probability of collision antigen with antibody. Sometimes performance antibody production falls, so we added some function οΈ(m), which describes the speed reduction pruducing of antibodies, depending of m. The second term in this formula describes the reduction of number plasma cells due to aging, οC - a coefficient equal to the reciprocal of their lifetimes. C* - a constant level of plasma cells in a healthy body. The third β is the balance equation for the number of antibodies that react with the antigen: ππΉ = ΟCdtβΞ·Ξ³FVdt-ππΉ Fdt (iii) The first term on the right describes the generation of antibodies by plasma cells during the time interval dt, ο² - speed of production one antibody cell by plasma cells. ο¨ο§VFdt describes reducing the number of antibodies in the range of dt time due to connection with antigens. Take into account that the neutralization of one antigen cell requires ο¨ of antibodies. The third term describes the decrease in population of antibodies due to aging, where ππΉ - factor inversely proportional to the time decay of antibodies. The fourth equation: ππ = ΟV-ππ m (iv) The first term on the right-hand side describes the degree of damage to the body. We expect, during the time interval dt, size of the affected organ change in proportion to the number of antigens, which is described by ο³V, where ο³ - a constant, different for each disease. Reduction of this characteristic is due to the replacement of the organism. This term will depend on the aspect ratio of m. ππ - describe inverse value of the period of restoration of the body in the e times. Combining equations (i) - (iv), considering, for simplicity, all the coefficients are equal to 1, except for ο΄, C* = 0 and ο³ - as a variable parameter. As well as we adding the following initial conditions - V (0) = V0, C (0) = C0, F (0) = F0, m (0) = m0. Also we add into the (ii) equation control u (t), which means the amount of drug u (t), enters to the body per unit time, stimulating the growth of plasma cells in the body. Control u(t) is a limited quantity 0 β€ π’(π‘) β€ π’1 . So, we obtain the following system of equations: πΜ = (1 β πΉ)π πΆΜ = πΉπ β πΆ πΉΜ = πΆ β (1 + π)πΉ πΜ = ππ β π V (0) = π0 , C (0) = πΆ0 , F (0) = πΉ0 , { m (0) = π0 (1) Extremal problem is to find the specified control from the minimization condition of the affected body mass at time T: π½(π) = π(π) β πππ, 0 β€ π’(π‘) β€ π’1 . (2) 2. Nonlinear optimal system solution Appling the Pontryagin maximum principle [3], we obtain the following conjugated system, where y1= V, y2 = C, y3= F, y4= m, and ο1, ο2, ο3, ο4 are conjugate functions: π1Μ = βπ1 (1 β π¦3 ) β π2 π¦3 β π3 π¦3 β ππ4 π2Μ = π2 β π3 π3Μ = π1 π¦1 β π2 π¦2 + π3 (1 + π¦1 ) π4Μ = π4 (3) Ο1 (T) = 0, Ο2 (T) = 0, Ο3 (T) = 0, { Ο4 (T) = β1 The Hamiltonian in this case will look like H = Ο1(y1 β y1y3) + Ο2(y1y3 β y2 + u(t)) + Ο3(y2 β y1y3 β y3) + Ο4(Οy1 β y4) β max, to achieve optimal control. Then our control depends of Ο2 like: π’1 , π2 > 0 π’(π‘) = {βπ£ β [0 ], π = 0 , π’1 2 (4) 0, π2 < 0 This type of control allows to set that principle Bang-bang performed for considered optimality system. For solutions using an iterative method. Choose an initial guess for our control. Solving at each step the original system, we substitute the values of the functions in the conjugated system. At each step, we find a new approximate control. The 2 iterations are terminated when the integral norm β«π (π( ) ππ‘ , where r(t) π‘ β ππππ€ (π‘)) π‘0 solution of optimality system at previous step, and rnew(t) - the next step solution, becomes less than the specified ο₯. Optimality system is solved numerically using the application package Mathematica. For example, using V0=1, C0=1, F0=1, m0=1, u1=1, T = 5, ο³= 1/3 as initial values, optimal control value will be m(T) = 0,192805. This results observed in picture 1. m 0.20 0.15 0.10 0.05 1 2 3 4 5 t 3. Conclusion The research allowed to solve the control problem for the simplest model of an infectious disease numerically. We have built and with the help of the application package decided optimality system. The calculations helped to establish the following facts: 1) Increase the amount of antigen enters the body, leads to a deterioration in the clinical picture after treatment. Also extends the life of taking the medication. 2) Reducing the number of antibodies and plasma cells in the body at the beginning of treatment also reduces the performance in T. Time of treatment increases. 3) More Serious illness requires an increase in the concentration of the drug. 4) In the case of increasing the concentration of the drug while it is receiving reduced. The versatility of this model allows for a more detailed study of all the members of the original model parameters to obtain more detailed study of various forms of infectious diseases, using the method described. References [1] G.I. Marchuk, Simple mathematical model of infectious disease, RCSS USSRAS, Novosibirsk, 1975 [2] G.I. Marchuk, Matematical models in immunology, Science, Moscow, 1991 [3] L.T. Ashepkov, B.V. Velichko, Optimal control, FENU, Vladivostok, 1989
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