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A Theory for Viral Rebound after Antiviral Treatment: A Study Case for Sars-Cov-2

A theory for viral rebound after antiviral treatment: a study case for SARS-CoV-2
Authors: Mara Perez; Marcelo Actis; Ignacio Sanchez; Esteban A. Hernandez-Vargas; Alejandro H. González;

A Theory for Viral Rebound after Antiviral Treatment: A Study Case for Sars-Cov-2

Abstract

A fraction of individuals infected with SARS-CoV-2 experienced rebounds when treated with effective antivirals such as Nirmatrelvir/Ritonavir (Paxlovid). Although this phenomenon has been studied from biological and statistical perspectives, the underlying dynamical mechanism is not yet fully understood. In this work, we characterize the dynamic behavior of a target-cell model to explain post-treatment rebounds from the perspective of set-theoretic stability analysis. Without relying on the effects of the adaptive immune system or the resistance through viral mutations, we develop mathematical conditions for antiviral treatments to avoid viral rebound. Simulation results illustrate the critical role of dosage (i.e., the doses and timing of administration) in taking advantage of highly effective drugs and tailoring therapies.

Country
Argentina
Keywords

Medical epidemiology, VIRAL REBOUND, ANTIVIRAL TREATMENT, Ritonavir, SARS-CoV-2, viral rebound, antiviral treatment, COVID-19, in-host infection, rebound threshold, Antiviral Agents, Models, Biological, Article, Lopinavir, COVID-19 Drug Treatment, Drug Combinations, IN-HOST INFECTION, https://purl.org/becyt/ford/1.1, Humans, REBOUND THRESHOLD, Computer Simulation, https://purl.org/becyt/ford/1

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    2
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green