title: A mathematical model for the investigation of the Th1 immune response to Chlamydia trachomatis.
abstract: Chlamydia are bacterial pathogens of humans and animals causing the important human diseases trachoma, sexually transmitted chlamydial disease and pneumonia. Of the human chlamydial diseases, sexually transmitted disease caused by Chlamydia trachomatis is a major public health concern. Chlamydia trachomatis replicates intracellularly and is characterised by a complex developmental cycle. Chlamydia is susceptible to humoral and cell-mediated immunity. Here we investigate the Th1 cell-mediated immune response against Chlamydia-infected cells as the response changes over the chlamydial developmental cycle. We suggest a form for the immune response over one developmental cycle by modelling the change in the number of intracellular chlamydial particles and assume peptides are presented in proportion to the number of replicating forms of chlamydial particles. We predict, perhaps non-intuitively, that persistent Chlamydia should be induced and forced not to return to the lytic cycle. We also suggest that extending the length of the time of the lytic cycle will effectively decrease the required efficacy of the Th1 response to eliminate the pathogen. We produce plots of active disease progression, control and clearance for varying levels of Th1 effectiveness.
authors.affiliation: Centre in Statistical Science and Industrial Mathematics, School of Mathematical Sciences, Queensland University of Technology, GPO Box 2434, Brisbane, Qld 4001, Australia. d.wilson@fsc.qut.edu.au
authors.forename: D P
authors.initials: DP
authors.lastname: Wilson
authors.forename: P
authors.initials: P
authors.lastname: Timms
authors.forename: D L S
authors.initials: DL
authors.lastname: McElwain
mesh_terms: D002690:Chlamydia Infections / Q000276:immunology*; D002692:Chlamydia trachomatis / Q000254:growth & development* / Q000276:immunology; D003198:Computer Simulation; D006801:Humans; D018448:Models, Immunological; D009716:Numerical Analysis, Computer-Assisted; D018417:Th1 Cells / Q000276:immunology*