Infectious diseases caused by bacteria, fungi, viruses and parasites have affected humans historically. Infectious diseases remain a major cause of premature death and a public health concern globally with increased mortality and significant economic burden. Unvaccinated individuals, people with suppressed and compromised immune systems are at higher risk of suffering from infectious diseases. In spite of significant advancements in infectious diseases research, the control or treatment process faces challenges. The mucosal immune system plays a crucial role in safeguarding the body from harmful pathogens, while being constantly exposed to the environment. To develop treatment options for infectious diseases, it is vital to understand the immune responses that occur during infection. The two infectious diseases presented here are: i) Helicobacter pylori infection and ii) human immunodeficiency (HIV) and human papillomavirus (HPV) co-infection. H pylori, is a bacterium that colonizes the stomach and causes gastric cancer in 1-2% but is beneficial for protection against allergies and gastroesophageal diseases. An estimated 85% of H pylori colonized individuals show no detrimental effects. HIV is a virus that causes AIDS, one of the deadliest and most persistent epidemics. HIV-infected patients are at an increased risk of co-infection with HPV, and report an increased incidence of oral cancer. The goal of this thesis is to elucidate the host immune responses in infectious diseases via the use of computational and mathematical models. First, the thesis reviews the need for computational and mathematical models to study the immune responses in the course of infectious diseases. Second, it presents a novel sensitivity analysis method that identifies important parameters in a hybrid (agent-based/equation-based) model of H. pylori infection. Third, it introduces a novel model representing the HIV/HPV coinfection and compares the simulation results with a clinical study. Fourth, it discusses the need of advanced modeling technologies to achieve a personalized systems wide approach and the challenges that can be encountered in the process. Taken together, the work in this dissertation presents modeling approaches that could lead to the identification of host immune factors in infectious diseases in a predictive and more resource-efficient manner. / Doctor of Philosophy / Infectious diseases caused by bacteria, fungi, viruses and parasites have affected humans historically. Infectious diseases remain a major cause of premature death and a public health concern globally with increased mortality and significant economic burden. These infections can occur either via air, travel to at-risk places, direct person-to-person contact with an infected individual or through water or fecal route. Unvaccinated individuals, individuals with suppressed and compromised immune system such as that in HIV carriers are at higher risk of getting infectious diseases. In spite of significant advancements in infectious diseases research, the control and treatment of these diseases faces numerous challenges. The mucosal immune system plays a crucial role in safeguarding the body from harmful pathogens, while being exposed to the environment, mainly food antigens. To develop treatment options for infectious diseases, it is vital to understand the immune responses that occur during infection. In this work, we focus on gut immune system that acts like an ecosystem comprising of trillions of interacting cells and molecules, including membars of the microbiome. The goal of this dissertation is to develop computational models that can simulate host immune responses in two infectious diseases- i) Helicobacter pylori infection and ii) human immunodeficiency virus (HIV)-human papilloma virus (HPV) co-infection. Firstly, it reviews the various mathematical techniques and systems biology based methods. Second, it introduces a "hybrid" model that combines different mathematical and statistical approaches to study H. pylori infection. Third, it highlights the development of a novel HIV/HPV coinfection model and compares the results from a clinical trial study. Fourth, it discusses the challenges that can be encountered in adapting machine learning based computational technologies. Taken together, the work in this dissertation presents modeling approaches that could lead to the identification of host immune factors in infectious diseases in a predictive and more resourceful way.
| Identifer | oai:union.ndltd.org:VTETD/oai:vtechworks.lib.vt.edu:10919/96019 |
| Date | 17 December 2019 |
| Creators | Verma, Meghna |
| Contributors | Graduate School, Bassaganya-Riera, Josep, Hoops, Stefan, Abedi, Vida, Hontecillas-Magarzo, Raquel |
| Publisher | Virginia Tech |
| Source Sets | Virginia Tech Theses and Dissertation |
| Detected Language | English |
| Type | Dissertation |
| Format | ETD, application/pdf |
| Rights | In Copyright, http://rightsstatements.org/vocab/InC/1.0/ |
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