Format

Send to

Choose Destination
See comment in PubMed Commons below
Math Med Biol. 2013 Dec;30(4):311-37. doi: 10.1093/imammb/dqs026. Epub 2012 Sep 20.

Mathematical modelling of cytokine-mediated inflammation in rheumatoid arthritis.

Author information

1
Centre for Mathematical Medicine and Biology, School of Mathematical Sciences, University of Nottingham, Nottingham NG7 2RD, UK.

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory disease preferentially affecting the joints and leading, if untreated, to progressive joint damage and disability. Cytokines, a group of small inducible proteins, which act as intercellular messengers, are key regulators of the inflammation that characterizes RA. They can be classified into pro-inflammatory and anti-inflammatory groups. Numerous cytokines have been implicated in the regulation of RA with complex up and down regulatory interactions. This paper considers a two-variable model for the interactions between pro-inflammatory and anti-inflammatory cytokines, and demonstrates that mathematical modelling may be used to investigate the involvement of cytokines in the disease process. The model displays a range of possible behaviours, such as bistability and oscillations, which are strongly reminiscent of the behaviour of RA e.g. genetic susceptibility and remitting-relapsing disease. We also show that the dose regimen as well as the dose level are important factors in RA treatments.

KEYWORDS:

ODE; anti-inflammatory; cytokines; mathematical modelling; pro-inflammatory; rheumatoid arthritis

PMID:
23002057
DOI:
10.1093/imammb/dqs026
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Support Center