Treatment of Psoriasis by Interleukin-10 Through Impulsive Control Strategy: A Mathematical Study

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Mathematical Modelling, Optimization, Analytic and Numerical Solutions

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Abstract

Psoriasis is characterized by anomalous growth of keratinocytes (skin cells), which occurs due to abrupt signaling within immune cells and cytokines. The most significant immune cells, T cells go through differentiation with interaction of dendritic cells (DCs) to produce Type 1 T helper cell (\(\text {Th}_{1}\)) and Type 2 T helper cell (\(\text {Th}_{2}\)) subtypes. In psoriatic progression dynamics, the inflammation effect of \(\text {Th}_{1}\) mediated cytokines (pro-inflammatory) are responsible for the abnormal growth of keratinocytes. In this measure, the effect of anti-inflammatory cytokines secreted by \(\text {Th}_{2}\) subtype partially downregulate the growth of epidermal cell. In this research article, we have constructed a five-dimensional mathematical model involving T cells, dendritic cells, \(\text {Th}_{1}\), \(\text {Th}_{2}\), and keratinocyte cell populations for better understanding the development of psoriatic lesions. Moreover, we have evaluated the role of \(\text {Th}_{1}\), \(\text {Th}_{2}\), and interplay of various cytokine networks in Psoriasis through a set of nonlinear differential equations. Our analytical study reveals the preconditions for disease persistence and also validates the stability criteria of endemic equilibrium for the disease. Furthermore, we have used one-dimensional impulsive differential equation to examine the effects of different levels of biologic (\(\text{ Interleukin }\)-10) for different dosing intervals in keratinocytes cell population. We have also examined the qualitative behavior of keratinocyte by considering two different values of the parameter corresponding to the reduction of keratinocyte due to the impact of drug (IL-10). We have also found the perfect dosing intervals of biologic (\(\text{ Interleukin }\)-10) that could tolerate the keratinocytes at the desired level. Finally, our analytical and numerical computations reveal that the use of IL-10 through impulsive way is proven better treatment compared with other trivial therapeutic policies for psoriatic patients.

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Acknowledgements

The research work is financially supported by DST-PURSE PROJECT (Phase-II), Government of India, Department of Mathematics, Jadavpur University, Kolkata-700032, India.

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Correspondence to Priti Kumar Roy .

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Roy, A.K., Roy, P.K. (2020). Treatment of Psoriasis by Interleukin-10 Through Impulsive Control Strategy: A Mathematical Study. In: Manchanda, P., Lozi, R., Siddiqi, A. (eds) Mathematical Modelling, Optimization, Analytic and Numerical Solutions. Industrial and Applied Mathematics. Springer, Singapore. https://doi.org/10.1007/978-981-15-0928-5_15

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