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Table 2 Overview and main immune dynamics of the models

From: Mechanistic within-host models of the asexual Plasmodium falciparum infection: a review and analytical assessment

General model structure, and parasite dynamics

  

Models

Molineaux et al.

  

Gatton & Cheng

Eckhoff

Childs & Buckee

Gurarie et al.

McKenzie and Bossert

Adapted models

 

Johnston et al.

      
  

Challenger et al.

     

Assumptions on innate immune response

Dependent on total parasite density at a given time

Dependent on density of each parasites expressing variants for which there is no antibody response, and on the rupturing of iRBCs

Dependent on total parasite density at a given time and is capped by a maximum efficacy term

Dependent on iRBC density

Dependent on cumulative asexual parasite density

Assumptions on variant specific immune response

Dependent on the variant specific parasite density, and lasting in time with a decaying intensity

Dependent on the total parasite within a time frame preceding the time of response, and on time after infection start

Triggered by a variant specific parasite density threshold, dependent on the time after infection start, and the magnitude increases if the antibody has been produced previously

Dependent on the variant specific parasite density

Dependent on the variant specific parasite density, a maximum growth and decay rate, and is restricted by total number of immune cells available

Not explicit, but adaptive immune response includes random falls due to implicit variant switching

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Assumptions on general adaptive immune response

Depends on cumulative total parasite density

Dependent on the time after the start of the infection

Modelled as immune response against merozoite antigens, increase every 2 days, dependent on parasite density

Dependent on cumulative number or days the total parasite population is above 107

Dependent on iRBC density and combined innate and adaptive effector pool

Dependent on cumulative asexual parasite density, does not decay in time

Includes cross-reactivity

No

Not explicitly

Yes, the variant specific response approximately kills 5% of all other variants

Yes, response to variants randomly assigned to 5 subgroups

Yes, response to variants randomly assigned to subgroups

No

Yes, immune response to one genotype can be activated by the presence of another genotype

Other comments

Innate and adaptive immune response include patient specific parameters

  

Parameters differ with different parasite strains

Immune memory is included in the model

Detailed sensitivity analysis resulted in significant impact on the model’s outcome of small changes in parameter values, highlighting the challenged face by within host models

  
  1. The model description includes the main characteristics of innate, variant specific, and general adaptive immune responses