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ABSTRACT
In this paper, a previous tumour–immune interaction model is simplified by neglecting a relatively weak direct immune activation by the tumour cells, which can still keep the essential dynamics properties of the original model. As the immune activation process is not instantaneous, we now incorporate one delay for the activation of the effector cells (ECs) by helper T cells (HTCs) into the model. Furthermore, we investigate the stability and instability regions of the tumour-presence equilibrium state of the delay-induced system with respect to two parameters, the activation rate of ECs by HTCs and the HTCs stimulation rate by the presence of identified tumour antigens. We show the dual role of this delay that can induce stability switches exhibiting destabilization as well as stabilization of the tumour-presence equilibrium. Besides, our results reveal that an appropriate immune activation time delay plays a significant role in control of tumour growth.
1. Introduction
The word ‘tumour’ in reality expresses an entire and wide family of high-mortality pathologies of cellular proliferation which may cause diseases eventually [Citation9]. The immune system is a complicated network of cells and signals that has evolved to protect the host from pathogens and body from tumour cells (TCs). Any new substance in the body that the immune system does not recognize can raise an alarm and cause the immune system to attack it. Sometimes the immune system can recognize TCs, but the response might not be strong and prompt enough to destroy TCs [Citation5]. Effector cells (ECs) are the activated immune system cells, such as cytotoxic T lymphocytes (CTLs) [Citation15]. TCs are mainly the prey of the ECs, on the other hand, proliferation of ECs is stimulated by the existence of TCs. However, TCs also cause a loss of ECs, and intensity of an influx of ECs may rely on the size of the tumour [Citation8]. Helper T cells (HTCs) are stimulated through antigen presentation by macrophages or dendritic cells and release the cytokines to stimulate proliferation of ECs to kill more TCs. The tumour–immune competitive system is complicated, being nonlinear and evolutive in some extent [Citation10].
To capture the dynamics of tumour–immune system interaction, a lot of mathematical efforts have been made [Citation1–4, Citation6–11, Citation13–20]. For example, a classical model describing the CTL response to the growth of an immunogenic tumour was presented in [Citation16]. Kirschner et al. first introduced immunotherapy into their models which can explain both short-term tumour oscillations in tumour sizes and long-term tumour relapse [Citation15]. d'Onofrio et al. [Citation8] introduced a general framework for modelling tumour–immune system competition and immunotherapy using the qualitative theory of differential equations. de Pillis et al. [Citation3] proposed a mathematical model of tumour–immune interaction with chemotherapy and strategies for optimally administering treatment. Recently, Dong et al. [Citation7] studied the role of HTCs in the tumour–immune system:
(1)
(1) where
,
and
are the densities of TCs, ECs and HTCs , respectively. The logistic term
describes the growth of TCs, where a denotes the maximal growth rate of the TCs population and
denotes the maximal carrying capacity of the biological environment for TCs. n represents the loss rate of TCs by ECs interaction.
is referred to as the constant flow rate of mature ECs into the region of TCs localization. ECs have a natural lifespan of an average
days.
is ECs stimulation rate by ECs-lysed TCs debris. p is an activation rate of ECs by HTCs.
is referred to as birth rate of HTCs produced in the bone marrow. HTCs have a natural lifespan of an average
days.
is the HTCs stimulation rate by the presence of identified tumour antigens. To consider a weak proliferation of ECs stimulating by TCs, we can simplify this system by ignoring the ECs stimulation from TCs (that is to omit the term
in system (Equation1
(1)
(1) )), while keeping the essential dynamics properties of the original system. Then, we obtain the simplified system:
(2)
(2) with initial conditions
and
.
As suggested in [Citation16], we choose the scaling to improve the performance of numerical simulations. Then, system (Equation2
(2)
(2) ) can be rescaled by introducing the new variables:
By replacing τ by t, system (Equation2
(2)
(2) ) becomes
(3)
(3) with initial conditions
and
, where
and
denote the dimensionless density of the TCs, ECs and HTCs population, respectively.
In reality, the immune system will take more time to give a suitable response after recognizing the non-self cells. Thus, we need to take into account the effect of time delay to describe the proliferation of ECs stimulating by HTCs. There are mainly two ways to incorporate delay effects into the ordinary differential equations (ODEs) system. One way is to directly introduce a delay term (e.g. ) with
. Following this, Dong et al. [Citation6] constructed the dynamical behaviour of a tumour–immune system interaction model with two discrete delays. And the other way is to introduce a kernel function as an additional compartment. In this study, we use a function
to represent the immune activation delay taking the following form:
(4)
(4) where b is a positive constant expressing the strength of delay. In fact,
can be rewritten as
. Note that
is the weight function for
and monotonically decreasing with respect to u. The mean delay of the weight function
is 1/b. Hence, the immune activation depends on the density of HTCs at the present time t when b is large. On the other hand, when b is small, the activation depends also on the density of HTCs at the past time t−u. This study is aimed to investigate the role of delay effects in the tumour–immune system.
The rest of the paper is organized as follows. The stability of tumour-free and tumour-presence equilibria of systems (Equation3(3)
(3) ) and (Equation4
(4)
(4) ) was discussed, respectively, in Section 2. The numerical simulations were performed in Section 3. The conclusion and discussion were given in Section 4.
2. Steady states and stability analysis
2.1. Dynamics of system (3)
In order to investigate the steady states of system (Equation3(3)
(3) ), we set
and
, and we have
(5)
(5)
Substituting x=0 leads to the tumour-free equilibrium,
exists, when
.
Next, we consider the existence of tumour-presence equilibrium. Substituting and eliminating z in Equation (Equation5
(5)
(5) ) yields
Since has a positive discriminant
there exist two solutions
and
(
) to
given by
By substituting and
into
, respectively, we have
and
. If
, then
and
, so the larger solution
satisfies
; if
, then
and
, so
satisfies
. In a word, we have
and
. However, from
Equation (Equation5
(5)
(5) ), the tumour-presence equilibrium
must satisfy the conditions
and
to enable that
and
. So
) cannot be
. The remaining possibility is
. If
which equals to
, then
has only one positive solution
. So, we can conclude that there exists a unique tumour-presence equilibrium
, when
.
Now, let us study the stability of two equilibria and
.
We compute the Jacobian matrix of system (Equation3(3)
(3) ) at
, denoted by
The eigenvalues of
are
and
. All of the eigenvalues are negative if
. Thus, we have the following result.
Theorem 2.1.
The tumour-free equilibrium is locally asymptotically stable if
.
The Jacobian matrix of Equation (Equation3(3)
(3) ) at
is
The characteristic equation of
takes the form
(6)
(6) where
According to the Routh–Hurwitz criterion, we know that all roots of
Equation (Equation6
(6)
(6) ) have negative real parts if and only if
and
Thus, the sufficient condition for stability of
is given by
(7)
(7) where
and
. Thus, we have the following result.
Theorem 2.2.
System (Equation3(3)
(3) ) has one tumour-presence equilibrium
if
which is locally asymptotically stable if the inequality in (Equation7
(7)
(7) ) holds.
2.2. Dynamics of system (4)
Following the similar analysis of the steady states in system (Equation3(3)
(3) ), for system (Equation4
(4)
(4) ) we obtain the tumour-free equilibrium,
exists, when
.
And we can also obtain the unique tumour-presence equilibrium , where
, when
. Note that
.
Now, we discuss the stability of two equilibria and
of system (Equation4
(4)
(4) ).
We compute the Jacobian matrix of system (Equation4(4)
(4) ) at
, denoted by
The eigenvalues of
are
It can be seen that all the eigenvalues are negative if and only if
. Thus, we have the following result.
Theorem 2.3.
The tumour-free equilibrium is locally asymptotically stable if
.
The Jacobian matrix of system (Equation4(4)
(4) ) at
is
The characteristic equation of
takes the form
(8)
(8) where
while
,
and
are defined in Equation (Equation6
(6)
(6) ) and
. Note that
. According to the Routh–Hurwitz criterion, we know that all roots of Equation (Equation8
(8)
(8) ) have negative real parts if and only if
,
,
and
It is easy to check that ,
. Further we can check that
. In fact,
, since
by the definition (Equation6
(6)
(6) ). Thus, the sufficient condition for stability of
is given by
where
Thus, we have the following result.
Theorem 2.4.
System (Equation4(4)
(4) ) has one tumour-presence equilibrium
if
which is locally asymptotically stable if
.
Note that since
and
.
When ω tends to 0, all coefficients of are positive. Notice that
as
. We have
for all b>0 and we have no stability change.
First, let us suppose that , that is, a positive equilibrium point
of Equation (Equation3
(3)
(3) ) is locally asymptotically stable. We are interested in the possibility of stability change by the delay effect b. Note that
by the definition (Equation6
(6)
(6) ). Further
when
. Hence, under the assumption
, we have the following three cases:
Case (I). if and only if
, that is
.
Case (II). if and only if
, that is
.
Case (III). if and only if
.
Note that and
by
.
For Case (I), we have for all b>0 and we have no chance to have stability change. On the other hand, for Cases (II) and (III), by Descartes' rule of signs,
has zero or two positive roots. When
has no positive root,
for all b>0 and again we have no stability change. When
has two positive roots
and
(
), we have
for
or
. That is,
is locally asymptotically stable for
or
, and unstable for
. Now, let us consider the existence of the positive roots for
in Cases (II) and (III). For both cases, it is easy to check that the derivative of
with respect to b,
, can have only one positive root
(note that
and
). We can show the existence of
and
if and only if
. Note that
gives the minimum value of
for b>0. By using
, we have
Hence, for both cases, we have that
if and only if
(9)
(9) Note that for Case (III) (
), Equation (Equation9
(9)
(9) ) is always satisfied if
. Thus, we have the following result.
Theorem 2.5.
Assume that .
For Case (I): The equilibrium
is always locally asymptotically stable.
For Cases (II) and (III): There exist
and
when Equation (Equation9
(9)
(9) ) is satisfied.
The equilibrium is locally asymptotically stable for
or
and unstable for
. If Equation (Equation9
(9)
(9) ) is not satisfied, the equilibrium
is always locally asymptotically stable.
Second, let us consider the opposite condition . Under this condition, a positive equilibrium
of Equation (Equation3
(3)
(3) ) is unstable and we have a periodic solution. It is easy to check that we have
and
. Note that
since
. Hence,
only for small b>0. Note that
is decreasing for b>0 and
. This implies that small b>0 (i.e. strong delay effect) can stabilize the equilibrium point.
For small b, regardless of all Cases (I)–(III), we have since
. Therefore, we have the following result.
Proposition 2.6.
The equilibrium is always locally asymptotically stable if b is very small.
3. Numerical simulations
In this section, we provide some numerical simulations to illustrate that the stability can be changed at the branch of the tumour-presence equilibria and
resulting in Hopf bifurcations. The parameters are taken from [Citation7]:
. After some calculations, we obtain
. Both
and
exist when
. We check the stability conditions in Theorems 2.2 and 2.4 to determine the stability regions of
and
in the
parameter plane, respectively, and draw bifurcation curves by using AUTO as incorporated in XPPAUT [Citation12].
In Figure , two bifurcation curves are drawn for system (Equation3(3)
(3) ) (
) and system (Equation4
(4)
(4) ) (b=0.004) in the same
parameter plane. Both
and
are stable below the corresponding bifurcation curve and are unstable above the bifurcation curve. The bifurcation curves in Figure are derived from equations
and
, respectively. The shape of the bifurcation curve for system (Equation3
(3)
(3) ) is similar to the one in [Citation7], which means that the simplified system (Equation3
(3)
(3) ) keeps the dynamics properties of the original model (Equation1
(1)
(1) ). When we consider a small b=0.004 for system (Equation4
(4)
(4) ), we found that the shape of the bifurcation curve has been changed. Correspondingly, the stable and unstable regions are also changed, which offers the possibility of stability switch due to the delay effect.
Figure 1. Stability regions of tumour-presence equilibria and
and Hopf bifurcation are shown in the
parameter plane.
![Figure 1. Stability regions of tumour-presence equilibria E∗ and E+ and Hopf bifurcation are shown in the ρ−ω parameter plane.](/cms/asset/40d13c0b-38a0-40f8-a894-7f7571924b67/tjbd_a_1231347_f0001_c.jpg)
In order to check the stability change, we choose four representative points in the plane in Figure . Here we fix
and vary ρ. If we choose
, there exist two tumour-presence equilibria,
is stable (Figure a), but
is unstable (Figure b).
Figure 2. The time evolution curves of system (Equation3(3)
(3) ) (left panel) and system (Equation4
(4)
(4) ) (right panel). Here, we fix
, b=0.004 and choose four different ρ as 0.01 (a and b), 0.03 (c and d), 0.0425 (e and f), 0.043 (g and h). (a) Local asymptotic stability of
. (b) The time evolution curves of system (Equation4
(4)
(4) ) around
show periodic oscillations. (c) The time evolution curves of system (Equation3
(3)
(3) ) around
show periodic oscillations. (d) Local asymptotic stability of
. (e) Local asymptotic stability of
. (f) The time evolution curves of system (Equation4
(4)
(4) ) around
show periodic oscillations. (g ) Local asymptotic stability of
. (h) Local asymptotic stability of
.
![Figure 2. The time evolution curves of system (Equation3(3) dx(t)dt=αx(t)(1−βx(t))−x(t)y(t),dy(t)dt=σ1−δ1y(t)+ρy(t)z(t),dz(t)dt=σ2−δ2z(t)+ωx(t)z(t),(3) ) (left panel) and system (Equation4(4) dx(t)dt=αx(t)(1−βx(t))−x(t)y(t),dy(t)dt=σ1−δ1y(t)+ρy(t)G(t),dz(t)dt=σ2−δ2z(t)+ωx(t)z(t),dG(t)dt=bz(t)−bG(t),(4) ) (right panel). Here, we fix ω=0.00035, b=0.004 and choose four different ρ as 0.01 (a and b), 0.03 (c and d), 0.0425 (e and f), 0.043 (g and h). (a) Local asymptotic stability of E~1∗. (b) The time evolution curves of system (Equation4(4) dx(t)dt=αx(t)(1−βx(t))−x(t)y(t),dy(t)dt=σ1−δ1y(t)+ρy(t)G(t),dz(t)dt=σ2−δ2z(t)+ωx(t)z(t),dG(t)dt=bz(t)−bG(t),(4) ) around E~1+ show periodic oscillations. (c) The time evolution curves of system (Equation3(3) dx(t)dt=αx(t)(1−βx(t))−x(t)y(t),dy(t)dt=σ1−δ1y(t)+ρy(t)z(t),dz(t)dt=σ2−δ2z(t)+ωx(t)z(t),(3) ) around E~2∗ show periodic oscillations. (d) Local asymptotic stability of E~2+. (e) Local asymptotic stability of E~3∗. (f) The time evolution curves of system (Equation4(4) dx(t)dt=αx(t)(1−βx(t))−x(t)y(t),dy(t)dt=σ1−δ1y(t)+ρy(t)G(t),dz(t)dt=σ2−δ2z(t)+ωx(t)z(t),dG(t)dt=bz(t)−bG(t),(4) ) around E~3+ show periodic oscillations. (g ) Local asymptotic stability of E~4∗. (h) Local asymptotic stability of E~4+.](/cms/asset/9379fb00-639c-4187-bf63-e4aac07447a3/tjbd_a_1231347_f0002_c.jpg)
If we choose , there exist two tumour-presence equilibria,
is unstable (Figure c), but
is stable (Figure d).
If we choose , there exist two tumour-presence equilibria,
is stable (Figure e), but
is unstable (Figure f).
If we choose , there exist two tumour-presence equilibria,
is stable (Figure g), and
is stable (Figure h).
Next, we check the coefficients of to verify Theorem 2.5 by finding different values of ρ and ω under condition (Equation7
(7)
(7) ). It means that we should look for such point
under the bifurcation curve (b=0) in Figure . For system (Equation3
(3)
(3) ) without time delay, the tumour-presence equilibrium is locally asymptotically stable.
If we choose , then
. We have
satisfy Case (I), where we have no chance to have stability change. So, we have
(see Figure , Case (I)), which ensures that
is always locally asymptotically stable.
Figure 3. The curves of with respect to b. Case (I): we choose
, and we have
when b>0. Case (II): we choose
, and we have
when b>0. Case (III): we choose
, and we have
when
or
.
![Figure 3. The curves of Q(b) with respect to b. Case (I): we choose (ρ, ω)=(0.0436, 0.00035), and we have Q(b)>0 when b>0. Case (II): we choose (ρ, ω)=(0.043, 0.0001), and we have Q(b)>0 when b>0. Case (III): we choose (ρ, ω)=(0.043, 0.00035), and we have Q(b)>0 when 0<b<b_=0.00433351 or b>b¯=0.219156.](/cms/asset/970e6899-8b88-4720-a629-51f16c066de2/tjbd_a_1231347_f0003_c.jpg)
If we choose , then
. We have
satisfy Case (II). By calculations, we have
and
which are not satisfied with condition (Equation9
(9)
(9) ). So, we have
(see Figure , Case (II)), which ensures that
is always locally asymptotically stable.
If we choose , then
. We have
satisfy Case (III). By calculations, we have
and
which are satisfied with condition (Equation9
(9)
(9) ). There exist
and
(see Figure , Case (III)), which ensures that
is locally asymptotically stable for
or
and unstable for
.
Figure shows the change of the bifurcation curve as the parameter b varies. The bifurcation curves () are satisfied with
for each fixed b.
and 10 are corresponding to system (Equation4
(4)
(4) ), while
is corresponding to system (Equation3
(3)
(3) ). Firstly, stability regions become smaller, and then become larger with increasing b. Finally, the bifurcation curve of system (Equation4
(4)
(4) ) will tend to the bifurcation curve of system (Equation3
(3)
(3) ) as b tends to infinity.
4. Conclusion and discussion
In this paper, first, we reduced the previous system in [Citation7] by ignoring a weak direct immune activation by the TCs. We found that the simplified three-dimensional system (Equation3(3)
(3) ) can keep the intrinsic dynamics properties of the original model (Equation1
(1)
(1) ) due to the similar expression (Equation7
(7)
(7) ) and the shape of the bifurcation curve (see Figure ). Second, we incorporated the time delay into the ODE model to modelling the lag of the activation of ECs from HTCs. If we directly incorporate the delay term, it is difficult to calculate the transcendent characteristic equation. Alternatively, we used a function
to model this immune activation delay effect at the cost of increasing one dimension. The immune activation depends on the density of HTCs at the present time t when b is large representing a weak delay effect, on the other hand, the activation depends on the density of HTCs at the past time t−u when b is small indicating a strong delay effect.
Next, we explained the biological meanings of two critical thresholds of ρ (i.e., and
). Note that ρ is the scaled parameter of p which is the activation rate of ECs by HTCs. For system (Equation4
(4)
(4) ), to make sure the tumour-free equilibrium
to be existing, we need the condition
, and we define
, that is
. Similarly, to ensure the tumour-presence equilibrium
to be existing, we need the condition
, and we define
, that is
. In short,
and
are conditions for the existences of
and
, respectively. From the biological view, if the activation rate of ECs by HTCs is more than
, the tumour-presence equilibrium
will disappear, that is TCs can be eradicated from the patient's body. Further, if the activation rate of ECs by HTCs is more than
, the tumour-free equilibrium
will also vanish. It means that overactive immune response can destroy the normal cells. It is in line with that an immune system is crucial but too strong immune response is harmful. In other words, an appropriate immune response is good in the control of tumour growth (i.e.,
). As we can see that the Hopf bifurcation curves of
can never exceed the vertical line
in the
parameter plane in Figure .
Compared with system (Equation3(3)
(3) ), the introduction of new parameter b>0 in system (Equation4
(4)
(4) ) did not change the values of tumour-free and tumour-presence equilibria; however, it can substantially change the dynamics properties. Specifically, the delay can lead to stability changes exhibiting destabilization as well as stabilization of the tumour-presence equilibrium, which plays a dual role. We provided some numerical simulations to show that dynamics can be changed at the branch of the tumour-presence equilibria
and
, resulting in Hopf bifurcation. In Figure , both
and
are stable below the corresponding bifurcation curve and are unstable above the bifurcation curve. To show the possible stability change of
and
, we chose four points
and
in the
plane. By comparing the left panel for system (Equation3
(3)
(3) ) and the right panel for system (Equation4
(4)
(4) ) in Figure , we found that the introduction of time delay indeed caused the dynamics change.
The bifurcation curves () are satisfied with
for each fixed b. When we consider a very small b (i.e., a strong delay effect, that is, the activation of ECs by HTCs is very slow), the stable region can be very large. And the stable region will tend to infinite as b tends to 0 (see the grey curve b=0.0001, cyan curve b=0.001, blue curve b=0.004 and magenta curve b=0.01 in Figure ). As a consequence, the tumour-presence equilibrium is always stable and dominant under the condition
ensured by Proposition 2.6, which means that TCs cannot be eradicated from the body. When we further increase b, the bifurcation curve will go down and the stability region in the
plane will become smaller. But the bifurcation curve can never reach the ρ axis, because when ω is small, the stability region always exists regardless of any changes of ρ and b. There must exist a critical value
, which makes the stability region to be minimal. When we increase b to exceed this
, the bifurcation curve of system (Equation4
(4)
(4) ) will go up and stability regions will become larger (see the green dashed curve b=0.1, yellow dashed curve b=1 and red dashed curve b=10 in Figure ). Finally, the bifurcation curve of system (Equation4
(4)
(4) ) will tend to the bifurcation curve of system (Equation3
(3)
(3) ) as b tends to infinity (see the red dashed curve b=10 and the black curve
of system (Equation3
(3)
(3) )). In other words, the decrease of delay will decrease first and then increase the stability region. In a word, a critical time delay exists and makes the stable region of tumour-presence equilibrium consisting of
and axes to be minimal. This means that an appropriate immune activation time delay
can minimally control the tumour growth.
In system (Equation4(4)
(4) ), we have introduced a delay effect by a weak kernel, i.e.,
(b>0). For the further study, we can introduce a delay effect by a non-monotone kernel, i.e.,
(b>0).
Acknowledgements
The authors thank the editor and two anonymous reviewers for their constructive comments that improved the manuscript.
Disclosure statement
No potential conflict of interest was reported by the authors.
Additional information
Funding
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