Viral Dynamics of Delayed CTL-inclusive HIV-1 Infection Model With Both Virus-to-cell and Cell-to-cell Transmissions

We consider a mathematical model that describes a viral infection of HIV-1 with both virus-to-cell and cell-to-cell transmission, CTL response immune and four distributed delays, describing intracellular delays and immune response delay. One of the main features of the model is that it includes a constant production rate of CTLs export from thymus, and an immune response delay. We derive the basic reproduction number and show that if the basic reproduction number is less than one, then the infection free equilibrium is globally asymptotically stable; whereas, if the basic reproduction number is greater than one, then there exist a chronic infection equilibrium, which is globally asymptotically stable in absence of immune response delay. Furthermore, for the special case with only immune response delay, we determine some conditions for stability switches of the chronic infection equilibrium. Numerical simulations indicate that the intracellular delays and immune response delay can stabilize and/or destabilize the chronic infection equilibrium.