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J Math Biol ; 81(6-7): 1397-1428, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32968840

RESUMO

The standard of care treatment for neovascular age-related macular degeneration, delivered as ocular injection, is based on anti-vascular endothelial growth factor (anti-VEGF). The course of treatment may need to be modified quickly for certain patients based on their response. Models that track both the concentration and the response to an anti-VEGF treatment are presented. The specific focus is to assess the existence of analytical solutions for the different types of models. Both an ODE-based model and a map-based model illustrate the dependence of the solution on various biological parameters and allow the measurement of patient-specific parameters from experimental data. A PDE-based model incorporates diffusive effects. The results are consistent with observed values, and could provide a framework for practitioners to understand the effect of the therapy on the progression of the disease in both responsive and non-responsive patients.


Assuntos
Inibidores da Angiogênese , Modelos Teóricos , Fator A de Crescimento do Endotélio Vascular , Acuidade Visual , Inibidores da Angiogênese/farmacologia , Progressão da Doença , Humanos , Injeções Intravítreas , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Acuidade Visual/efeitos dos fármacos
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