Collateral sensitivity, where resistance to one drug confers heightened sensitivity to another, offers a promising strategy for combating antimicrobial resistance, yet predicting resultant evolutionary dynamics remains a significant challenge. We propose here a mathematical model that integrates fitness trade-offs and adaptive landscapes to predict the evolution of collateral sensitivity pathways, providing insights into optimizing sequential drug therapies. Our approach embeds collateral information into a network of switched systems, allowing us to abstract the effects of sequential antibiotic exposure on antimicrobial resistance. We analyze the system stability at disease-free equilibrium and employ set-control theory to tailor therapeutic windows. Consequently, we propose a computational algorithm to identify effective sequential therapies to counter antibiotic resistance. By leveraging our theory with data on collateral sensivity interactions, we predict scenarios that may prevent bacterial escape for chronic Pseudomonas aeruginosa infections.
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Stabilizability of uncertain switched systems to characterize antibiotic resistance evolution
The evolution of antibiotic resistance in bacteria is a significant public health risk influenced by several factors. Switched systems can abstract the evolutionary aspects driven by antibiotic use in a given population. However, mathematical models are not perfect, and uncertain dynamics remain. Based on a set theory approach, our main result is the development of an algorithm to demonstrate the stabilizability of a robust invariant set for the uncertain switched system. The algorithm also provides a characterization of invariant regions for switched systems under perturbations. Our findings provide insights into how to incorporate uncertainties in switched systems. This paves the way for selecting antibiotics to tackle drug-resistant infections.
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- Award ID(s):
- 2315862
- PAR ID:
- 10624949
- Publisher / Repository:
- IEEE
- Date Published:
- ISBN:
- 979-8-3503-1633-9
- Page Range / eLocation ID:
- 7050 to 7055
- Format(s):
- Medium: X
- Location:
- Milan, Italy
- Sponsoring Org:
- National Science Foundation
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