Cervical cancer was the fourth most common cancer diagnosed in women, moreover in 2020, it was estimated 604.000 new cases of cervical cancer and 342.000 deaths worldwide [1]. Human Papillomavirus (HPV) infection is one of the causes of cervical cancer [2]. In the early stages of HPV infection, the non-invasive lesions of abnormal cervical epithelial cells are found. The virus starts to enter and infect epithelial basal cells when the cells are at a certain maturity. Cell maturity is closely related to the age of the cell which is passed in four phases, i.e. G1, S phase, G2 and M phase (mitosis). Virus HPV genome replication is highly dependent on when the host cell is in the G1 phase towards the S phase. Proteins from HPV, E6 and E7, will inhibit the cell from entering the G1 phase [3]. Hence this becomes the concern of researchers to reduce the death risk of cervical cancer due to HPV infection in the cells. Study of transmission between cells is done to determine the behavior of cervical cancer cells in the cervical epithelial tissue.
In this study, we consider a qualitative study of an age dependent mathematical model for the development of cervical cancer at the tissue level as modified from the ones in [4, 5]. Based on [4], the interaction between cells occurs at any time. The reality of the abnormality of cells is at certain age, so we add a new variable that represents the age of cells. Moreover, by the fact that the virus can be reproduced and spread in the tissue since the first infection, the free virus compartment in [4, 5] can be fused in the transmission rate parameter. Hence, in this paper, we propose and analyze a mathematical model of cervical cancer cell in cervix tissue level based on age structured. The model is a four-dimensional system of non-linear partial differential equations with a six-dimensional parameter space that describes the cancer development in the cervix i.e. susceptible, infected, pre cancer and cervical cancer cell population. A cell has ability to be infectious or become abnormal in a certain interval of the cell cycle. Therefore, we assume that the age of abnormality will not start from zero. The steady state conditions and its stability analytically are important to be investigated, and we focus our study to the existence conditions of the global stability for the disease-free equilibrium point and its characteristics. Lastly, we show the dynamics of the system with age structures numerically.
Keywords: cervical cancer cells, age structured, global stability.
References
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