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Louis Shekhtman

Publications and source records attributed to Louis Shekhtman.

9 recordsLinked to original sources

Mathematical Modeling of HDV RNA, HBV DNA, and HBsAg Dynamics during Lonafarnib-Based Therapy: Insights from the LOWR HDV-1 Study

Lonafarnib (LNF) is an investigational drug targeting hepatitis delta virus (HDV) but not hepatitis B virus (HBV), providing a unique opportunity to model HDV kinetics and how changes in HDV affect HBV. We performed a detailed kinetic analysis and developed a mathematical model to explain serum HBV DNA, HDV RNA and hepatitis B surface antigen (HBsAg) kinetics in 15 HBV/HDV coinfected patients receiving LNF-based treatment. After a delay of 0-2 days, patients experienced a rapid 1st-phase HDV-decline followed by either a viral plateau, 2nd slower-decline phase, or viral breakthrough (VB). LNF monotherapy led to a flat-partial-response (often followed by VB), while LNF combination therapy with ritonavir or pegylated interferon-$\alpha$ (PEG-IFN$\alpha$) was associated with a biphasic HDV decline (without VB). All treatments except LNF+PEG-IFN$\alpha$ had at least one patient experiencing an increase in HBV on-treatment. Our model successfully reproduced the observed HDV and HBV kinetics. We estimated an HDV RNA half-life of 1.26 days [95% confidence interval, CI: 1.05--1.47] in serum and treatment efficacy of 94% in inhibiting HDV RNA production across all treatments [95% CI: 89%--97%], as reflected by the 1st phase HDV decline. The 2nd phase of HDV decline was explained by a time-dependent increase in efficacy, reaching a maximum of 98.9%. The model explained the increase in serum HBV DNA by a median 4-fold [interquartile range, IQR: 1--28] increase in HBV DNA production rate when HDV declined below an inhibitory threshold. The stability of serum HBsAg was explained by a constant number of HBsAg-producing cells.

physics.soc-ph

Modeling hepatitis D virus kinetics during bulevirtide monotherapy: challenges and solutions

The entry inhibitor Bulevirtide (BLV) was recently approved in Europe for treatment of chronic hepatitis D virus (HDV) infection, which is considered the most severe viral hepatitis infection. Theory indicates that models that account for free virus and infected cells, but do not include target cell dynamics (historically called the two-equation model) are limited to predicting a monophasic viral decline for antiviral agents that act only to block viral entry/infection. We investigated herein a recently published two-equation type model against clinical data obtained from patients with HDV treated with BLV monotherapy for up to 96 weeks using non-linear mixed effects modelling (NLME). We found that (i) although the model parameters had a relative standard error (RSE) <50\% suggesting that they were 'precisely estimated', the fits failed to reproduce the non-monophasic HDV kinetic patterns observed in most patients leading to incorrect predictions of the duration of treatment needed to reach a theoretical cure boundary, defined as less than 1 virion in the entire patient extracellular body fluid. (ii) The model cannot explain viral breakthrough, and (iii) the model wrongly predicts that viral load will remain at the same level once treatment is stopped. Lastly, we showed that including target cell dynamics in the model can explain not only monophasic viral decline during treatment but also non-monophasic HDV decline patterns such as biphasic, flat-partial response and viral breakthrough. Including target cell dynamics also predicts a viral rebound once BLV is stopped as observed in clinical studies.

physics.soc-ph

Cascading Failures in Complex Networks

Cascading failure is a potentially devastating process that spreads on real-world complex networks and can impact the integrity of wide-ranging infrastructures, natural systems, and societal cohesiveness. One of the essential features that create complex network vulnerability to failure propagation is the dependency among their components, exposing entire systems to significant risks from destabilizing hazards such as human attacks, natural disasters or internal breakdowns. Developing realistic models for cascading failures as well as strategies to halt and mitigate the failure propagation can point to new approaches to restoring and strengthening real-world networks. In this review, we summarize recent progress on models developed based on physics and complex network science to understand the mechanisms, dynamics and overall impact of cascading failures. We present models for cascading failures in single networks and interdependent networks and explain how different dynamic propagation mechanisms can lead to an abrupt collapse and a rich dynamic behavior. Finally, we close the review with novel emerging strategies for containing cascades of failures and discuss open questions that remain to be addressed.

physics.soc-ph

Predictability of real temporal networks

Links in most real networks often change over time. Such temporality of links encodes the ordering and causality of interactions between nodes and has a profound effect on network dynamics and function. Empirical evidences have shown that the temporal nature of links in many real-world networks is not random. Nonetheless, it is challenging to predict temporal link patterns while considering the entanglement between topological and temporal link patterns. Here we propose an entropy-rate based framework, based on combined topological-temporal regularities, for quantifying the predictability of any temporal network. We apply our framework on various model networks, demonstrating that it indeed captures the intrinsic topological-temporal regularities whereas previous methods considered only temporal aspects. We also apply our framework on 18 real networks of different types and determine their predictability. Interestingly, we find that for most real temporal networks, despite the greater complexity of predictability brought by the increase in dimension the combined topological-temporal predictability is higher than the temporal predictability. Our results demonstrate the necessity of incorporating both temporal and topological aspects of networks in order to improve predictions of dynamical processes.

cs.SI

Lifetime of a greedy forager with long-range smell

We study a greedy forager who consumes food throughout a region. If the forager does not eat any food for $S$ time steps it dies. We assume that the forager moves preferentially in the direction of greatest smell of food. Each food item in a given direction contributes towards the total smell of food in that direction, however the smell of any individual food item decays with its distance from the forager. We assume a power-law decay of the smell with the distance of the food from the forager and vary the exponent $α$ governing this decay. We find, both analytically and through simulations, that for a forager living in one dimension, there is a critical value of $α$, namely $α_c$, where for $α<α_c$ the forager will die in finite time, however for $α>α_c$ the forager has a nonzero probability to live infinite time. We calculate analytically, the critical value, $α_c$, separating these two behaviors and find that $α_c$ depends on $S$ as $α_c=1 + 1/\lceil S/2 \rceil$. We determine analytically that at $α=α_c$ the system has an essential singularity. We also study, using simulations, a forager with long-range decaying smell in two dimensions (2D) and find that for this case the forager always dies within finite time. However, in 2D we observe indications of an optimal $α$ for which the forager has the longest lifetime.

physics.soc-ph

Interconnections between networks act like an external field in first-order percolation transitions

Many interdependent, real-world infrastructures involve interconnections between different communities or cities. Here we study if and how the effects of such interconnections can be described as an external field for interdependent networks experiencing first-order percolation transitions. We find that the critical exponents $γ$ and $δ$, related to the external field can also be defined for first-order transitions but that they have different values than those found for second-order transitions. Surprisingly, we find that both sets of different exponents can be found even within a single model of interdependent networks, depending on the dependency coupling strength. Specifically, the exponent $γ$ in the first-order regime (high coupling) does not obey the fluctuation dissipation theorem, whereas in the continuous regime (for low coupling) it does. Nevertheless, in both cases they satisfy Widom's identity, $δ- 1 = γ/ β$ which further supports the validity of their definitions. Our results provide physical intuition into the nature of the phase transition in interdependent networks and explain the underlying reasons for two distinct sets of exponents.

physics.soc-ph

Comparing the diversity of information by word-of-mouth vs. web spread

Many studies have explored spreading and diffusion through complex networks. The following study examines a specific case of spreading of opinions in modern society through two spreading schemes, defined as being either through word-of-mouth (WOM), or through online search engines (WEB). We apply both modelling and real experimental results and compare the opinions people adopt through an exposure to their friend`s opinions, as opposed to the opinions they adopt when using a search engine based on the PageRank algorithm. A simulated study shows that when members in a population adopt decisions through the use of the WEB scheme, the population ends up with a few dominant views, while other views are barely expressed. In contrast, when members adopt decisions based on the WOM scheme, there is a far more diverse distribution of opinions in that population. The simulative results are further supported by an online experiment which finds that people searching information through a search engine end up with far more homogenous opinions as compared to those asking their friends.

physics.soc-ph

Debunking in a World of Tribes

Recently a simple military exercise on the Internet was perceived as the beginning of a new civil war in the US. Social media aggregate people around common interests eliciting a collective framing of narratives and worldviews. However, the wide availability of user-provided content and the direct path between producers and consumers of information often foster confusion about causations, encouraging mistrust, rumors, and even conspiracy thinking. In order to contrast such a trend attempts to \textit{debunk} are often undertaken. Here, we examine the effectiveness of debunking through a quantitative analysis of 54 million users over a time span of five years (Jan 2010, Dec 2014). In particular, we compare how users interact with proven (scientific) and unsubstantiated (conspiracy-like) information on Facebook in the US. Our findings confirm the existence of echo chambers where users interact primarily with either conspiracy-like or scientific pages. Both groups interact similarly with the information within their echo chamber. We examine 47,780 debunking posts and find that attempts at debunking are largely ineffective. For one, only a small fraction of usual consumers of unsubstantiated information interact with the posts. Furthermore, we show that those few are often the most committed conspiracy users and rather than internalizing debunking information, they often react to it negatively. Indeed, after interacting with debunking posts, users retain, or even increase, their engagement within the conspiracy echo chamber.

cs.CY

Resilience of Networks Formed of Interdependent Modular Networks

Many infrastructure networks have a modular structure and are also interdependent. While significant research has explored the resilience of interdependent networks, there has been no analysis of the effects of modularity. Here we develop a theoretical framework for attacks on interdependent modular networks and support our results by simulations. We focus on the case where each network has the same number of communities and the dependency links are restricted to be between pairs of communities of different networks. This is very realistic for infrastructure across cities. Each city has its own infrastructures and different infrastructures are dependent within the city. However, each infrastructure is connected within and between cities. For example, a power grid will connect many cities as will a communication network, yet a power station and communication tower that are interdependent will likely be in the same city. It has been shown that single networks are very susceptible to the failure of the interconnected nodes (between communities) Shai et al. and that attacks on these nodes are more crippling than attacks based on betweenness da Cunha et al. In our example of cities these nodes have long range links which are more likely to fail. For both treelike and looplike interdependent modular networks we find distinct regimes depending on the number of modules, $m$. (i) In the case where there are fewer modules with strong intraconnections, the system first separates into modules in an abrupt first-order transition and then each module undergoes a second percolation transition. (ii) When there are more modules with many interconnections between them, the system undergoes a single transition. Overall, we find that modular structure can influence the type of transitions observed in interdependent networks and should be considered in attempts to make interdependent networks more resilient.

physics.soc-ph