The paper presents a model of CD4(+) lymphocyte dynamics in HIV-infect
ed persons. The model incorporates a feedback mechanism regulating the
production of T lymphocytes and simulates the dynamics of CD8(+) lymp
hocytes, whose production is assumed to be closely linked to that of C
D4(+) cells. Because CD4(+) lymphocyte counts are a good prognostic in
dicator of HIV infection, the model was used to simulate such therapeu
tic interventions as chemotherapy and active and passive immunization.
The model also simulated the therapeutic administration of anti-CD8 a
ntibodies; this intervention was assumed to activate T-cell production
by activating a feedback mechanism blocked by the high numbers of CD8
(+) lymphocytes present in HIV-infected persons. The character and imp
lications of the model are discussed in the context of other mathemati
cal models used in HIV infection.