Mechanistic Models of COVID-19: Insights into Disease Progression, Vaccines, and Therapeutics
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Updated: Sep 22, 2025

Production of a SARS-CoV-2 Virus-Like-Particle System to Investigate Viral Life Cycles In Vitro
Published on: June 6, 2025
Rajat Desikan1, Pranesh Padmanabhan2, Andrzej M Kierzek3
1Quantitative Systems Pharmacology (QSP) group, Certara, Sheffield and Canterbury, United Kingdom.
Abstract:
The COVID-19 pandemic has severely impacted health systems and economies worldwide. Significant global efforts are therefore ongoing to improve vaccine efficacies, optimize vaccine deployment, and develop new antiviral therapies to combat the pandemic. Mechanistic viral dynamics and quantitative systems pharmacology models of SARS-CoV-2 infection, vaccines, immunomodulatory agents, and antiviral therapeutics have played a key role in advancing our understanding of SARS-CoV-2 pathogenesis and transmission, the interplay between innate and adaptive immunity to influence the outcomes of infection, effectiveness of treatments, mechanisms and performance of COVID-19 vaccines, and the impact of emerging SARS-CoV-2 variants. Here, we review some of the critical insights provided by these models and discuss the challenges ahead.
Insights
Mathematical models are crucial for understanding COVID-19, aiding vaccine development and antiviral therapies. These models enhance insights into SARS-CoV-2 infection, immunity, and the impact of variants, guiding future pandemic responses.
Area of Science:
- Virology
- Immunology
- Pharmacology
- Mathematical Modeling
Background:
- The COVID-19 pandemic has caused widespread health and economic disruption globally.
- Extensive research is focused on enhancing vaccine efficacy, optimizing distribution, and developing antiviral treatments.
- Mechanistic viral dynamics and quantitative systems pharmacology (QSP) models are vital tools in this global effort.
Purpose of the Study:
- To review critical insights gained from modeling SARS-CoV-2 infection, vaccines, and therapeutics.
- To discuss the role of these models in understanding pathogenesis, transmission, and immune responses.
- To highlight challenges and future directions in the application of modeling for COVID-19.
Main Methods:
- Utilizing mechanistic viral dynamics models to simulate SARS-CoV-2 infection.
- Employing quantitative systems pharmacology (QSP) models to analyze vaccine and therapeutic interventions.
- Reviewing existing literature and data on COVID-19 pathogenesis, immunity, and treatment outcomes.
Main Results:
- Models have advanced understanding of SARS-CoV-2 pathogenesis and transmission dynamics.
- Modeling has elucidated the interplay between innate and adaptive immunity in infection outcomes.
- Insights into vaccine mechanisms, effectiveness against variants, and antiviral therapy performance have been generated.
Conclusions:
- Modeling approaches provide critical insights into COVID-19 infection, immunity, and treatment.
- Continued development and application of these models are essential for combating the pandemic and preparing for future threats.
- Addressing challenges in modeling will further enhance our ability to control viral diseases.
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