<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JAMP</journal-id><journal-title-group><journal-title>Journal of Applied Mathematics and Physics</journal-title></journal-title-group><issn pub-type="epub">2327-4352</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jamp.2016.45097</article-id><article-id pub-id-type="publisher-id">JAMP-66664</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  Mathematical Model of a Bacteria-Immunity System with the Influence of Quorum Sensing Signal Molecule
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>hiwen</surname><given-names>Zhang</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>School of Sciences, Xi’an University of Science and Technology, Xi’an, China</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>zzwv5zhangzhiwen@163.com</email></corresp></author-notes><pub-date pub-type="epub"><day>23</day><month>05</month><year>2016</year></pub-date><volume>04</volume><issue>05</issue><fpage>888</fpage><lpage>896</lpage><history><date date-type="received"><day>30</day>	<month>March</month>	<year>2016</year></date><date date-type="rev-recd"><day>accepted</day>	<month>20</month>	<year>May</year>	</date><date date-type="accepted"><day>23</day>	<month>May</month>	<year>2016</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  A recent study illustrates an exciting new element of bacteria-host interactions in which the opportunistic pathogen 
  Pseudomonas aeruginosa quorum sensing signal molecule can modulate the host immune system. In this paper, on the basic of a model which describes the competition between bacteria and immune system, a mathematical model is proposed to investigate the modulation of quorum sensing signal molecule on immune response. It is shown that the modulation leads to a backward bifurcation and some more new dynamical behaviors. By numerical simulations, we find a fold bifurcation of equilibria, which induces three patterns of dynamical behaviors including the bistable phenomenon. Our model quantifies the modulation of quorum sensing signal molecule on the immune response, which may provide a therapy for bacteria infections.
 
</p></abstract><kwd-group><kwd>&lt;i&gt;Pseudomonas aeruginosa&lt;/i&gt;</kwd><kwd> Quroum Sensing</kwd><kwd> Modulation</kwd><kwd> Bifurcation</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Pseudomonas aeruginosa (abbr. P. aeruginosa) is an increasingly prevalent opportunistic human pathogen capable of causing a broad range of acute and chronic infections. It is a common gram-negative bacterium in nosocomial infection, and commonly found in soil and water. P. aeruginosa can cause severe disease in animals and humans and infect the hosts with defective immune system function, such as those with burns, neutropenic cancer and bone marrow transplant patients [<xref ref-type="bibr" rid="scirp.66664-ref1">1</xref>] . These infections are difficult to treat using conventional antibiotic therapies and often result in considerable morbidity and mortality [<xref ref-type="bibr" rid="scirp.66664-ref2">2</xref>] . One of the reasons that P. aeruginosa produces such diverse, often overwhelming infections is due to an array of virulence factors, including elastase, alkaline protease, exotoxin A, lipase, pyocyanin, and rhamnolipid, which are capable of causing tissue damage and promoting systemic dissemination and interfering with immune clearance mechanisms. Several studies in models of burn wound infection and pneumonia have demonstrated that the virulence factors are regulated in a cell density dependent process termed quorum sensing [<xref ref-type="bibr" rid="scirp.66664-ref3">3</xref>] . Recently, studies have shown that P. aeruginosa quorum sensing signal molecule (abbr. QSSM) can not only help bacteria adapt to the environment but also they contribute to the pathogenesis of P. aeruginosa infections by acting as virulence factors per se. Apart from this, previous data have demonstrated that the quorum sensing signal molecules themselves have immunomodulatory activity, which means that P. aeruginosa can tailor the host immune response [<xref ref-type="bibr" rid="scirp.66664-ref4">4</xref>] . Particular, 3-O-C12-HSL stimulates various host signaling pathways to inhibit or activate immune cell responses, and recently, Bortolotti et al. [<xref ref-type="bibr" rid="scirp.66664-ref5">5</xref>] observe that 3-O-C12-HSL is able to induce HLA-G expression in human monocytes and T cells to control the host immune response.</p><p>The theoretical study of bacteria-immune dynamics in the aspect of immunology has a long history. Majority mathematical models have been formulated to study the bacteria-immune dynamics behavior. For example, Fergola et al. [<xref ref-type="bibr" rid="scirp.66664-ref6">6</xref>] firstly constructed an ODEs model to characterize the competition between bacteria and innate immune system, and found that the quorum sensing term in the model significantly influenced the stability of the meaningful steady-state solutions. Zhang et al. [<xref ref-type="bibr" rid="scirp.66664-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.66664-ref8">8</xref>] formulated delay differential equations (abbr. DDEs) to find that Hopf bifurcation occurred for a long enough time delay, and formulated ODEs by identifying the nonlinear function to characterize quorum sensing to study the intervention of quorum in the competition between bacteria and the immune system.</p><p>The purpose of the present paper is to develop a mathematical model to depict the influence of quorum sensing signal molecule on the competition between bacteria and immune system. We provide theoretical analysis and numerical simulations to investigate the influence of QSSM on bacteria infection. We find that the influence of QSSM leads to backward bifurcation, multiple positive equilibrium and patterns of bistability, which may be helpful for immunotherapy.</p><p>For this paper, it is organized as follows. We introduce the mathematic model in Section 2, and explore the analysis of the model for mathematical and biological implications in Section 3. We present the numerical simulation in Section 4. Section 5 provides the conclusion and discussion.</p></sec><sec id="s2"><title>2. Model Formulation</title><p>Denote the concentrations of the bacteria, quorum sensing signal molecule, and immune cells, as <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x6.png" xlink:type="simple"/></inline-formula> respectively. Suppose the dynamic relations among them are as the following: the bacteria grow logistically at rate a with the effective carrying capacity of environment k, and it is cleared by immunity (mass action term<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x7.png" xlink:type="simple"/></inline-formula>). The immune cells have a source term and a half-life term denoted by<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x8.png" xlink:type="simple"/></inline-formula>, and S represents that the memory cells are present and includes a wide range of cells involved in the first wave of defense of the host. The immune cells are increased by signals captured by the bacteria load.</p><disp-formula id="scirp.66664-formula859"><label>(1)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x9.png"  xlink:type="simple"/></disp-formula><p>The background production of quorum sensing signal molecule is <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x10.png" xlink:type="simple"/></inline-formula> and the natural degeneration rate is<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x11.png" xlink:type="simple"/></inline-formula>. Considering the effect of quorum sensing on the competition between bacteria and innate immune system, we have been known that quorum sensing signal molecule could modulate immune response. Here, similar with the methods in [<xref ref-type="bibr" rid="scirp.66664-ref9">9</xref>] , we introduce the following:</p><disp-formula id="scirp.66664-formula860"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x12.png"  xlink:type="simple"/></disp-formula><p>which represents the modulation of quorum sensing signal molecule between bacteria and immune response.</p><p>Taking all of the above into considerations, we obtain the following model.</p><disp-formula id="scirp.66664-formula861"><label>(2)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x13.png"  xlink:type="simple"/></disp-formula><p>As we know, only a certain threshold concentration of quorum sensing signal molecule is exceeded, the bacteria can change their behavior by gene transcription induction. Then, the bacteria have ability to infect host. So we assume the quorum sensing signal molecule to be in a quasi-steady state such that <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x14.png" xlink:type="simple"/></inline-formula> Then, we could obtain the competition model between bacteria and the immune system.</p><disp-formula id="scirp.66664-formula862"><label>(3)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x15.png"  xlink:type="simple"/></disp-formula><p>The basic reproduction number of (3) is</p><disp-formula id="scirp.66664-formula863"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x16.png"  xlink:type="simple"/></disp-formula><p>Setting <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x17.png" xlink:type="simple"/></inline-formula> then <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x18.png" xlink:type="simple"/></inline-formula> is the basic reproduction number of (1). It is shown in [<xref ref-type="bibr" rid="scirp.66664-ref6">6</xref>] that the dynamical beha-</p><p>viors of system (1) are completely determined by<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x19.png" xlink:type="simple"/></inline-formula>, specifically, the boundary equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x20.png" xlink:type="simple"/></inline-formula> is globally asymptotically stable if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x20.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x21.png" xlink:type="simple"/></inline-formula>, and if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x20.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x21.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x22.png" xlink:type="simple"/></inline-formula>, system (1) exists a unique positive equilibrium and it is locally asymptotically stable. Here, we illustrate the impact of QSSM on the infection of bacteria to immune system and rich dynamical behaviors in (3). This research maybe provides insights for medicine to fight bacteria infection.</p></sec><sec id="s3"><title>3. Equilibria and Bifurcation</title><p>There always has a bacteria free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x23.png" xlink:type="simple"/></inline-formula> where<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x23.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x24.png" xlink:type="simple"/></inline-formula>. Evaluating the Jacobi matrix of sys-</p><p>tem (3) at the bacteria free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x25.png" xlink:type="simple"/></inline-formula> is</p><disp-formula id="scirp.66664-formula864"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x26.png"  xlink:type="simple"/></disp-formula><p>thus, by the Routh-Hurwitz criterion, we have</p><p>Theorem 1. The bacteria free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x27.png" xlink:type="simple"/></inline-formula> is locally asymptotically stable if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x27.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x28.png" xlink:type="simple"/></inline-formula> while if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x27.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x28.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x29.png" xlink:type="simple"/></inline-formula> the bacteria free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x27.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x28.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x29.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x30.png" xlink:type="simple"/></inline-formula> is unstable.</p><p>Next let us discuss the existence and stability of positive equilibria. Let <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x31.png" xlink:type="simple"/></inline-formula> be the positive equilibrium of system (3). We have</p><disp-formula id="scirp.66664-formula865"><label>(4)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x32.png"  xlink:type="simple"/></disp-formula><p>From second equation in Equation (4), it follows that <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x33.png" xlink:type="simple"/></inline-formula> where <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x33.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x34.png" xlink:type="simple"/></inline-formula> is a positive solution of the following equation</p><disp-formula id="scirp.66664-formula866"><label>(5)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x35.png"  xlink:type="simple"/></disp-formula><p>in which</p><disp-formula id="scirp.66664-formula867"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x36.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.66664-formula868"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x37.png"  xlink:type="simple"/></disp-formula><disp-formula id="scirp.66664-formula869"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x38.png"  xlink:type="simple"/></disp-formula><p>Note that <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x39.png" xlink:type="simple"/></inline-formula> is equivalent to</p><disp-formula id="scirp.66664-formula870"><label>(6)</label><graphic position="anchor" xlink:href="http://html.scirp.org/file/4-1720567x40.png"  xlink:type="simple"/></disp-formula><p>For positive equilibria to exist, the solutions of Equation (5) must be positive. Note that <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x41.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x41.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x42.png" xlink:type="simple"/></inline-formula> has the same sign as<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x41.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x42.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x43.png" xlink:type="simple"/></inline-formula>. It follows that system (3) admits a unique positive equilibrium if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x41.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x42.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x43.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x44.png" xlink:type="simple"/></inline-formula>.</p><p>Next, we put our attention on finding positive equilibria of system (3) when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x45.png" xlink:type="simple"/></inline-formula>. Specially, when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x45.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x46.png" xlink:type="simple"/></inline-formula>, then<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x45.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x46.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x47.png" xlink:type="simple"/></inline-formula>, consequently, system (3) has a unique positive equilibrium.</p><p>Let<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x48.png" xlink:type="simple"/></inline-formula>, we have <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x48.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x49.png" xlink:type="simple"/></inline-formula> and<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x48.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x49.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x50.png" xlink:type="simple"/></inline-formula>. There-</p><p>fore, when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x51.png" xlink:type="simple"/></inline-formula>, there is a unique <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x51.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x52.png" xlink:type="simple"/></inline-formula> such that<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x51.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x52.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x53.png" xlink:type="simple"/></inline-formula>. Thus, we could obtain the following results on the existence of the positive equilibria of system (3).</p><p>Theorem 2.</p><p>1) There exists a unique positive equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula> if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula> while if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x56.png" xlink:type="simple"/></inline-formula> there has a unique positive equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x56.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x57.png" xlink:type="simple"/></inline-formula> and also, there has a unique positive equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x56.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x57.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x58.png" xlink:type="simple"/></inline-formula> if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x56.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x57.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x58.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x59.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x54.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x55.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x56.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x57.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x58.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x59.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x60.png" xlink:type="simple"/></inline-formula></p><p>2) There are two positive equilibria <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x61.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x61.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x62.png" xlink:type="simple"/></inline-formula> if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x61.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x62.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x63.png" xlink:type="simple"/></inline-formula> and<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x61.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x62.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x63.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x64.png" xlink:type="simple"/></inline-formula>.</p><p>3) There not exists any positive equilibrium if one of the following conditions holds:</p><p>i)<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x65.png" xlink:type="simple"/></inline-formula>,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x65.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x66.png" xlink:type="simple"/></inline-formula>; ii) <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x65.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x66.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x67.png" xlink:type="simple"/></inline-formula>and<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x65.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x66.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x67.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x68.png" xlink:type="simple"/></inline-formula>.</p><p>where <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x69.png" xlink:type="simple"/></inline-formula> with <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x69.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x70.png" xlink:type="simple"/></inline-formula> and whose <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x69.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x70.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x71.png" xlink:type="simple"/></inline-formula> components given by</p><p><img data-original="http://html.scirp.org/file/4-1720567x74.png" /><img data-original="http://html.scirp.org/file/4-1720567x73.png" /><img data-original="http://html.scirp.org/file/4-1720567x72.png" /></p><p>Remark 1. From the expression of<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x75.png" xlink:type="simple"/></inline-formula>, we know that when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x75.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x76.png" xlink:type="simple"/></inline-formula>,</p><disp-formula id="scirp.66664-formula871"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x77.png"  xlink:type="simple"/></disp-formula><p>Then system (3) changes to the system (1), where we could see that a forward bifurcation exhibits in system (3) when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula>. While the epidemiological implication of Remark 1 is that, if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x79.png" xlink:type="simple"/></inline-formula> is equal to zero, when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x79.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x80.png" xlink:type="simple"/></inline-formula>, there only exists a bacteria-free equilibrium, which means the infection of bacteria to host immune system will die out. Furthermore, the infection will persist when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x79.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x80.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x81.png" xlink:type="simple"/></inline-formula>. However, if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x79.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x80.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x81.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x82.png" xlink:type="simple"/></inline-formula>, we will show in the following parts that the infection may persist if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x78.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x79.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x80.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x81.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x82.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x83.png" xlink:type="simple"/></inline-formula>.</p><p>Theorem 2 indicates that system (3) exhibits multiple positive equilibria via a backward bifurcation. Then we have the following:</p><p>Theorem 3. There exhibits a backward bifurcation at <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x84.png" xlink:type="simple"/></inline-formula> whenever<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x84.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x85.png" xlink:type="simple"/></inline-formula>.</p><p>Proof: Let</p><disp-formula id="scirp.66664-formula872"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x86.png"  xlink:type="simple"/></disp-formula><p>Choosing <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x87.png" xlink:type="simple"/></inline-formula> as a bifurcation parameter, solving<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x87.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x88.png" xlink:type="simple"/></inline-formula>, then we have<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x87.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x88.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x89.png" xlink:type="simple"/></inline-formula>. The jacobian matrix</p><p>at the bacteria free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x90.png" xlink:type="simple"/></inline-formula> with <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x90.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x91.png" xlink:type="simple"/></inline-formula> is</p><disp-formula id="scirp.66664-formula873"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x92.png"  xlink:type="simple"/></disp-formula><p>then, the characteristic roots are <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x93.png" xlink:type="simple"/></inline-formula></p><p>Denote<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x94.png" xlink:type="simple"/></inline-formula>, a right eigenvector corresponding to zero eigenvalue, then,</p><p><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x95.png" xlink:type="simple"/></inline-formula>With<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x95.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x96.png" xlink:type="simple"/></inline-formula>, then <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x95.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x96.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x97.png" xlink:type="simple"/></inline-formula></p><p>Furthermore, the left eigenvector <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x98.png" xlink:type="simple"/></inline-formula> satisfying <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x98.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x99.png" xlink:type="simple"/></inline-formula> is<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x98.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x99.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x100.png" xlink:type="simple"/></inline-formula>. By computing the second- order partial derivatives of <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x98.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x99.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x100.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x101.png" xlink:type="simple"/></inline-formula> at the disease-free equilibrium<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x98.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x99.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x100.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x101.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x102.png" xlink:type="simple"/></inline-formula>, we obtain</p><disp-formula id="scirp.66664-formula874"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x103.png"  xlink:type="simple"/></disp-formula><p>and their cross derivatives are coincide. Moreover,</p><disp-formula id="scirp.66664-formula875"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x104.png"  xlink:type="simple"/></disp-formula><p>and the other second-order partial derivatives of <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x105.png" xlink:type="simple"/></inline-formula> at the disease-free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x105.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x106.png" xlink:type="simple"/></inline-formula> are equal to zero.</p><p>According to coefficients <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x107.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x107.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x108.png" xlink:type="simple"/></inline-formula> defined in Theorem4.1 of Castillo-Chavez and Song [<xref ref-type="bibr" rid="scirp.66664-ref10">10</xref>] , it follows that</p><disp-formula id="scirp.66664-formula876"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x109.png"  xlink:type="simple"/></disp-formula><p>and</p><disp-formula id="scirp.66664-formula877"><graphic  xlink:href="http://html.scirp.org/file/4-1720567x110.png"  xlink:type="simple"/></disp-formula><p>Obviously, the coefficient <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x111.png" xlink:type="simple"/></inline-formula> is positive. When<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x111.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x112.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x111.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x112.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x113.png" xlink:type="simple"/></inline-formula>is positive. It follows that</p><p>model (3) undergoes a backward bifurcation at <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x114.png" xlink:type="simple"/></inline-formula> whenever<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x114.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x115.png" xlink:type="simple"/></inline-formula>.</p><p>So a backward bifurcation occurs at <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x116.png" xlink:type="simple"/></inline-formula> with<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x116.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x117.png" xlink:type="simple"/></inline-formula>, we can point out that when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x116.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x117.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x118.png" xlink:type="simple"/></inline-formula>, if</p><p><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x119.png" xlink:type="simple"/></inline-formula>becomes stronger than some level, the backward bifurcation will take place. Thus, we could say <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x119.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x120.png" xlink:type="simple"/></inline-formula> is one of the factors which lead to the backward bifurcation.</p></sec><sec id="s4"><title>4. Numerical Simulation</title><p>In this section, we implement numerical simulations based on the theoretical results above for the purpose of clear understanding of the complex dynamical behavior of system (3) and explore more patterns of dynamical behaviors of model (3).</p><p>Example 1. When we choose<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula>, with the value of other parameters as following, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x122.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x122.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x123.png" xlink:type="simple"/></inline-formula>, <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x122.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x123.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x125.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x122.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x123.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x125.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x124.png" xlink:type="simple"/></inline-formula>, then system (3) changes to system (1), a forward bifurcation occurs when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x121.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x122.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x123.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x125.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x124.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x126.png" xlink:type="simple"/></inline-formula>.</p><p>A forward bifurcation is shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>, where <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x127.png" xlink:type="simple"/></inline-formula> and <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x127.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x128.png" xlink:type="simple"/></inline-formula> is a bifurcation parameter. With the help of the Matcont package [<xref ref-type="bibr" rid="scirp.66664-ref11">11</xref>] , we obtain some more complicated dynamical behaviors of system (3). We endow values to the parameters of system (3) in <xref ref-type="table" rid="table1">Table 1</xref>, some of them are chosen from literatures.</p><p>Choosing <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x129.png" xlink:type="simple"/></inline-formula> as a bifurcation parameter, we observe a backward bifurcation, which occurs through the branch point (BP) at<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x129.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x130.png" xlink:type="simple"/></inline-formula>, where <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x129.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x130.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x131.png" xlink:type="simple"/></inline-formula> and<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x129.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x130.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x131.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x132.png" xlink:type="simple"/></inline-formula>. In addition, we find a fold bifurcation</p><fig id="fig1"  position="float"><label><xref ref-type="fig" rid="fig1">Figure 1</xref></label><caption><title>A forward bifurcation diagram</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x183.png"/></fig><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Values for the parameters of the ODE system (3)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Parameter</th><th align="center" valign="middle" >Value</th><th align="center" valign="middle" >References</th><th align="center" valign="middle" >Parameter</th><th align="center" valign="middle" >Value</th><th align="center" valign="middle" >References</th></tr></thead><tr><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x133.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.18</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.66664-ref12">12</xref>]</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x134.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.013</td><td align="center" valign="middle" >assumed</td></tr><tr><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x135.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >60</td><td align="center" valign="middle" >assumed</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x136.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.01</td><td align="center" valign="middle" >assumed</td></tr><tr><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x137.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >1.1</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.66664-ref6">6</xref>]</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x138.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.02</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.66664-ref13">13</xref>]</td></tr><tr><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x139.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.005</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.66664-ref6">6</xref>]</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x140.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >0.001</td><td align="center" valign="middle" >assumed</td></tr></tbody></table></table-wrap><p>point (LP) at<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x141.png" xlink:type="simple"/></inline-formula>, where <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x141.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x142.png" xlink:type="simple"/></inline-formula></p><p>Hence, from <xref ref-type="fig" rid="fig2">Figure 2</xref> we conclude that if we increase <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x143.png" xlink:type="simple"/></inline-formula> from zero continuously, we can obtain the three typical patterns of dynamical behaviors are listed in <xref ref-type="table" rid="table2">Table 2</xref>, which could support the Theorem 3.</p><p>Firstly, if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula>, then <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x145.png" xlink:type="simple"/></inline-formula> is relatively small, that is, there only exists a bacteria-free equilibrium and it is locally asymptotically stable. <xref ref-type="fig" rid="fig3">Figure 3</xref> shows this pattern where the parameter <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x145.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x146.png" xlink:type="simple"/></inline-formula> is chosen as 0.1 (<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x145.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x146.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x147.png" xlink:type="simple"/></inline-formula>), the numerical solution of system (3) with the initial condition <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x145.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x146.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x147.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x148.png" xlink:type="simple"/></inline-formula> <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x144.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x145.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x146.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x147.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x148.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x149.png" xlink:type="simple"/></inline-formula> tends to the bacteria free equilibrium as time tends to infinity.</p><p>Secondly, if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula>, then <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula> becomes a little large, but it still smaller than one. The bacteria-free equilibrium still exists and coexists with two positive equilibria, and the large one positive equilibrium is stable while the smaller is unstable. Hence, the bistability occurs, where a stable bacteria-free equilibrium coexists with a stable positive equilibrium. For this pattern, we choose <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula> (<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x153.png" xlink:type="simple"/></inline-formula>) to obtain <xref ref-type="fig" rid="fig4">Figure 4</xref> and <xref ref-type="fig" rid="fig5">Figure 5</xref>, where with the initial condition <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x153.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x154.png" xlink:type="simple"/></inline-formula> <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x153.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x154.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x155.png" xlink:type="simple"/></inline-formula>, the solution tend to bacteria-free equilibrium while the solution with initial condition <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x153.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x154.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x155.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x156.png" xlink:type="simple"/></inline-formula> <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x150.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x151.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x152.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x153.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x154.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x155.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x156.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x157.png" xlink:type="simple"/></inline-formula> tends to the stable positive equilibrium. We shows the orbit in <xref ref-type="fig" rid="fig6">Figure 6</xref>, where we could easily see the bistability phenomena.</p><p>Thirdly, if<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula>, then<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x159.png" xlink:type="simple"/></inline-formula>, where the stable bacteria-free equilibrium becomes unstable. There only exists a stable positive equilibrium. For this pattern, we choose <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x159.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x160.png" xlink:type="simple"/></inline-formula> (<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x159.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x160.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x161.png" xlink:type="simple"/></inline-formula>). In <xref ref-type="fig" rid="fig7">Figure 7</xref>, the solution with the initial condition <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x159.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x160.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x161.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x162.png" xlink:type="simple"/></inline-formula> <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x158.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x159.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x160.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x161.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x162.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x163.png" xlink:type="simple"/></inline-formula> tends to the stable positive equilibrium.</p></sec><sec id="s5"><title>5. Conclusion and Discussion</title><p>In this paper, we have developed a mathematical model based on the model which describes the competition between bacteria and immune system to illustrate the influence of quorum sensing signal molecule on the competition between bacteria and immune system. In order to simplify the model, we make an assumption that quorum sensing signal molecules have reached a steady state when they modulate the immune response during the bacteria infection. By combing qualitative analysis and numerical simulations, comparing with the results in</p><fig id="fig2"  position="float"><label><xref ref-type="fig" rid="fig2">Figure 2</xref></label><caption><title>Bifurcation diagram (LP: limit point, BP: branch point)</title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x184.png"/></fig><fig id="fig3"  position="float"><label><xref ref-type="fig" rid="fig3">Figure 3</xref></label><caption><title>A numerical solution of system (3) tends to the bacteria free equilibrium as time tends to infinity when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x164.png" xlink:type="simple"/></inline-formula>, other parameters are the values in <xref ref-type="table" rid="table1">Table 1</xref></title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x185.png"/></fig><fig id="fig4"  position="float"><label><xref ref-type="fig" rid="fig4">Figure 4</xref></label><caption><title>A numerical solution of system (3) tends to the bacteria free equilibrium as time tends to infinity when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x165.png" xlink:type="simple"/></inline-formula>, other parameters are the values in <xref ref-type="table" rid="table1">Table 1</xref></title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x186.png"/></fig><p>model (1), we find our model can exhibit some new and complicated dynamical behaviors. We observe that if we neglect the modulation of quorum sensing signal molecule to immune response, that is,<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x166.png" xlink:type="simple"/></inline-formula>. Then our model becomes to the model (9) in [<xref ref-type="bibr" rid="scirp.66664-ref6">6</xref>] , where the bacteria-free equilibrium is globally asymptotically stable if the basic reproduction number <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x166.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x167.png" xlink:type="simple"/></inline-formula> is smaller than one, which means, in this case, the bacteria will be cleared if <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x166.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x167.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x168.png" xlink:type="simple"/></inline-formula> Actually, due to the modulation of quorum sensing signal molecule or the influence of quorum sensing signal</p><fig id="fig5"  position="float"><label><xref ref-type="fig" rid="fig5">Figure 5</xref></label><caption><title>A numerical solution of system (3) tends to the positive equilibrium as time tends to infinity when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x169.png" xlink:type="simple"/></inline-formula>, other parameters are the values in <xref ref-type="table" rid="table1">Table 1</xref></title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x187.png"/></fig><fig id="fig6"  position="float"><label><xref ref-type="fig" rid="fig6">Figure 6</xref></label><caption><title>A stable bacteria-free equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x170.png" xlink:type="simple"/></inline-formula> coexists with a stable positive equilibrium <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x170.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x171.png" xlink:type="simple"/></inline-formula> and an unstable positive equilibrium<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x170.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x171.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x172.png" xlink:type="simple"/></inline-formula></title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x188.png"/></fig><fig id="fig7"  position="float"><label><xref ref-type="fig" rid="fig7">Figure 7</xref></label><caption><title>A numerical solution of system (3) tends to the positive equilibrium as time tends to infinity when<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x173.png" xlink:type="simple"/></inline-formula>, other parameters are the values in <xref ref-type="table" rid="table1">Table 1</xref></title></caption><graphic mimetype="image"   position="float"  xlink:type="simple"  xlink:href="http://html.scirp.org/file/4-1720567x189.png"/></fig><p>molecule on the competition between bacteria and immune system, bacteria infection becomes complicated.</p><p>From our model, we find some interesting results that the model can exhibit three different patterns of dynamical behaviors if we choose <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x174.png" xlink:type="simple"/></inline-formula> as bifurcation parameter. When <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x174.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x175.png" xlink:type="simple"/></inline-formula> is relatively small, where it is smaller than<inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x174.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x175.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x176.png" xlink:type="simple"/></inline-formula>, the bacteria-free equilibrium is asymptotically stable, then the bacteria will die out. However, when</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Three typical patterns of dynamical behaviors of system (3)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Pattern</th><th align="center" valign="middle" >Range of <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x177.png" xlink:type="simple"/></inline-formula></th><th align="center" valign="middle" >Steady states of system (3)</th></tr></thead><tr><td align="center" valign="middle" >1</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x178.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >A stable bacteria free equilibrium</td></tr><tr><td align="center" valign="middle" >2</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x179.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >A stable bacteria free equilibrium and two positive equilibria: the large one is stable and the other is unstable</td></tr><tr><td align="center" valign="middle" >3</td><td align="center" valign="middle" ><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x180.png" xlink:type="simple"/></inline-formula></td><td align="center" valign="middle" >An unstable bacteria free equilibrium and a stable positive equilibrium</td></tr></tbody></table></table-wrap><p><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x181.png" xlink:type="simple"/></inline-formula>, except for a stable bacteria-free equilibrium, there also have a stable positive equilibrium and an unstable positive equilibrium, thus, the bistability occurs in this case, where the bacteria may exist. If <inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x181.png" xlink:type="simple"/></inline-formula><inline-formula><inline-graphic xlink:href="http://html.scirp.org/file/4-1720567x182.png" xlink:type="simple"/></inline-formula> is large enough, when it is larger than 1, the model admits a unique stable positive equilibrium, the bacteria exist in human body.</p><p>According to the mathematical analysis and numerical simulations of the model proposed in this paper, it may provide new insights to fight the bacteria infection. It is interesting to find a way to inhibit the modulation, so that we can find an available way to defeat bacteria infection. We act this work as our future goal.</p></sec><sec id="s6"><title>Cite this paper</title><p>Zhiwen Zhang, (2016) Mathematical Model of a Bacteria-Immunity System with the Influence of Quorum Sensing Signal Molecule. 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