Natalizumab induced blood eosinophilia: A retrospective pharmacovigilance cohort study and review of the literature.

OBJECTIVE To describe frequency of natalizumab related eosinophilia and clinical symptoms of eosinophilic disease in our monocentric cohort. METHODS Comparison of clinical characteristics of 115 natalizumab treated and 116 untreated RRMS patients and review of literature. RESULTS 38% of natalizumab treated patients had eosinophilia, which occurred significantly more frequently compared to untreated MS patients (3%, p-value<0.001). In symptomatic patients, mean eosinophil counts were significantly higher than in asymptomatic patients and symptoms developed within one year. DISCUSSION Eosinophilia is a side effect of natalizumab and mostly asymptomatic. However, few patients develop within one year after start of natalizumab an eosinophilic disease as severe side effect

Collisionless Shock Acceleration of protons in a plasma slab produced in a gas jet by the collision of two laser-driven hydrodynamic shockwaves

We recently proposed a new technique of plasma tailoring by laser-driven hydrodynamic shockwaves generated on both sides of a gas jet [J.-R. Marqu\`es et al., Phys. Plasmas 28, 023103 (2021)]. In the continuation of this numerical work, we studied experimentally the influence of the tailoring on proton acceleration driven by a high-intensity picosecond-laser, in three cases: without tailoring, by tailoring only the entrance side of the ps-laser, or both sides of the gas jet. Without tailoring the acceleration is transverse to the laser axis, with a low-energy exponential spectrum, produced by Coulomb explosion. When the front side of the gas jet is tailored, a forward acceleration appears, that is significantly enhanced when both the front and back sides of the plasma are tailored. This forward acceleration produces higher energy protons, with a peaked spectrum, and is in good agreement with the mechanism of Collisionless Shock Acceleration (CSA). The spatio-temporal evolution of the plasma profile was characterized by optical shadowgraphy of a probe beam. The refraction and absorption of this beam was simulated by post-processing 3D hydrodynamic simulations of the plasma tailoring. Comparison with the experimental results allowed to estimate the thickness and near-critical density of the plasma slab produced by tailoring both sides of the gas jet. These parameters are in good agreement with those required for CSA