20 research outputs found

    Autologous haematopoietic stem cell transplantation and other cellular therapy in multiple sclerosis and immune-mediated neurological diseases : updated guidelines and recommendations from the EBMT autoimmune diseases working party (ADWP) and the joint accreditation committee of EBMT and ISCT (JACIE)

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    These updated EBMT guidelines review the clinical evidence, registry activity and mechanisms of action of haematopoietic stem cell transplantation (HSCT) in multiple sclerosis (MS) and other immune-mediated neurological diseases and provide recommendations for patient selection, transplant technique, follow-up and future development. The major focus is on autologous HSCT (aHSCT), used in MS for over two decades and currently the fastest growing indication for this treatment in Europe, with increasing evidence to support its use in highly active relapsing remitting MS failing to respond to disease modifying therapies. aHSCT may have a potential role in the treatment of the progressive forms of MS with a significant inflammatory component and other immune-mediated neurological diseases, including chronic inflammatory demyelinating polyneuropathy, neuromyelitis optica, myasthenia gravis and stiff person syndrome. Allogeneic HSCT should only be considered where potential risks are justified. Compared with other immunomodulatory treatments, HSCT is associated with greater short-term risks and requires close interspeciality collaboration between transplant physicians and neurologists with a special interest in these neurological conditions before, during and after treatment in accredited HSCT centres. Other experimental cell therapies are developmental for these diseases and patients should only be treated on clinical trials

    Gravothermal catastrophe : the dynamical stability of a fluid model

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    A re-investigation of the gravothermal catastrophe is presented. By means of a linear perturbation analysis, we study the dynamical stability of a spherical self-gravitating isothermal fluid of finite volume and find that the conditions for the onset of the gravothermal catastrophe, under different external conditions, coincide with those obtained from thermodynamical arguments. This suggests that the gravothermal catastrophe may reduce to Jeans instability, rediscovered in an inhomogeneous framework. We find normal modes and frequencies for the fluid system and show that instability develops on the dynamical time scale. We then discuss several related issues. In particular, (1) for perturbations at constant total energy and constant volume, we introduce a simple heuristic term in the energy budget to mimic the role of binaries. (2) We outline the analysis of the two-component case and show how linear perturbation analysis can also be carried out in this more complex context in a relatively straightforward way. (3) We compare the behavior of the fluid model with that of the collisionless sphere. In the collisionless case the instability seems to disappear, which is at variance with the linear Jeans stability analysis in the homogeneous case. We argue that a key ingredient for understanding the difference lies in the role of the detailed angular momentum in a collisionless system. A spherical stellar system is expected to undergo the gravothermal catastrophe only in the presence of some collisionality, which suggests that the instability is dissipative and not dynamical. Finally, we briefly comment on the meaning of the Boltzmann entropy and its applicability to the study of the dynamics of self-gravitating inhomogeneous gaseous systems

    Evidence of an age gradient along the line of sight in the nuclear stellar disc of the Milky Way

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    Context. The nuclear stellar disc (NSD) is a flat dense stellar structure at the heart of the Milky Way. Recent work has shown that analogous structures are common in the nuclei of external spiral galaxies, where there is evidence of an age gradient that indicates that they form inside-out. However, the characterisation of the age of the NSD stellar population along the line of sight is still missing due to its extreme source crowding and the high interstellar extinction towards the Galactic centre. Aims. We aim to characterise the age of the stellar population at different average Galactocentric NSD radii to investigate for the first time the presence of an age gradient along the line of sight. Methods. We selected two groups of stars at different NSD radii via their different extinction and proper motion distribution. We analysed their stellar population by fitting their de-reddened Ks luminosity functions with a linear combination of theoretical models. Results. We find significant differences in the stellar population at different NSD radii, indicating the presence of an age gradient along the line of sight. Our sample from the closest edge of the NSD contains a significant fraction (∼40% of its total stellar mass) of intermediate-age stars (2–7 Gyr) that is not present in the sample from stars deeper inside the NSD, in which ∼90% of the stellar mass is older than 7 Gyr. Our results suggest that the NSD age distribution is similar to the one found in external galaxies and they imply that bar-driven processes observed in external galaxies are similarly at play in the Milky Way

    The filamentary structures in the CO emission toward the Milky Way disk

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    We present a statistical study of the filamentary structure orientation in the CO emission observations obtained in the Milky Way Imaging Scroll Painting (MWISP) survey in the range 25.◦8 < l < 49.◦7, |b| ≤ 1.◦25, and −100 < vLSR < 135 km s−1. We found that most of the filamentary structures in the 12CO and 13CO emission do not show a global preferential orientation either parallel or perpendicular to the Galactic plane. However, we found ranges in Galactic longitude and radial velocity where the 12CO and 13CO filamentary structures are parallel to the Galactic plane. These preferential orientations are different from those found for the Hi emission. We consider this an indication that the molecular structures do not simply inherit these properties from parental atomic clouds. Instead, they are shaped by local physical conditions, such as stellar feedback, magnetic fields, and Galactic spiral shocks
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