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A long history of diabetes mellitus and increasing age are associated with the onset of diabetic neuropathy, a painful and highly disabling complication with a prevalence peaking at 50% among elderly diabetic patients. Acetyl-L-carnitine (ALC) is a molecule derived from the acetylation of carnitine in the mitochondria that has an essential role in energy production. It has recently been proposed as a therapy to improve the symptoms of diabetic neuropathy. ALC is widely distributed in mammalian tissues, including the brain, blood-brain barrier, brain neurons, and astrocytes. Aside from its metabolic activity, ALC has demonstrated cytoprotective, antioxidant, and antiapoptotic effects in the nervous system. It exerts an analgesic action by reducing the concentration of glutamate in the synapses. It facilitates nerve regeneration and damage repair after primary trauma: its positive effects on metabolism promote the synthesis, fluidity, and functionality of neuronal membranes, increase protein synthesis, and improve the axonal transport of neurofilament proteins and tubulin. It also amplifies nerve growth factor responsiveness, an effect that is believed to enhance overall neurite growth. ALC has been proposed for the treatment of various neurological and psychiatric diseases, such as mood disorders and depression, dementias, Alzheimer's disease, and Parkinson's disease, because synaptic energy states and mitochondrial dysfunction are core factors in their pathogenesis.

The substitution of virgin resins by recycled ones is a worldwide tendency that is supported by the fluctuation of oil prices and the transition to a circular economy. Polymeric blends have been intensively studied because of their ability to provide tailored properties for particular applications. However, in their design phases, the issue of end-life re-use had not been well addressed, and now difficulties in their recycling are arising. In this study, we investigated the effect of three different compatibilizers: two chain extenders (CEs), (1) a styrene-acrylic oligomer (ESAo), and (2) methylene diphenyl diisocyanate (MDI) and an impact strength modifier, (3) an ethylene copolymer (EMAco), for the recycle of a post-industrial polycarbonate/polyethylene terephthalate (PC/PET) blend. The materials were prepared by reactive extrusion and characterized by intrinsic viscosity (IV) measurements, mechanical tests, differential scanning calorimetry (DSC), Fourier transform infrared spectroscopy analysis (FTIR), and transmission electron microscopy (TEM). The introduction of each additive has been demonstrated to improve the compatibility between PET and PC in the post-industrial blend, leading to enhanced mechanical properties. The IV measurements increased to values that were comparable to the virgin material. In addition, CEs affected the crystallization of PET (as they reduced the degree of crystallinity), while EMAco acted as a nucleating agent. Morphological analysis enabled confirming the compatibilization effects induced by the tested additives.