PASS-ALL study of paediatric-inspired versus adult chemotherapy regimens on survival of high-risk Philadelphia-negative B-cell acute lymphoblastic leukaemia with allogeneic haematopoietic stem cell transplantation.

This PASS-ALL study was designed to explore the effect of paediatric-inspired versus adult chemotherapy regimens on survival of adolescents and young adults (AYA) with high-risk Philadelphia chromosome-negative B-cell acute lymphoblastic leukaemia (HR PH-ve B-cell ALL) eligible for allogeneic haematopoietic stem cell transplantation (allo-HSCT). The PASS-ALL study is a multicentre, observational cohort study, and 143 patients with HR B-cell PH-ve ALL were enrolled from five centres-77 patients allocated in the paediatric-inspired cohort and 66 in the adult cohort with comparable baseline characteristics. Of the 143 patients, 128 cases underwent allo-HSCT. Three-year leukaemia-free survival (LFS) in the paediatric-inspired cohort was 72.2% (95% CI 60.8%-83.6%) compared with 44.6% (95% CI 31.9%-57.3%; p = 0.001). Furthermore, time-to-positive minimal residual disease (TTP-MRD) post-HSCT was marked different, 3-year cumulative incidence of relapse was 25.9% (95% CI 15.8%-37.2%) in paediatric cohort and 45.4% (95% CI 40.0%-57.9%) in adult cohort (p = 0.026). Finally, the 3-year OS rate was 75.3% (95% CI 64.9%-85.7%) for the paediatric-inspired cohort and 64.1% (95% CI 51.8%-76.4%) for the adult cohort (p = 0.074). On a multivariate analysis, paediatric-inspired regimen is a predictive factor for LFS (HR = 2.540, 95% CI 1.327-4.862, p = 0.005). Collectively, our data suggest that paediatric-inspired chemotherapy pre-HSCT results in deeper and durable MRD response reduces relapse post-HSCT and improves survival in HR B-cell PH-ve ALL patients with allo-HSCT.

Design of Self-Healing Supramolecular Rubbers by Introducing Ionic Cross-Links into Natural Rubber via a Controlled Vulcanization.

Introducing ionic associations is one of the most effective approaches to realize a self-healing behavior for rubbers. However, most of commercial rubbers are nonpolar rubbers without now available functional groups to be converted into ionic groups. In this paper, our strategy was based on a controlled peroxide-induced vulcanization to generate massive ionic cross-links via polymerization of zinc dimethacrylate (ZDMA) in natural rubber (NR) and exploited it as a potential self-healable material. We controlled vulcanization process to retard the formation of covalent cross-link network, and successfully generated a reversible supramolecular network mainly constructed by ionic cross-links. Without the restriction of covalent cross-linkings, the NR chains in ionic supramolecular network had good flexibility and mobility. The nature that the ionic cross-links was easily reconstructed and rearranged facilitating the self-healing behavior, thereby enabling a fully cut sample to rejoin and retain to its original properties after a suitable self-healing process at ambient temperature. This study thus demonstrates a feasible approach to impart an ionic association induced self-healing function to commercial rubbers without ionic functional groups.

In situ reactive compatibilization of polypropylene/ethylene-propylene-diene monomer thermoplastic vulcanizate by zinc dimethacrylate via peroxide-induced dynamic vulcanization.

This work demonstrates an approach of in situ reactive compatibilization between polypropylene (PP) and ethylene-propylene-diene monomer (EPDM) by using zinc dimethacrylate (ZDMA) as a compatibilizer and, simultaneously, as a very strong reinforcing agent. With the incorporation of 7phr ZDMA in the PP/EPDM (30/70, w/w) thermoplastic vulcanizate (TPV), the tensile strength, tear strength, elongation at break, and hardness of PP/EPDM/ZDMA TPV were increased from 5.3 MPa, 31.3 kN/m, 222%, and 78 up to 11.2 MPa, 64.2 kN/m, 396%, and 83, respectively. This tremendous reinforcing as well as the compatibilization effect of the ZDMA was understood by polymerization of ZDMA and ZDMA reacted with EPDM and PP during peroxide-induced dynamic vulcanization. A peculiar phase structure that rubber particles were surrounded and "bonded" by a thick transition zone that contained numerous of nanoparticles with dimensions of about 20-30 nm was observed from transmission electron microscopy. Scanning electron microscopy results confirmed that incorporation of ZDMA reduced the size of the cross-linked EPDM particles. Moreover, we found that the compatibilized TPV showed a higher tan δ peak temperature for EPDM phase and a lower tan δ peak temperature for PP phase. The suggested method for in situ reactive compatibilization of PP and EPDM offers routes to the design of new TPV-based technical products for diversified applications.