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3.8  Application Opportunities of Bacterial Polyhydroxyalkanoates  59

               3.8.2
               In Material Industry: PHAs as Polymeric Materials

               Thanks to their special polymer features, PHAs with diverse structures and prop-
               erties have been researched as bioplastics, fibers, biomedical implants, and drug
               delivery carriers and so on. Similar to the rapid development of polylactic acid
               (PLA) promoted by NatureWork as a bulk bioplastic, the large-scale supply of
               PHAs will increase the speed of their development as new plastics with sustainable
               properties.

               3.8.2.1 PHAs as Biodegradable Plastics and Fiber Materials
               Originally PHAs were used to produce articles such as shampoo bottles and pack-
               aging materials by Wella AG, Germany. In addition to packaging films mainly for
               use as shopping bags, containers, and paper coatings, PHAs were used to pro-
               duce disposable items such as razors, utensils, diapers, feminine hygiene products,
               cosmetic containers, and cups, as well as medical surgical garments, upholstery,
               carpets, packaging, compostable bags, and lids or tubs for thermoformed articles
               by P&G, Biomers, Metabolix, and several other companies.
                PHB fibers with high tensile strength were prepared by stretching the fibers
               after isothermal crystallization close to the glass transition temperature. Increas-
               ing the time for isothermal crystallization of PHB fibers resulted in a decrease in
               the maximum draw ratio. However the tensile strength of PHA fibers increased
               remarkably when the isothermal crystallization time was prolonged to more than
               24 h. The tensile strength of low-molecular-weight drawn fibers was higher than
               that of high-molecular-weight fibers. PHB fibers stretched after isothermal crys-
               tallization had the oriented α-form crystal with a 2(1) helix conformation and the
               β-form with a planar zigzag conformation.

               3.8.2.2 PHAs as Medical Implant Materials
               PHAs including PHB, PHBV, P3HB4HB, P4HB, P3HO (poly-(R)-3-hydroxy-
               octanoate), and PHBHHx are commonly investigated for use as sutures, repair
               devices, repair patches, slings, cardiovascular patches, orthopedic pins, adhesion
               barriers, stents, guided tissue repair/regeneration devices, articular cartilage
               repair devices, nerve guides, tendon repair devices, bone marrow scaffolds,
               artificial esophagus, and wound dressings. Tepha, a Boston-based company,
               specializes in manufacturing pericardial patches, artery augments, cardiological
               stents, vascular grafts, heart valves, implants and tablets, sutures, dressings,
               dusting powders, and prodrugs; it markets P4HB for medical application under
               the name of PHA4400 [62]. Recently, PHBHHx was successfully used as an
               osteosynthetic material for stimulating bone growth owing to its piezoelectric
               properties, as well as for repairing damaged nerves. Nutritional and therapeutic
               uses were found in the oligomers of PHA. It was found that monofilament sutures
               made of PHB and PHBV did not cause any in vivo acute vascular reaction at the
               site of implantation or any other adverse event for more than 1 year. Compa-
               rable phenomena have been found with PHBHHx. One of the most important
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