Bivalirudin, started during transport for primary PCI, improved 30-day clinical outcomes with a reduction in major bleeding but with an increase in acute stent thrombosis. (Funded by the Medicines Company; EUROMAX ClinicalTrials.gov number, NCT01087723.).

Pseudomonas oleovorans grows on C6 to C12 n-alkanes and 1-alkenes. These substrates are oxidized to the corresponding fatty acids, which are oxidized further via the ,8-oxidation pathway, yielding shorter fatty acids which have lost one or more C2 units. P. oleovorans normally utilizes ,8-oxidation pathway intermediates for growth, but in this paper we show that the intermediate 3-hydroxy fatty acids can also be polymerized to intracellular poly-(R)-3-hydroxyalkanoates (PHAs) when the medium contains limiting amounts of essential elements, such as nitrogen. The monomer composition of these polyesters is a reflection of the substrates used for growth of P. oleovorans. The largest monomer found in PHAs always contained as many C atoms as did the n-alkane used as a substrate. Monomers which were shorter by one or more C2 units were also observed. Thus, for C-even substrates, only C-even monomers were found, the smallest being (R)-3-hydroxyhexanoate. For C-odd substrates, only C-odd monomers were found, with (R)-3-hydroxyheptanoate as the smallest monomer. 1-Alkenes were also incorporated into PHAs, albeit less efficiently and with lower yields than n-alkanes. These PHAs contained both saturated and unsaturated monomers, apparently because the 1-alkene substrates could be oxidized to carboxylic acids at either the saturated or the unsaturated ends. Up to 55% of the PHA monomers contained terminal double bonds when P. oleovorans was grown on 1-alkenes. The degree of unsaturation of PHAs could be modulated by varying the ratio of alkenes to alkanes in the growth medium. Since 1-alkenes were also shortened before being polymerized, as was the case for n-alkanes, copolymers which varied with respect to both monomer chain length and the percentage of terminal double bonds were formed during nitrogen-limited growth of P. oleovorans on 1-alkenes. Such polymers are expected to be useful for future chemical modifications. * Corresponding author. MATERIALS AND METHODS Bacterial strain, media, and growth conditions. P. oleovorans ATCC 29347 was used throughout the experiments. Cells were precultured overnight at 30°C in 250-ml Erlenmeyer flasks containing 50 ml of E medium (29) supple-2924

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We report on the biosynthesis of 65 kDa A-B-A triblock copolymers consisting of pH-responsive (acidic) silklike blocks and nonresponsive collagenlike blocks, and we show that at pH values where the silklike blocks become uncharged, these polymers form transparent high-modulus gels, that is, 7-15 kPa at 8 g • L -1 , that consist of supramolecular nanotapes with a height of 2.8 nm, a width of ∼14 nm, and an average length of >10 µm. At the concentrations employed, both of these protein triblocks essentially form the same structure, irrespective of block order. The amount of product isolated from the extracellular medium is in the gram per liter range. This high yield makes various applications of this promising class of biocompatible materials possible.