• 検索結果がありません。

1520 Vol. 131 (2011) Í Ì 160 f Í f h f Íh f Ì 7,8 h h i f Í Ìh f 1 Table 1 Ì 9 f m id Ì Í Ì f k h Ì l Í i Í 実験方法 1. 試料及び試薬 Lecithin from Egg Í h Í h ä

N/A
N/A
Protected

Academic year: 2021

シェア "1520 Vol. 131 (2011) Í Ì 160 f Í f h f Íh f Ì 7,8 h h i f Í Ìh f 1 Table 1 Ì 9 f m id Ì Í Ì f k h Ì l Í i Í 実験方法 1. 試料及び試薬 Lecithin from Egg Í h Í h ä"

Copied!
7
0
0

読み込み中.... (全文を見る)

全文

(1)hon p.1 [100%]. YAKUGAKU ZASSHI 131(10) 1519―1525 (2011)  2011 The Pharmaceutical Society of Japan. 1519. Article. 学生実習における卵黄を用いたリポソーム調製の試み       . Preparation of Liposome Using Egg Yolk Ikumi SUGIYAMAand Yasuyuki SADZUKA School of Pharmacy, Iwate Medical University, 211 Nishitokuta, Yahaba-cho, Shiwa-gun, Iwate 0283694, Japan (Received January 24, 2011; Accepted July 20, 2011; Published online July 26, 2011) In this study, 162 students in the 6 year Pharmacy Program at the School of Pharmacy, Iwate Medical University were asked to prepare liposomal preparations using chicken egg yolk and to evaluate their properties with the aim of developing novel liposomes. High-purity lecithins are generally used for preparing liposomes but they are expensive. On the other hand, egg yolk has various components, including lecithin and cholesterol, which are important components for the formation of liposomes, so it was hypothesized that liposomes prepared from egg yolk may participate in the formation of cell membrane in chicks. Both liposomes from egg yolk (YL) and from lecithin (LL) exhibited Malthesian crosses using a polarizing microscope and multilamellar vesicles were observed, conˆrming that liposomal preparations from egg yolk were useful. The particle size of YL was about 100 nm with one peak. Furthermore, the YL are believed to be viable under diŠerent conditions because the particle size did not change when they were prepared in buŠers having diŠerent pH values. The results of these experiments indicate that liposomal preparations from egg yolk can serve as natural materials, although some obstacles remain. This is a unique approach for carrying out practical training in our 6 year pharmaceutical science program. Key wordsliposome; egg yolk; polarized light; Malthesian cross. 緒. —. 言. _;˜"uv35"™k. 3†‡ˆ" /šW›œM

(2) . 

(3) . W08ž4Z(58. lmn . !"#$%&'()*+. uvŸ R‚ƒ3¡¢%£¤¥¦. ,-.  Drug Delivery System/DDS012. §d"™k8}~¨©Pž4ªˆ"«¬3£8.  345&(5613*. 78935:;<=. p" ­®&(6. >?@A3.BCDEFG4 50 mg / 2006 HI08. HIV JK"LMNO@A/2007 HI0. ¯¦. *°± 6 H² ³´*°µ¶"·¸. p3†ˆ¹ºµ¶8»¼Ÿ

(4) .L,½¾. PQRST8U@A/2009 HI03V,WG 20. 3‰Š&(56*°µ¶¿ÀÁÂ[ 20. mg 8XYZ(@A[\]^56. Hˆ*a°µÃÄÅÆÇÁÈ 3ɬ°3c. _;. DDS ,-. "G`. *a°Ê˸Ì{¤8ÍÎZ(. ɬ°3. abcdefghijka4,5*Plmn6* ". 5ÏÐ]¸ÌwÑ56Ò°d 6 H²µ. o4<pqrZ(stuv8w7(56x*. ¶3‰Š&(.VÓVµ¶¸Ô3]). n yz{|"}~€‚ƒ. . 5p†5‡ˆ8‰Š&(8. ka„ 3. lmnP‹Œ. ÕH. k*Ld"֖8†×Ñ5. DDS 12Ì؁’. 7—". Ž R‘’ “ )‚ƒ. ÙÚÛÜ",-."™kP+<"ÝÞ3ß. 3%&”p†5‡ˆ•– 567. à×á’ 8âãd] ­®)6Z&3. 岩手医科大学薬学部  e-mail: isugiym@iwate-med.ac.jp. uv. 5ÙäD35†5µ¶åæØ’  “ . ç3èæ8é&%3Ñ5’ d.

(5) hon p.2 [100%]. 1520. Vol. 131 (2011). eêë"ìíuvèæîï­ðZá’ 8. '›¾Bîï.

(6) B(‡*. ñ×5 5Ùèò3óÑ)6%8&. )6!")"*˜Ï*45)6. °y. ¸Ì  160 ô"°y8™k"12. 2.. リポソームの調製. Sü45). Ì؁)Š3õe" 8•– 

(7) . ™k)Š. Žö%&p¸÷8øùd]’ éúd]Ñ)6. ,-)6,-)Sü3 9 .¤"/š0. !’duvdž4Z(†‡ˆ". 12/401, v0v03456’ 3. deêûk"Sü45)‚ƒ3p. 78. "™k8ýd] ­®)6Sü%&þ). =>?@/ US-4R A.BC. †‡ˆ" Wuv"q_;. 45 50 E C. 3ó×d"[ ¯“34. wÑ)6!"H. 5&(58. 7,8*. S"Sü"¥3. 5. S"Sü" ß+e. Sü9¯3 :Zá)Š3Ój;< †D= 80 W 0. 40 kHz d 10 F";<=Gâ 1750 I g d 10 FJK w. L<)1M/ Sü )6 .  "™k345 5Ùuv’. )Sü784 1.0 g Nj›¾

(8) 3 ß/. (×d3w7(556%8&. Sü 3. š012/ 4 0 1, v 0 v 034O 50 ml. "[3•–pÙ 1 £" d]. 6®)6!"H1PÓ 145.

(9) p

(10) ×(5’ / Table 1 . 9*. o@QRSTNj›¾

(11) 3 U#[. »¼ ž4Z(. )6’’3 9.0 V/ 10 mM W(XY4.  5’ "âJ. . /pH 4.00Ze 10 mM (XY4/pH 7.00. "#[3'(5’ 8qrZ()67.  7.0 ml 6®. —. Òò"™k3ž4†‡ˆ". ]^4/ Egg Yolk-liposome: YL 0Ø)6.  " "Sü"ý<¢. Q[3 9.0 V/ 10 mM W(XY4/ pH.  p3. 4.0 0  4 5 ) p "  YL4, 10 mM   ( X Y 4. *°¸ÌdÚÛÜ"uv¸÷’. 3°y"uv€wÑ)èæÍ. 65 E C "[\ dQ[Sü. /pH 7.0045)p" YL7 )6. Î)p"d]6¸Ì3c°y"â݈Pµ.

(12) Ž  W45. ¶åæ°y3%()èæîï­ðµÇ8. ™k)6 W 1.0 g 3 9 .¤"/š. ā’ 3¢)6. 012/401, v0v0346®QÝ)H. 実 1.. 験. 方. 試料及び試薬. Egg0‡*. "Z(5p". Nj›¾

(13) 3 ßSü _s". 法. w5 W]^4/Lecithin-lipo-. W   / Lecithin from. some: LL 0 )6 LL 35pQ[3 9.0. )6S¯“3!. V/ 10 mM W(XY4/ pH 4.0 0Ze. )6Òò dSü. þ)†‡ˆ" # W$ S "ü%" )p"#Sü$ &)6.  10 mM (XY4/ pH 7.0 045. !(`. ( LL4 îï LL7 a&)6 3.. ビタミン含有リポソームの調製. {b. *+"+<3"#$P¡c<|"d Table 1. yolk9*. Nutritional Value per 100 g of Raw Chicken EggComposition. Volume g. Water Protein Fat saturated fatty acid unsaturated fatty acid cholesterol Carbohydrate Others. 48.2 16.5 33.5 9.2 9.2 1.4 0.1 1.7. e¢)Š. »¼*+ B1f B2. d]'›¾BîïB1f C ".

(14) B (45)6'›¾BU™kg345 /š012/ 4 0 1, v 0 v 0343 0.05 mg 0 ml Ù356îïQÝ. .

(15) B. ("56Q[345XY43 0.05 mg 0 ml Ù3QÝ45)6 Éhi"j3a&)6 '›¾B56Sü/pH 40AYL4B2.

(16) hon p.3 [100%]. No. 10. 1521. '›¾B56Sü/pH 70AYL7-. Fig. 1. —a 3˜Ù3™#" 8šeqr3›c)œ8. B2. .

(17) B(56Sü/ pH 4 0A. YŠ&()’ . õ8#[Z(. 5’ 8é&% Ñ)6Z&3. YL4-C. .

(18) B(56Sü/ pH 7 0A. Sü™. k) YL7 3£5p_s3™#"{±8šeq r3›c)p1"qr8YŠ&()6h"èæ. YL7-C. '›¾B56 W/ pH 40A. . S%&ûkZ()†‡ˆ" W _s". 8êûk"Sü%&p™kýd]’. LL4-B2. '›¾B56 W/ pH 70A. 8é&% Ñ)6 ™kg3É»¼*+56)o. LL7-B2. .

(19) B(56 W/pH40A. ð)èæ. '›¾B. .

(20) B("5”. (56)‚ƒ3pp1"qroð’. LL4-C. .

(21) B(56 W/pH70A. 8dž)6%8&. ’(&p1"qr. Fig. 1 d˜)Ùp"Ÿ%dest#$. LL7-C 4.. ™k) LL7 klmndoð)èæ. リポソームの観察. "#[k. lmn/ BX51: OLYMPUS 03oð. 8oðZ()6™8 3Ñ. p. 8Ñ5Ù#$¡ Fig. 2—a ¢ £5™. 1"qros#"t;3úY)61013*. " 3"qr8&(#$¡ Fig. 2 — b ¢ 4 ¤. . ¥"Ù#$¡ Fig. 2— c ¦. uvwx4oð)Š. i"k. ›y1/z

(22)  Ù{|)6. #$¡ Fig. 2 — d ¦. ¯"™o. K8¬že›c)#$¡ Fig.. É 40 kHz d. 2—e ¢ 5Ù 5 #$8õeYŠ&()6’"Ù. 20 F;<=}`)H Zetasizer Nano-ZS/ Sys-. #$"§î﨩 à[PXY4"§3. mex045~ˆ €c)63 ‹Œ". ª“YŠ&(%Ñ)6. 5.. 粒度分布測定. Â9‚. Ƀ„3c"~ . *+ '›¾B56)‚ƒ. ê56g _s"p1"qroð’ 8d. † )6 結 1.. ×) ž)8. 果. ™# Ñ5%Ñ). qr"± 8. «Ud5)5p"8t;"#. リポソーム調製時の観察所見. U#[g. [©8¬i5ý<8­®&()6Z&3. YL, LL p3ü. )"‹Œ3¨˜­í+8®e¯®)’ %&. Їé"9¯U8Ø&()6.

(23) B(. hi°/Žo'›¾B8±². 56)ˆ’"gDd‰. 5’ 8˜³Z()6¯¦. " "s oð)èæ. _ƒ„d])Š. .

(24) B(. YL, LL _s"U#[. )6'›¾B56)‚ƒ. [ .  W45)ˆd9¯üÐU8#[Z( )6¯¦. Sü45)ˆ. üÐU8YŠ&(. )8›¾

(25) "Š3‹üÐ". ZeŒ<". †5‹üÐ48t5)6 Ž3. Q[H"]^4"s N. doð)èæ. 5”(pU5üАï)W‘Ð. "]^4d]Ñ)6×)]^4 3õ’"“58 ]Ñ)8 ‘ÐZeüÐ"”•+8oðZ()6 2.. 偏光顕微鏡を利用したリポソームの形成確認. –™k)klmn3oð)6 ¯“™k345&( Wd. Fig. 1.. Malthesian Crosses of Plane Liposomes. a Plane liposome from egg lecithin. b Plane liposome from egg yolk..

(26) hon p.4 [100%]. 1522. Vol. 131 (2011). Fig. 2.. Malthesian Crosses of Various Types. a Double halo. b Conspicuous cross in strong halo. c Four leaves shape. d Single halo. e Elimination center of sphere.. 56)‹Œ35B1fê56  _s3™#" 3qr8›c)p1"q roð’ 8dž. †5ú©d. Table 2. Lipid. ™kdž5’ 8úYZ()6%8& klmndoð5´. Contained drug model. BuŠer pH. Sample name. Particle size mm. . 4.0 7.0. YL4 YL7. 88.017.7 66.713.4. Ribo‰avin. 4.0 7.0. YL4-B2 YL7-B2. 90.115.6 94.129.8. Ascorbic acid. 4.0 7.0. YL4-C YL7-C. 85.330.1 65.820.7. . 4.0 7.0. LL4 LL7. 120.332.4 79.124.1. Ribo‰avin. 4.0 7.0. LL4-B2 LL7-B2. 106.226.6 152.744.8. Ascorbic acid. 4.0 7.0. LL4-C LL7-C. 244.9176.0 95.114.4. B1f56. ) YL p1"qr8L#Ÿµ¶‚ƒ8] . Particle Size of Each Liposome. Egg Yolk.  "¡c<8·5’ 8­®&. ()6 粒度分布測定. 3.. ɋŒ"~ †"€c. èæ Table 2 3˜)65”("‹Œpk lmnoðH3 20 F";<=GâwÑ)) Š. ~ †O 100 nm d]Ñ)6 W45. Lecithin. ) LL "~ † YL 3¨˜ ¬ž5¸8YŠ &()6XY4" pH 3~ †3¬ž¹˜ Z(%Ñ)8. .

(27) B(56 W. MeanS.D. n3.. d pH 4.0 " 9.0 V/ 10 mM W(X Y4ž4)‚ƒ/LL4-C03~ †8º¬. /Fig. 306. ¸8YŠ&()6 YL d’"Ù¸8 e. 考. 5”("ƒ„35p_»ˆ"~ †8Ø&. ()6 LL YL "a“¼Ž½¾¨¾ . LL ¿5À/o¯¦d. YL "~. ˆ Áeb&%d]’ 8é&% Ñ). 察. '()*+,-." 1 £ õ e"uv8w7( ghijka7,8*. _;Âà . 14*Pf. fŒhijka15* Ä|"~4.

(28) hon p.5 [100%]. No. 10. 1523. Fig. 3.. Size Distribution of Liposomes by Intensity. Solid line and dotted line express YL and LL, respectively.. 8&(56!"¯¦. kaÅ. 1"qr8oðdž)’ . Sü%&. „ 8†¢d]’ PõÆ"uv RÇ8•–d. "™k8ýd]’ 8éZ()6»¼*. ]’. + 56)'›¾Bîï.

(29) B(. ÏÈka12o’ Ä"âJ. †5*¢8£c&(. ?ˆ"¬5ÉÊP. ËÌ3~4ù5’ 8_Íd]6!’d. Ò. "oð 3p1"qrL#Zá) µ¶Zá))’ . SüÜ. uvdń Ç8¡¢Süž4. ¡clZá×Ù¸8˜³Z()6. "™k)6×). Åd56*+8#[3Ý®de. Òuv"¸÷3*°±. 6 H²µ¶d‰Š&(5.VÓVµ¶"¯. ¢’ “ 5)Š. Î °y¸Ì3c™kP¢. »¼*+". ÒÄ. |". Þ€c%Ñ)6. 5Ñ)ÚÛÜ"uv¸÷dž’ 8qrdž. ™k)‹Œ"~ †€c)èæ. ­®)6Òò "èæîï­ð°y8Ï. (pO 100 nm "~ †d]Ñ)6ÒÄÅd. )¸Ì Ž›Ð. <=GâwÙ"dP/ŽMߧ3. ]. µÇ8Ä)p"d. °y"â݈"†Z8Ñ®{¤ Ñ)6. Òuv. Sü 3"[3•–. ~ "‹àM½wÑ55)Š. 5” ;. x*n . }Ó~ †Ø’ qrdž5 ­®&. W

(30) 8

(31) ×(¼Ò

(32) ". (6%. #[)Š3’(&8}Óԃd

(33) oZ. †Ø&()’ k×»3cá~. (5’ 3Õ. 35m~ â3Ø&(’ 8qrZ(. Sü[ 8". ;<=}`"dpO 100 nm "~. #[3'(5’ qrÄÅ)/ Table. )6×). 1069*. LL 3¨˜ YL "~ˆ ãV˜’ 8. Ö. LL YL "¼Ž½¾¨¾. Süž4)"™k) ’. é&% / Fig. 3 0 ’(Sü " 8. ™k×»35†‡ˆ" Wž4). W"deuä" 8

(34) ×(5’. ‚ƒ _s3]^4Ø’ 8dž)6×) (&]^4klmndoð)èæ. ’. p1". 3¹åep" ­®&()6!"¯¦ 43~ †|"de8&(”. YL XY. 5”("ƒ„. qrúY’ 8dž)6p1"qr . dp_»ˆ"Ø’ 8dž)67—. ¾¾"4Ø3äٓÚ¦<8]’ x. ü 3õe"[ 8t;5)Š. 4)_íd]. klmnd¾¾o. ž4‚ƒp{bý*+"§PXY. + oð)‚ƒ34ر 8£5R. 4"§stƒ„3æç3­~džp". p"d]6õ8#[Z(5‚. p­®&(. ƒ. p1"qrÛÑ)s#8oðZ(’ 8. ÍÎZ(5610*. 7—. ÒÄÅ35p. S. W. !"oå<8qrZ()6. h"èæ. Sü45)"™k. 8ýd]’ 8é&% Ñ)6klmn3.

(35) hon p.6 [100%]. 1524. Vol. 131 (2011). oð"èæ. p1"qr uä"Ú. . #$8oðZ(. ’"Ù#$"“5. Z [ . S4ô. YZ\. "P*+"è;˜5ý<8. 4. ˜³Z()/ Fig. 206YL klmndoð). f g9b. LL doðZ(%Ñ)"L#P. é. êë8YŠ&()6×). JT. _`ô. mn8. AUV. YZ9. ×$ab hi4j. o. p. š kj. q¬. u. vñwx. yÒ3\s. }`3 YL "~ † 100 nm hi3Ñ)’. . {$. {$|-.  YL 8æ&%eÜ¡cd]. $~8. ý<8­®&(. ¡c<

(36) ŠZ&ÄÅ"•. 8. {ñ . –<8­®&()6ìí+d]Süûk’. †. _{6‡ . e. Œô. “hî"+ 

(37) Ub××". {$@â. ŒŽ . `J‘. ñ’8“. ’ 8é&%d]6%8&. %. ™š›. 3 DDS 12ž4dž’ . ¡¢dâ. fghijka. . ™ž\. Plmnst ñd"~48ý ôt. A¡¢. "yòó%3bcde. b. °y¸Ì3c. DDS 12"ÌØpýd] ­®&(6Ò¸. ©\s. Ì35°y"èæîï­ðµÇ8Ä). E. èæ. -. 5”(p_Ä"èæ8Ø&()’ q. o/´. õÄ3ðZ(),-.3ʁïð"ö÷©. . "†Z%&pÑْ 8dž. `¾†¿. °y¸Ì3c°. µ ¶·. $Cf. y"øùúˆîïâ݈Ëãh3†5 ­®. à . &()6. ÈÒ<\s. Sü45"™k8ýd]’ é&%3)Òuvq"o4¼1d]. tÄ. ]‡¢ +Ø. ¸ ¬ë. À. Á Å. ÉÂ}7m Ìëê. i]|Â. Ñqmâ . ³´*°µ¶"·¸ p3‰Š&(¹º ñd. Ò Ó[. ÒñÔµ. ".VÓVµ¶¸÷)Š3oådûz. J . y. ž[)p"d]/06  .

(38) . ±ô. 7. ¯Â. !. (. )*+. â ". =9/. J$76. ñKL. xú¬. ±”. . . . ¨.  ê7. :;. î<=. î>ô. ¬?@. N o O. IÓJE. 6$¬P. 3. . 789. FAGH. 2. ¡.  â. &'°ô. þF./. . 567 . C DE. ñM%. ñ. #$J%. þ ,-. 234. ¬AB. '. ¡±. 01 . 1. hi 162 8a°¸ÌdwÑ)¼13¹å. Z . ™€. ™•=. . õ o. A¨é. + 9. ‚|. ñ}7. ¹º

(39) $Ar¼. Ê. $½'7 tC. tÒ‹Ç ÉË6. ÍCÁ&. S{@9. ñ. ‚aª. tÂÁ¬. tÒÆ . Õ. . }4T. ÒZ¨89. . É. ΝÏ. Sk Ò ’". Ö×Z£ž. ÔØ. REFERENCES. Òòþüxì°*°±" 1 q. 謝辞. ‰Š‹. [ w¥. A % . Zq. ƒ„é . žÂ. ÉÂ. Ð{²±. SJ\. /üýd] ­®&()6.  . Z7%. tÒ[–. *°±8 6 H² . ’ 8˜³Z( p3. À. {. {$0. ™œ[. =7. $»é 8. H. / . «n€ . oA²³. tó. {$. §@n. ®ñ"¯. !. — {˜ . ™. £¤¥. +¥cª. ¬­õs. µ¶“åæ8]Ñ) ô®6’"åæcq. ”•– . ¦i\¯. oA°±. . e. {t%/. WÅJô. ™e . †i=¯. ¦ëk. qrs. {$ Ù. Œ. ™Ÿ. YZ^. š l7. ‚8/g. ‘ˆ4%. Y. ×$cd. {$}. €7. ñ. z¯[. {$0E. ™k3ž4’ 3£5õe"ïð8t;. Y]. ×$oê. 7”% 20 F";<=. a. WñX. . QR. 4 5. Hashida M., Takakura Y., ``Seitainai Yakubutsu Soutatsu Gaku,'' ed. by Ikada Y., Sangyo Tosho, Tokyo, 1994, pp. 3493. Inoue K., Nojima S., ``The Liposomes,'' eds. by Nojima S., Sunamoto J., Inoue K., Nankodo Co., Ltd., Tokyo, 1988, pp. 119. Yasuda T., ``The Liposomes,'' eds. by Nojima S., Sunamoto J., Inoue K., Nankodo Co., Ltd., Tokyo, 1988, pp. 246276. Fang J. Y., Sung C. K., Lin H. H., Fang C. L., J. Control. Release, 60, 110 —1999 . Cevc G., Vierla U., J. Control. Release, 141, 277299 —2010 ..

(40) hon p.7 [100%]. No. 10. 6 7. 8 9. 10. Betz G., Aeppli A., Menshutine N., Leuenberger H., Int. J. Pharm., 296, 4454 —2005 . Sunamoto J., Sato T., Hirota M., Fukushima K., Hiratani K., Hara K., Biochim. Biophys. Acta, 898, 323330 —1987 . Massing U., Cicko S., Ziroli V., J. Control. Release, 125, 1624 —2008 . Clinical Nutrition Research Institute, ``Jouyoryo Meyasu Shokuhin Seibun Hayamihyo,'' 3rd ed., Ishiyaku Publishers, Inc., Tokyo, 2006, pp. 384385. Shinoda K., Friberg S., ``Emulsions and Solubilization,'' A Wiley-Interscience, New. 1525. 11 12. 13. 14 15. York, 1986, pp. 159169. Hato M., Minamikawa H., Lungmuir, 12, 16581665 —1996 . Hato M., Minamikawa H., Tamada K., Baba T., Tanabe Y., Adv. Colloid Interface Sci., 80, 233270 —1999 . Niraula B. B., Seng N. T., Misran M., Colloids Surf. A Physicochem. Eng. Asp., 236, 7 22 —2004 . Li D. S., Chono S., Huang L., J. Control. Release, 126, 7784 —2008 . Takeuchi H., Yamamoto H., Kawashima Y., Adv. Drug Deliv. Rev., 47, 3954 —2001 ..

(41)

参照

関連したドキュメント

51 OSCE Office for Democratic Institutions and Human Rights, OSCE/ODIHR Election Assessment Mission Final Report on the 4 March 2007 Parliamentary Elections in

投与から間質性肺炎の発症までの期間は、一般的には、免疫反応の関与が

[Publications] Yamagishi, S., Yonekura.H., Yamamoto, Y., Katsuno, K., Sato, F., Mita, I., Ooka, H., Satozawa, N., Kawakami, T., Nomura, M.and Yamamoto, H.: &#34;Advanced

病理診断名(日本語) 英語表記 形態コ-ド 節外性 NK/T 細胞リンパ腫、鼻型 Extranodal NK/T cell lymphoma, nasal-type 9719/3 腸管症型 T 細胞リンパ腫

ペルフルオロオクタンスルホン酸、ペルフルオロ

Conjecture 5.4, concerning the existence of disordered sphere packings, is plausible for a number of reasons: (i) the decorrelation principle of Section 4.3; (ii) the neces- sary

瞼板中には 30~40 個の瞼板腺(マイボーム Meibome 腺)が一列に存在し、導管は眼瞼後縁に開口する。前縁には 睫毛(まつ毛)が 2~ 3

(G1、G2 及び G3)のものを扱い、NENs のうち低分化型神経内分泌腫瘍(神経内分泌癌 ; neuroendocrine carcinoma; NEC(G3)