JP7403241B2 - How to improve visibility of visceral fat - Google Patents

How to improve visibility of visceral fat Download PDF

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JP7403241B2
JP7403241B2 JP2019107418A JP2019107418A JP7403241B2 JP 7403241 B2 JP7403241 B2 JP 7403241B2 JP 2019107418 A JP2019107418 A JP 2019107418A JP 2019107418 A JP2019107418 A JP 2019107418A JP 7403241 B2 JP7403241 B2 JP 7403241B2
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visceral fat
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淳二 赤木
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Kobayashi Pharmaceutical Co Ltd
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本発明は、本来的に臓器との境界が見極めにくい内臓脂肪の視認性を向上させる、内臓脂肪の視認性向上方法に関する。 The present invention relates to a method for improving the visibility of visceral fat, which improves the visibility of visceral fat whose boundaries with organs are inherently difficult to discern.

近年、食文化の欧米化に伴い、日本人の脂質摂取量は増加しており、過剰に摂取された脂質は脂肪の形で体内に蓄積され、肥満等の原因となっている。肥満は脂肪組織に脂肪が過剰に蓄積した状態であり、様々な健康障害を合併することが知られている。特に、肥満において認められる内臓脂肪の蓄積は、メタボリックシンドロームを経て、糖尿病、脂質異常症、高血圧等の生活習慣病を引き起こし、さらに動脈硬化を進展させることで、心筋梗塞、脳卒中等の重篤疾患をも発症し得る。このため、内臓脂肪型肥満についてはその対策を目的として広く研究されている。そして、内臓脂肪型肥満の病態理解を深めるうえで、内臓脂肪の蓄積を正しく把握することは極めて重要である。 In recent years, with the Westernization of dietary culture, the amount of fat ingested by Japanese people has increased, and excessively ingested fat is accumulated in the body in the form of fat, causing obesity and the like. Obesity is a state in which fat is excessively accumulated in adipose tissue, and is known to be associated with various health disorders. In particular, the accumulation of visceral fat, which is observed in obesity, causes metabolic syndrome, leading to lifestyle-related diseases such as diabetes, dyslipidemia, and hypertension, and further progresses arteriosclerosis, leading to serious diseases such as myocardial infarction and stroke. can also occur. For this reason, visceral fat obesity has been widely studied with the aim of countering it. In order to better understand the pathology of visceral fat obesity, it is extremely important to accurately understand visceral fat accumulation.

また、体内に蓄積した内臓脂肪を低減させる効果を有する食品又は医薬品の開発も広く行われている。そして、そのような食品又は医薬品の効果を正しく評価するうえでも、内臓脂肪の蓄積を正しく把握することは極めて重要である。 Furthermore, the development of foods or medicines that have the effect of reducing visceral fat accumulated in the body is being widely conducted. In order to correctly evaluate the effects of such foods or medicines, it is extremely important to accurately understand visceral fat accumulation.

内臓脂肪を検出する方法としては非侵襲的方法及び侵襲的方法がある。内臓脂肪検出のための非侵襲的方法としては、生体電気インピーダンス法、二重X線吸収測定法、及び核磁気共鳴画像診断法等が挙げられる(特許文献1)。このうち、生体電気インピーダンス法は、電気抵抗を利用して脂肪蓄積を検出する方法であり、その結果からはおおよその蓄積部位や蓄積量が把握できるにすぎない。また、二重X線吸収測定法及び核磁気共鳴画像診断法は、大掛かりかつ高額な設備が必要となるため、脂肪検出の簡便性に欠ける。 Methods for detecting visceral fat include non-invasive methods and invasive methods. Non-invasive methods for detecting visceral fat include bioelectrical impedance, dual X-ray absorptiometry, and nuclear magnetic resonance imaging (Patent Document 1). Among these, the bioelectrical impedance method is a method of detecting fat accumulation using electrical resistance, and the results can only roughly determine the location and amount of fat accumulation. Furthermore, dual X-ray absorption measurement and nuclear magnetic resonance imaging require large-scale and expensive equipment, and therefore lack the convenience of detecting fat.

内臓脂肪検出のための侵襲的方法としては、動物実験において、腸間膜、生殖器周囲、腎周囲などの臓器に付着した内臓脂肪を部位別に摘出し、その重量を直接測定する方法が挙げられる。しかしながら、内臓脂肪は臓器と同系色の乳白色の組織であるため、同系色の臓器に付着している内臓脂肪と臓器との境界が見極めにくい。特に、内臓脂肪が臓器に複雑に沈着している場合では当該境界の見極めはより一層困難である。このため、内臓脂肪をすべて正確に摘出することは困難であり、そのような方法で測定された内臓脂肪の重量は、本質的に不正確である。 Invasive methods for detecting visceral fat include, in animal experiments, a method in which visceral fat adhering to organs such as the mesentery, around the genitals, and around the kidneys is excised by site and its weight is directly measured. However, since visceral fat is a milky white tissue that has the same color as the organ, it is difficult to distinguish between the visceral fat attached to the organ and the organ of the same color. In particular, when visceral fat is deposited in an organ in a complicated manner, it is even more difficult to determine the boundary. For this reason, it is difficult to accurately remove all visceral fat, and the weight of visceral fat measured by such methods is inherently inaccurate.

特開2009-137916号公報Japanese Patent Application Publication No. 2009-137916

本発明の目的は、内臓脂肪の視認性を向上させる方法を提供することを目的とする。 An object of the present invention is to provide a method for improving the visibility of visceral fat.

本発明者らは、内臓脂肪が付着した臓器に脂肪染色液を直接接触させることで、臓器に付着している内臓脂肪を直接染色するという斬新な手法を着想し、これによって、内臓脂肪が付着している部位を容易に視認できることを見出した。本発明は、かかる知見に基づいて、更に検討を重ねることにより完成したものである。 The present inventors came up with a novel method of directly staining the visceral fat attached to the organ by bringing a fat staining solution into direct contact with the organ to which the visceral fat is attached. It was found that the parts where the parts were removed could be easily seen. The present invention was completed through further studies based on this knowledge.

即ち、本発明は、下記に掲げる態様の発明を提供する。
項1. 内臓脂肪が付着している臓器に脂肪染色液を接触させることで、臓器に付着している内臓脂肪を直接染色する工程を含む、内臓脂肪の視認性向上方法。
項2. 前記脂肪染色液を体外から腹腔内に注入する、項1に記載の方法。
項3. 前記脂肪染色液中の溶媒が、水及び/又はアルコールである、項1又は2に記載の方法。
項4. 内臓脂肪の蓄積部位及び/又は蓄積量を視覚的に示すプレゼンテーション方法であって、
項1~3のいずれかに記載の方法を用いて内臓脂肪を染色した腹腔内又は前記内臓脂肪が付着している摘出臓器の撮影画像を取得する工程と、
前記撮影画像又は前記撮影画像を簡素化したイラストを示すことで前記腹腔内又は前記摘出臓器における内臓脂肪の蓄積部位及び/又は蓄積量を視認させる工程と、を含む方法。
項5. 内臓脂肪を低減する方法によって内臓脂肪が低減される効果を示すために、前記撮影画像又は前記イラストにおいて、染色された内臓脂肪が占める面積が減少する様子を経時的に示す、及び/又は、内臓脂肪の染色強度が低減する様子を経時的に示す、項4に記載の方法。
項6. 前記内臓脂肪を低減する方法が、肥満改善薬を服用することである、項5に記載の方法。
項7. 前記肥満改善薬が、防風通聖散を有効成分として含む、項6に記載の方法。
That is, the present invention provides the inventions of the following aspects.
Item 1. A method for improving the visibility of visceral fat, which includes a step of directly staining visceral fat attached to an organ by bringing a fat staining solution into contact with the organ to which visceral fat is attached.
Item 2. Item 2. The method according to item 1, wherein the fat staining solution is injected into the abdominal cavity from outside the body.
Item 3. Item 3. The method according to item 1 or 2, wherein the solvent in the fat staining solution is water and/or alcohol.
Item 4. A presentation method for visually indicating the accumulation site and/or amount of visceral fat, the method comprising:
Obtaining a photographic image of the intraperitoneal cavity in which visceral fat has been stained using the method described in any one of Items 1 to 3 or of the removed organ to which the visceral fat is attached;
A method comprising the step of visually recognizing the accumulation site and/or amount of visceral fat in the abdominal cavity or the extracted organ by showing the photographed image or a simplified illustration of the photographed image.
Item 5. In order to show the effect of reducing visceral fat by the method for reducing visceral fat, the photographed image or the illustration shows how the area occupied by stained visceral fat decreases over time, and/or 5. The method according to item 4, wherein the method shows how the staining intensity of fat decreases over time.
Item 6. Item 6. The method according to item 5, wherein the method for reducing visceral fat is taking an obesity-improving drug.
Section 7. Item 7. The method according to Item 6, wherein the obesity improving drug contains Bofutsushosan as an active ingredient.

本発明の方法によれば、内臓脂肪が付着した臓器に脂肪染色液を直接接触させることで、臓器に付着している内臓脂肪を直接染色できるため、内臓脂肪の視認性を向上させることができる。従って、内臓脂肪の蓄積及び/又は蓄積量を簡便に正しく把握することが可能になる。 According to the method of the present invention, the visceral fat attached to the organ can be directly stained by bringing the fat staining solution into direct contact with the organ to which the visceral fat is attached, thereby improving the visibility of the visceral fat. . Therefore, it becomes possible to easily and accurately grasp the accumulation and/or amount of visceral fat.

生理食塩水を腹腔内に注入されたマウスの腹腔内及び摘出した腸(小腸)のデジタルカメラ撮像画像である。These are digital camera images of the intraperitoneal cavity and removed intestine (small intestine) of a mouse that was intraperitoneally injected with physiological saline. 脂肪染色液を腹腔内に注入されたマウスの腹腔内及び摘出した腸(小腸)のデジタルカメラ撮像画像である。These are digital camera images of the intraperitoneal cavity and removed intestine (small intestine) of a mouse in which a fat staining solution was intraperitoneally injected. コントロール群(防風通聖散投与無し)及び試験群(防風通聖散投与有り)のマウス腹腔内の染色結果であり、それぞれのマウスから摘出された腸間膜の染色された内臓脂肪を対比するデジタルカメラ撮像画像である。These are the intraperitoneal staining results of mice in the control group (without Bofutsushosan administration) and test group (with Bofutsushosan administration), and compare the stained visceral fat of the mesentery removed from each mouse. This is an image captured by a digital camera. 図3のコントロール群の撮像画像を簡素化したイラスト(P)と、当該イラスト(P)中の内臓脂肪に相当する部位の色を除去することで周囲の組織に相当する部位と同様の色で示したイラスト(Q)とを対比する図である。An illustration (P) that is a simplified version of the captured image of the control group in Figure 3, and a color similar to that of the surrounding tissue by removing the color of the region corresponding to visceral fat in the illustration (P). It is a figure which compares with the illustration (Q) shown.

1.内臓脂肪の視認性向上方法
本発明の内臓脂肪の視認性向上方法は、内臓脂肪が付着している臓器に脂肪染色液を接触させることで、臓器に付着している内臓脂肪を直接染色する工程を含む。以下、本発明の内臓脂肪の視認性向上方法について詳述する。
1. Method for improving visibility of visceral fat The method for improving visibility of visceral fat of the present invention is a step of directly staining visceral fat attached to an organ by bringing a fat staining solution into contact with the organ to which visceral fat is attached. including. Hereinafter, the method for improving visibility of visceral fat of the present invention will be described in detail.

本発明の視認性向上方法においては、内臓脂肪が付着している臓器に、直接、脂肪染色液を接触させる。脂肪染色液が接触させられる臓器は、動物の体内に存在していてもよいし、動物の体外に露出させられていてもよい。 In the method for improving visibility of the present invention, a fat staining solution is brought into direct contact with organs to which visceral fat is attached. The organ that is contacted with the fat staining solution may be present within the animal's body or may be exposed outside the animal's body.

脂肪染色液が接触させられる臓器が動物の体内に存在する場合、脂肪染色液は、体外から腹腔内に注入される。これによって、脂肪染色液が腹腔内の臓器に接触させられ、臓器に付着している内臓脂肪を染色する。なお、脂肪染色液を対外から注入した後、脂肪染色液が腹腔内の内臓全体に行き渡るよう、腹部を揉み込むことが好ましい。 If the organ to be contacted with the fat stain exists within the animal's body, the fat stain is injected into the abdominal cavity from outside the body. As a result, the fat staining solution is brought into contact with the organs in the abdominal cavity and stains the visceral fat attached to the organs. Note that, after the fat staining solution is injected externally, it is preferable to rub the abdomen so that the fat staining solution is distributed throughout the internal organs in the abdominal cavity.

脂肪染色液が接触させられる臓器が動物の体外に露出させられている場合、脂肪染色液は、動物を開腹又は体幹切断して腹腔内を露出させた後に腹腔内の臓器に直接滴下するか、又は、腹腔内を露出させ更に臓器を摘出した後に、摘出した臓器に直接滴下することができる。滴下後は3分程度経ってから、コットン等で余分な脂肪染色液を拭きとることが好ましい。 If the organs to be contacted with the fat staining solution are exposed outside the animal's body, the fat staining solution can be dripped directly onto the organs within the abdominal cavity after the animal's abdomen is opened or the trunk is cut to expose the abdominal cavity. Alternatively, after exposing the abdominal cavity and removing the organ, it can be directly instilled into the removed organ. After about 3 minutes have passed after dropping, it is preferable to wipe off excess fat dyeing solution with cotton or the like.

脂肪染色液は、溶媒に脂肪染色剤が溶解した液体である。脂肪染色液中の溶媒としては、アセトン、クロロホルム等の低極性溶媒、及び、水、アルコール等の極性溶媒が挙げられる。水及びアルコールは、単独で用いられてもよいし、組み合わされて用いられてもよい。本発明の視認性向上方法においては、着色対象となる脂肪の溶解を抑制する観点から、脂肪染色液中の溶媒は、極性溶媒である水及び/又はアルコールであることが好ましい。なお、アルコールは、メタノール、エタノール、n-プロパノール、イソプロピルアルコール等の、炭素数1~5の一価アルコールであり、好ましくはエタノールが挙げられる。 A fat staining solution is a liquid in which a fat staining agent is dissolved in a solvent. Examples of the solvent in the fat staining solution include low polar solvents such as acetone and chloroform, and polar solvents such as water and alcohol. Water and alcohol may be used alone or in combination. In the visibility improvement method of the present invention, the solvent in the fat staining solution is preferably water and/or alcohol, which are polar solvents, from the viewpoint of suppressing dissolution of the fat to be colored. Note that the alcohol is a monohydric alcohol having 1 to 5 carbon atoms, such as methanol, ethanol, n-propanol, and isopropyl alcohol, with ethanol being preferred.

脂肪染色剤としては特に限定されず、例えば、組織切片の脂肪滴の染色に用いられる染色剤を用いることができる。具体的には、ズダンIII、ズダンII(オイルレッドO)、ズダンブラックB(SBB)、ナイルブルー、ナイルレッド等が挙げられる。この中でも、ナイルブルーは、水を溶媒として用いることができる点で好ましい。また、ズダンIII、ズダンIIは、アルコールを溶媒として用いることができる点で好ましい。 The fat staining agent is not particularly limited, and for example, staining agents used for staining fat droplets in tissue sections can be used. Specific examples include Sudan III, Sudan II (Oil Red O), Sudan Black B (SBB), Nile Blue, and Nile Red. Among these, Nile Blue is preferred in that water can be used as a solvent. Further, Sudan III and Sudan II are preferable in that alcohol can be used as a solvent.

このように臓器に付着している内臓脂肪を直接染色することによって、本来臓器と同系色の乳白色である内臓脂肪が、臓器の色と明確に異なる色を呈するため、内臓脂肪の視認性が向上する。これによって、臓器に付着している内臓脂肪と臓器との境界の見極めが容易になる。特に、内臓脂肪が臓器に複雑に沈着している場合であっても当該境界の見極めが容易になる。 By directly staining the visceral fat attached to organs in this way, the visceral fat, which is normally milky white with the same color as the organ, takes on a color that is clearly different from the color of the organ, improving the visibility of visceral fat. do. This makes it easier to determine the boundary between the visceral fat attached to the organ and the organ. In particular, even when visceral fat is deposited in an organ in a complicated manner, it becomes easy to determine the boundary.

内臓脂肪の蓄積部位は、染色された部位を目視で確認することで把握することができる。また、内臓脂肪の蓄積量は、染色された部位の大きさ、及び/又は、染色強度(染色の濃さ)を目視で視認することで把握することができる。このため、内臓脂肪のみを摘出しなくても、内臓脂肪の蓄積部位及び/又は蓄積量を容易に把握することができる。 The site of visceral fat accumulation can be determined by visually checking the stained site. Furthermore, the amount of visceral fat accumulated can be determined by visually observing the size and/or staining intensity (darkness of staining) of the stained area. Therefore, the location and/or amount of visceral fat accumulation can be easily determined without removing only visceral fat.

なお、本発明の視認性向上方法においては、内臓脂肪を摘出する場合であっても、染色された内臓脂肪と臓器との境界が明確であるため、正確な摘出が可能である。従って、内臓脂肪の正確な摘出により、内臓脂肪の重量を正確に測定することもできる。 In addition, in the method for improving visibility of the present invention, even when removing visceral fat, accurate removal is possible because the boundary between the dyed visceral fat and the organ is clear. Therefore, by accurately removing visceral fat, the weight of visceral fat can also be accurately measured.

2.内臓脂肪の蓄積部位及び/又は蓄積量を視覚的に示すプレゼンテーション方法
上述の通り、本発明の内臓脂肪の視認性向上方法により、内臓脂肪の蓄積部位及び/又は蓄積量を容易に把握することができる。本発明は、上記の内臓脂肪の視認性向上方法を用いたプレゼンテーションも提供する。
2. Presentation method for visually indicating visceral fat accumulation site and/or amount can. The present invention also provides a presentation using the above method for improving visibility of visceral fat.

本発明のプレゼンテーション方法は、内臓脂肪の蓄積部位及び/又は蓄積量を視覚的に示すプレゼンテーション方法であって、上記の内臓脂肪の視認性向上方法を用いて内臓脂肪を染色した腹腔内又は前記内臓脂肪が付着している摘出臓器の撮影画像を取得する工程(以下において、「工程1」と記載する。)と;前記撮影画像又は前記撮影画像を簡素化したイラストを示すことで前記腹腔内又は前記摘出臓器における内臓脂肪の蓄積部位及び/又は蓄積量を視認させる工程(以下において、「工程2」と記載する。)と、を含む。 The presentation method of the present invention is a presentation method that visually shows the accumulation site and/or amount of visceral fat, and comprises intraperitoneal or said visceral fat stained using the method for improving visibility of visceral fat. A step of obtaining a photographed image of the extracted organ to which fat is attached (hereinafter referred to as "Step 1"); By showing the photographed image or a simplified illustration of the photographed image, The method includes a step of visualizing the accumulation site and/or amount of visceral fat in the extracted organ (hereinafter referred to as "Step 2").

工程1においては、上記の内臓脂肪の視認性向上方法を用いて内臓脂肪を染色した腹腔内又は前記内臓脂肪が付着している摘出臓器の撮影画像を取得する。具体的には、脂肪染色液を体外から腹腔内に注入して染色を行った場合、染色後に開腹又は体幹切断して腹腔内を露出させ、露出した腹腔内を撮影する。また、腹腔内を露出させた後に腹腔内の臓器に直接滴下するか、又は、腹腔内を露出させ更に臓器を摘出した後に、摘出した臓器に直接滴下することによって染色を行った場合、染色後の腹腔内又は内臓脂肪が付着している摘出臓器をそのまま撮影する。なお、撮影前にはコットン等で余分な脂肪染色液を拭きとっておく。撮影は、デジタルカメラで行うことができる。撮影画像は、写真データとして取得することができる。 In step 1, a photographic image of an intra-abdominal cavity in which visceral fat has been stained using the method for improving visibility of visceral fat or a removed organ to which the visceral fat is attached is acquired. Specifically, when staining is performed by injecting a fat staining solution into the abdominal cavity from outside the body, after staining, the abdomen is opened or the trunk is cut to expose the inside of the abdominal cavity, and the exposed inside of the abdominal cavity is photographed. In addition, if staining is performed by exposing the inside of the abdominal cavity and then dripping directly onto the organs in the abdominal cavity, or after exposing the inside of the abdominal cavity and removing the organs, staining is performed by dripping directly onto the removed organs. The removed internal organs with intra-abdominal or visceral fat attached are photographed as they are. Before photographing, wipe off excess fat staining solution with cotton, etc. Photography can be done with a digital camera. The photographed image can be acquired as photographic data.

工程2においては、工程1で得られた撮影画像又は当該撮影画像を簡素化したイラストを示すことで、腹腔内又は摘出臓器における内臓脂肪の蓄積部位及び/又は蓄積量を視認させる。 In step 2, by showing the photographed image obtained in step 1 or a simplified illustration of the photographed image, the site and/or amount of visceral fat accumulation in the abdominal cavity or in the removed organ is visually recognized.

工程1で得られた撮像画像は、視認像と実質的に同じである。当該撮像画像においては、腹腔内又は摘出臓器における内臓脂肪が、臓器との境界が明確となった状態で写っているため、そのままで、内臓脂肪の蓄積部位及び/又は蓄積量を視認できる。 The captured image obtained in step 1 is substantially the same as the visible image. In the captured image, the visceral fat in the abdominal cavity or in the removed organ is shown with a clear boundary between the fat and the organ, so the site and/or amount of visceral fat accumulation can be visually recognized as is.

また、撮像画像を簡素化したイラストは、視認像よりも単純化されており、内臓脂肪をさらに分かりやすく視認することができる。撮像画像を簡素化する方法としては、撮像画像をイラストに変換できる公知の方法を特に限定されることなく用いることができる。例えば、撮像画像に対して、エッジ抽出、ポスタライズ処理、及び/又は2値化処理等を行う方法が挙げられる。これによって、内臓脂肪の蓄積部位及び/又は蓄積量の視認が更に容易となる。 In addition, the illustration that is a simplified captured image is simpler than the visible image, and the visceral fat can be visually recognized even more clearly. As a method for simplifying a captured image, any known method capable of converting a captured image into an illustration can be used without particular limitation. For example, there may be a method of performing edge extraction, posterization processing, and/or binarization processing on a captured image. This makes it easier to visually recognize the location and/or amount of visceral fat accumulation.

さらに、上記の撮像画像又はイラストに、内臓脂肪の箇所を指し示す加工を行うことで、内臓脂肪の蓄積部位及び/又は蓄積量の視認がより一層容易となる。 Furthermore, by processing the captured image or illustration to indicate the location of visceral fat, it becomes easier to visually recognize the location and/or amount of visceral fat accumulation.

なお、内臓脂肪の蓄積部位については、染色された部位を視認させる。また、内臓脂肪の蓄積量については、染色された部位の大きさ、及び/又は、染色強度(染色の濃さ)を視認させる。 In addition, regarding the visceral fat accumulation site, the stained site is visually recognized. Furthermore, regarding the amount of visceral fat accumulation, the size of the stained area and/or the staining intensity (staining density) are visually recognized.

本発明のプレゼンテーション方法は、内臓脂肪を低減する方法によって内臓脂肪が低減される効果を示すために用いることもできる。この場合、撮影画像又は前記イラストにおいて、染色された内臓脂肪が占める面積が減少する様子を経時的に示す、及び/又は、内臓脂肪の染色強度が低減する様子を経時的に示す。 The presentation method of the present invention can also be used to demonstrate the effect of reducing visceral fat by the method for reducing visceral fat. In this case, the captured image or the illustration shows how the area occupied by stained visceral fat decreases over time, and/or how the staining intensity of visceral fat decreases over time.

例えば、内臓脂肪を低減する方法を適用した動物Aと、当該方法を適用していないコントロールの動物Bとを用意する。動物Bは、内臓脂肪を低減する方法を適用する前のモデル、動物Aは、内臓脂肪を低減する方法を適用した後のモデルとみなすことができる。動物Aと動物Bとについて、それぞれ、上記の工程1を行い、動物Aについての撮像画像a又はそれを簡素化したイラストa’と、動物Bについての撮像画像b又はそれを簡素化したイラストb’とを得る。簡易化したイラストの取得方法は、上記の工程2において述べた通りである。そして、撮像画像b及び撮像画像aを対比できるように、又は、イラストb’及びイラストa’を対比できるように並べて提示することで、前者(撮像画像b又はイラストb’)から後者(撮像画像a又はイラストa’)へ、あたかも経時的に変化したように示すことができる。 For example, an animal A to which a method for reducing visceral fat has been applied and a control animal B to which the method has not been applied are prepared. Animal B can be considered a model before applying the method of reducing visceral fat, and Animal A can be considered a model after applying the method of reducing visceral fat. The above step 1 is performed for animal A and animal B, respectively, and a captured image a or a simplified illustration a' of animal A and a captured image b or simplified illustration b of animal B are obtained. ' and get. The method for obtaining the simplified illustration is as described in step 2 above. Then, by presenting the captured image b and the captured image a side by side so that they can be compared, or the illustration b' and the illustration a' so that they can be compared, the former (captured image b or illustration b') can be changed from the latter (captured image a or illustration a'), it can be shown as if it had changed over time.

このような疑似的な経時変化は、染色された内臓脂肪が占める面積が前者の方でより大きい場合、染色された内臓脂肪が占める面積が前者から後者へ減少する様子として示すことができる。また、内臓脂肪の染色強度が前者の方でより大きい場合、内臓脂肪の染色強度が前者から後者へ低減する様子として示すことができる。さらに、染色された内臓脂肪が占める面積と染色強度との両方が、前者から後者へ減少する様子として示してもよい。このようにして、前者から後者へ、内臓脂肪が低減した様子を擬似的に示すことができる。 Such a pseudo change over time can be shown as a decrease in the area occupied by stained visceral fat from the former to the latter when the area occupied by the stained visceral fat is larger in the former. Furthermore, if the staining intensity of visceral fat is higher in the former case, this can be shown as a manner in which the staining intensity of visceral fat decreases from the former to the latter. Furthermore, both the area occupied by the stained visceral fat and the staining intensity may be shown as decreasing from the former to the latter. In this way, it is possible to simulate a reduction in visceral fat from the former to the latter.

内臓脂肪を低減する方法としては特に限定されない。当該方法としては、例えば、運動療法、食事療法、肥満改善薬の服用が挙げられ、好ましくは、肥満改善薬の服用が挙げられる。また、肥満改善薬としては特に限定されないが、好ましくは、肥満改善効果が高い防風通聖散が挙げられる。 The method for reducing visceral fat is not particularly limited. Examples of such methods include exercise therapy, diet therapy, and taking an obesity-improving drug, and preferably, taking an obesity-improving drug. In addition, the obesity improving drug is not particularly limited, but preferably includes Bofutsushosan, which has a high obesity improving effect.

防風通聖散を構成する生薬は、「一般用漢方処方の手引き」(厚生省薬務局監修、日薬連漢方専門委員会編集、薬業時報社発行)によれば、トウキ、シャクヤク、センキュウ、サンシシ、レンギョウ、ハッカ、ショウキョウ、ケイガイ、ボウフウ、マオウ、ダイオウ、ボウショウ、ビャクジュツ、キキョウ、オウゴン、カンゾウ、セッコウ、及びカッセキである。書簡によっては、前記生薬の内、ビャクジュツを含まないもの(例えば「経験漢方処方分量集」、大塚敬節・矢数道明監集、医道の日本社発行)や、オウゴンを含まないもの(例えば「続漢方あれこれ」大阪読売新聞社編、浪速社発行)がある。本発明で使用される防風通聖散エキスは、これらのいずれの防風通聖散から得られるものであってもよい。 According to the "Guideline for Prescribing Traditional Chinese Herbal Medicine" (supervised by the Ministry of Health and Welfare's Pharmaceutical Affairs Bureau, edited by the Japan Pharmaceutical Federation's Traditional Chinese Medicine Expert Committee, and published by Yakugyo Jihosha), the herbal medicines that make up Bofutsushosan include Angelica sinensis, Peony, Senkyu, These are forsythia, forsythia, mentha, ginger, staghorn, staghorn, ephedra, rhubarb, sardine, sandalwood, bellflower, scutellariae, licorice, gypsum, and kasseki. Depending on the letter, some of the above-mentioned herbal medicines do not contain sandalwood (e.g., "Experienced Traditional Chinese Medicine Prescription Quantity Collection," edited by Keisetsu Otsuka and Michiaki Yakazu, published by Ido Nippon Sha), and others do not contain scutellariae (e.g., There is a book titled ``Zoku Kanpo Various Things'' (edited by Osaka Yomiuri Shimbun, published by Naniwasha). The Bofutsushosan extract used in the present invention may be obtained from any of these Bofutsushosan.

また、防風通聖散を構成する各生薬の分量は、「一般用漢方処方の手引き」(厚生省薬務局監修、日薬連漢方専門委員会編集、薬業時報社発行)、「第十七改正日本薬局方」等によれば、トウキ1.2重量部、シャクヤク1.2重量部、センキュウ1.2重量部、サンシシ1.2重量部、レンギョウ1.2重量部、ハッカ1.2重量部、ショウキョウ0.3~1.2重量部、ケイガイ1.2重量部、ボウフウ1.2重量部またはハマボウフウ1.2重量部、マオウ1.2重量部、ダイオウ1.5重量部、ボウショウ(硫酸ナトリウム無水物換算量)0.6~1.5重量部、ビャクジュツ2重量部、キキョウ2重量部、オウゴン2重量部、カンゾウ2重量部、セッコウ2~3重量部、及びカッセキ3~5重量部である。また、書簡によっては、前記分量中、1.2重量部を全て1.5重量部としているものもある(例えば「明解漢方処方」、西岡一夫、高橋真太郎共著、浪速社発行)。 In addition, the amounts of each herbal medicine that make up Bofutsushosan can be found in the ``Guidebook for Prescribing Traditional Chinese Herbal Medicine'' (supervised by the Pharmaceutical Affairs Bureau of the Ministry of Health and Welfare, edited by the Japanese Pharmaceutical Federation's Traditional Chinese Medicine Expert Committee, published by Yakugyo Jihosha), According to the Revised Japanese Pharmacopoeia, etc., 1.2 parts by weight of Japanese apricot, 1.2 parts by weight of peonies, 1.2 parts by weight of Japanese nebula, 1.2 parts by weight of Japanese forsythia, 1.2 parts by weight of forsythia, and 1.2 parts by weight of peppermint. part, 0.3 to 1.2 parts by weight of ginger, 1.2 parts by weight of staghorn, 1.2 parts by weight of porcupine or 1.2 parts by weight of yellowtail, 1.2 parts by weight of ephedra, 1.5 parts by weight of rhubarb, 1.5 parts by weight of rhubarb. (Amount converted to anhydrous sodium sulfate) 0.6 to 1.5 parts by weight, 2 parts by weight of Sandalwood, 2 parts by weight of Bellflower, 2 parts by weight of Scutellariae, 2 parts by weight of Licorice, 2 to 3 parts by weight of Gypsum, and 3 to 5 parts by weight of Kasseki Parts by weight. Furthermore, in some letters, all 1.2 parts by weight of the above amounts are 1.5 parts by weight (for example, "Meikai Kampo Prescription", co-authored by Kazuo Nishioka and Shintaro Takahashi, published by Naniwasha).

本発明のプレゼンテーション方法は、内臓脂肪を低減する方法の効果を説明するいかなる手段においても用いることができる。そのような手段としては、内臓脂肪を低減する方法についての研究成果を示す発表資料及び論文等や、肥満改善薬に関するコマーシャルメッセージ、ウェブサイト、商品パッケージ等が挙げられる。 The presentation method of the present invention can be used in any means to explain the effectiveness of the method of reducing visceral fat. Examples of such means include presentation materials and papers showing research results on methods for reducing visceral fat, commercial messages regarding obesity-improving drugs, websites, product packages, and the like.

以下、本発明を実施例により具体的に説明するが、本発明はこれらの実施例に限定されるものではない。 EXAMPLES Hereinafter, the present invention will be specifically explained with reference to Examples, but the present invention is not limited to these Examples.

試験例1:内臓脂肪の視認性向上効果の評価
1.試薬の準備
70v/v%エタノール100mLにズダンIII(和光純薬)2gを溶解させ、飽和溶液を調製することで、ズダンIII染色液を脂肪染色液として得た。
Test Example 1: Evaluation of visceral fat visibility improvement effect
1. Preparation of reagents 2 g of Sudan III (Wako Pure Chemical Industries, Ltd.) was dissolved in 100 mL of 70 v/v% ethanol to prepare a saturated solution, thereby obtaining Sudan III staining solution as a fat staining solution.

2.動物試験
加齢によって脂肪が蓄積したマウス(C57BL/6Jマウス、30週齢、雄)を過剰麻酔にて屠殺後、体外から、腹腔内にズダンIII染色液2mLを注射で注入した。さらに、注入液が腹腔内の全体に浸潤しやすくなるように3分間腹部を軽く揉み込んだ。その後、腹部を開腹し、漏出した染色液をコットン等でふき取りながら腹腔内を露出させ、染色部を観察し、デジタルカメラで撮影した。さらに、小腸部全体を摘出し、腸間膜の染色部を観察し、デジタルカメラで撮影した。なお、対照実験として、マウス(C57BL/6Jマウス、30週齢、雄)に生理食塩水2mLを腹腔内に注入したことを除いて同様の処置を行った。
2. Animal Test A mouse (C57BL/6J mouse, 30 weeks old, male) with fat accumulation due to aging was sacrificed by excessive anesthesia, and 2 mL of Sudan III staining solution was injected into the abdominal cavity from outside the body. Furthermore, the abdomen was lightly massaged for 3 minutes to facilitate infiltration of the injected liquid into the entire abdominal cavity. Thereafter, the abdomen was opened, the inside of the abdominal cavity was exposed while wiping off the leaked staining solution with cotton, etc., and the stained area was observed and photographed with a digital camera. Furthermore, the entire small intestine was removed, and the stained mesentery was observed and photographed using a digital camera. As a control experiment, mice (C57BL/6J mice, 30 weeks old, male) were subjected to the same treatment except that 2 mL of physiological saline was intraperitoneally injected.

3.結果
対照実験のマウスについてのデジタルカメラ撮像画像を図1に示し、腹腔内脂肪染色を行ったマウスについてのデジタルカメラ撮像画像を図2に示す。図1及び図2の対比から明らかなとおり、対照実験(図1)と比べて、腹腔内脂肪染色を行った場合(図2)の方が、精巣周囲の脂肪が鮮明に識別可能であることが確認できた。さらに、摘出した小腸の腸間膜については、対照実験(図1)では脂肪組織と臓器との境目が不鮮明であったが、腹腔内脂肪染色を行った場合(図2)は、脂肪組織と臓器との境目が鮮明であり、内臓脂肪が腸間膜に複雑に沈着している様子が確認できた。視覚健常者5名を対象に図1及び図2の撮像画像を示して内臓脂肪の識別性を確認させた結果、5名中全員が、図2の方が内臓脂肪を判別しやすいと回答した。
3. Results Images captured by a digital camera for mice in the control experiment are shown in FIG. 1, and images captured by a digital camera for mice subjected to intraperitoneal fat staining are shown in FIG. 2. As is clear from the comparison between Figures 1 and 2, the fat around the testicles can be clearly identified when intraperitoneal fat staining (Figure 2) is performed compared to the control experiment (Figure 1). was confirmed. Furthermore, regarding the mesentery of the excised small intestine, the boundary between adipose tissue and organs was unclear in the control experiment (Figure 1), but when intraperitoneal fat staining was performed (Figure 2), it was found that the border between adipose tissue and organs was not clear. The boundaries between organs were clear, and it was confirmed that visceral fat was deposited in a complicated manner in the mesentery. When five people with normal vision were shown the images shown in Figures 1 and 2 to confirm the identifiability of visceral fat, all of the five people answered that it was easier to identify visceral fat in Figure 2. .

試験例2:内臓脂肪が低減される効果を視認させる効果の評価
1.防風通聖散エキスの製造
表1に示す各生薬を細切して、所定の分量を混合し、細切して生薬調合物を得た。生薬調合物に、重量比で20倍量の水を加えて、約100℃で1時間撹拌しながら抽出を行った。その後、遠心分離にて抽出液を回収し、減圧濃縮した後に、スプレードライヤーを用いて乾燥させ、防風通聖散エキス末を得た。
Test Example 2: Evaluation of the effect of visually recognizing the effect of reducing visceral fat
1. Manufacture of Bofutsushosan Extract Each crude drug shown in Table 1 was cut into pieces, predetermined amounts were mixed, and chopped to obtain a crude drug preparation. Twenty times the amount of water by weight was added to the crude drug preparation, and extraction was performed at about 100° C. with stirring for 1 hour. Thereafter, the extract was collected by centrifugation, concentrated under reduced pressure, and then dried using a spray dryer to obtain Bofutsushosan extract powder.

Figure 0007403241000001
Figure 0007403241000001

2.動物試験
加齢によって脂肪が蓄積したマウス(C57BL/6Jマウス30週齢、雄)をコントロール群(対照例)、及び試験群に分けた(各群5匹)。試験群では、高脂肪食(HFD32、日本クレア株式会社)に上記の防風通聖散エキスを2重量%となるように配合した飼料を1週間給餌した。コントロール群では、防風通聖散エキスを配合していない高脂肪食を1週間給餌した。1週間の給餌後、試験例1と同様にして腹腔内脂肪染色を行い、小腸部全体を摘出した。
2. Animal Test Mice (C57BL/6J mice, 30 weeks old, male) with fat accumulation due to aging were divided into a control group (control example) and a test group (5 mice in each group). The test group was fed for one week with a high-fat diet (HFD32, CLEA Japan Co., Ltd.) mixed with the above-mentioned Bofutsushosan extract at a concentration of 2% by weight. The control group was fed a high-fat diet containing no Bofutsushosan extract for one week. After one week of feeding, intraperitoneal fat staining was performed in the same manner as in Test Example 1, and the entire small intestine was removed.

3.結果
コントロール群及び試験群のマウスから摘出した小腸のデジタルカメラ撮像画像それぞれを並べて対比できるように示した図を図3に示す。図3から明らかなとおり、コントロール群のマウスでは染色された内臓脂肪が明確に視認できる一方、防風通聖散エキスを投与された試験群のマウスでは染色された内臓脂肪の部位が小さく、あるいは染色強度が弱く視認された。従って、図3は、疑似的に、防風通聖散エキスの服用によって内臓脂肪が低減される様子を経時的に示せていることが分かった。
3. Results FIG. 3 shows a diagram in which digital camera images of small intestines removed from mice in the control group and the test group are arranged side by side for comparison. As is clear from Figure 3, the stained visceral fat was clearly visible in the mice in the control group, while the stained visceral fat in the mice in the test group administered with Bofutsushosan extract was small or stained. The intensity was weak and visible. Therefore, it was found that FIG. 3 can pseudo-illustrate how visceral fat is reduced over time by taking Bofutsushosan extract.

さらに、図3のコントロール群の撮像画像をもとに簡素化してイラストを作成し、更に、内臓脂肪の箇所を指し示す加工を行った。このように作成されたイラストを図4Pに示す。また、比較対照として、図4Pのイラスト中の内臓脂肪の部位にあった着色を除く加工を行った。このように作成されたイラストを図4Qに示す。視覚健常者13名に、図4P及び図4Qを並べて対比可能なように示した図4を示したところ、13名全員が、図4Pのイラストの方が、内臓脂肪の視認が容易であると回答した。従って、図3をイラストにして示した場合も、同様に、防風通聖散エキスの服用によって内臓脂肪が低減される様子を経時的に示せることが分かった。 Furthermore, a simplified illustration was created based on the captured image of the control group in FIG. 3, and further processing was performed to indicate the location of visceral fat. The illustration created in this way is shown in FIG. 4P. In addition, as a comparison, processing was performed to remove the coloring in the visceral fat region in the illustration of FIG. 4P. The illustration created in this way is shown in FIG. 4Q. When 13 people with normal vision were shown Figure 4, which shows Figures 4P and 4Q side by side so that they could be compared, all 13 people agreed that the illustration in Figure 4P was easier to visually recognize visceral fat. I answered. Therefore, it was found that when FIG. 3 is illustrated, it is possible to similarly show how visceral fat is reduced over time by taking Bofutsushosan extract.

Claims (6)

内臓脂肪が付着している臓器に脂肪染色液を接触させることで、臓器に付着している内臓脂肪を直接染色する工程を含み、
前記脂肪染色液を体(但し、ヒトの体を除く)外から腹腔内に注入する、内臓脂肪の視認性向上方法。
It involves the process of directly staining the visceral fat attached to the organ by bringing a fat staining solution into contact with the organ to which visceral fat is attached,
A method for improving the visibility of visceral fat, comprising injecting the fat staining solution into the abdominal cavity from outside the body (excluding the human body) .
前記脂肪染色液中の溶媒が、水及び/又はアルコールである、請求項1に記載の方法。 The method according to claim 1 , wherein the solvent in the fat staining solution is water and/or alcohol. 内臓脂肪の蓄積部位及び/又は蓄積量を視覚的に示すプレゼンテーション方法であって、
請求項1又は2に記載の方法を用いて内臓脂肪を染色した腹腔内又は前記内臓脂肪が付着している摘出臓器の撮影画像を取得する工程と、
前記撮影画像又は前記撮影画像を簡素化したイラストを示すことで前記腹腔内又は前記摘出臓器における内臓脂肪の蓄積部位及び/又は蓄積量を視認させる工程と、を含む方法。
A presentation method for visually indicating the accumulation site and/or amount of visceral fat, the method comprising:
A step of obtaining a photographic image of an intra-abdominal cavity in which visceral fat has been stained using the method according to claim 1 or 2 or of a removed organ to which the visceral fat is attached;
A method comprising the step of visually recognizing the accumulation site and/or amount of visceral fat in the abdominal cavity or the extracted organ by showing the photographed image or a simplified illustration of the photographed image.
内臓脂肪を低減する方法によって内臓脂肪が低減される効果を示すために、前記撮影画像又は前記イラストにおいて、染色された内臓脂肪が占める面積が減少する様子を経時的に示す、及び/又は、内臓脂肪の染色強度が低減する様子を経時的に示す、請求項に記載の方法。 In order to show the effect of reducing visceral fat by the method for reducing visceral fat, the photographed image or the illustration shows how the area occupied by stained visceral fat decreases over time, and/or 4. The method according to claim 3 , wherein the method shows how the staining intensity of fat decreases over time. 前記内臓脂肪を低減する方法が、肥満改善薬を服用することである、請求項に記載の方法。 5. The method according to claim 4 , wherein the method for reducing visceral fat is taking an obesity-improving drug. 前記肥満改善薬が、防風通聖散を有効成分として含む、請求項に記載の方法。

6. The method according to claim 5 , wherein the obesity improving drug contains Bofutsushosan as an active ingredient.

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