{"id":136656,"date":"2026-09-08T12:22:56","date_gmt":"2026-09-08T03:22:56","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/nipt\/?post_type=genetic-diseases&#038;p=136656"},"modified":"2026-09-08T12:22:56","modified_gmt":"2026-09-08T03:22:56","slug":"cholestasis-progressive-familial-intrahepatic-3-abcb4","status":"publish","type":"genetic-diseases","link":"https:\/\/www.hiro-clinic.or.jp\/nipt\/genetic-diseases2\/cholestasis-progressive-familial-intrahepatic-3-abcb4\/","title":{"rendered":"\u9032\u884c\u6027\u5bb6\u65cf\u6027\u809d\u5185\u80c6\u6c41\u3046\u3063\u6ede\u75c73\u578b"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u6982\u8981<\/h2>\n\n\n\n<p>\u9032\u884c\u6027\u5bb6\u65cf\u6027\u809d\u5185\u80c6\u6c41\u3046\u3063\u6ede\u75c73\u578b\uff08Progressive familial intrahepatic cholestasis type 3\u30fbPFIC3\uff09\u306f\u3001\u809d\u81d3\u3067\u4f5c\u3089\u308c\u305f\u80c6\u6c41\u304c\u6d41\u308c\u306b\u304f\u304f\u306a\u308a\u3001\u4e73\u5e7c\u5150\u671f\u304b\u3089\u5b66\u7ae5\u671f\u306b\u304b\u3051\u3066\u9ec4\u75b8\u3084\u304b\u3086\u307f\u304c\u73fe\u308c\u3001\u809d\u81d3\u306e\u969c\u5bb3\u304c\u9032\u3093\u3067\u3044\u304f\u75c5\u6c17\u3067\u3059\u3002\u5e38\u67d3\u8272\u4f53\u6f5c\u6027\uff08\u52a3\u6027\uff09\u907a\u4f1d\u306e\u5f62\u5f0f\u3092\u3068\u308a\u3001<strong>ABCB4<\/strong> \u907a\u4f1d\u5b50\u306e\u5909\u5316\u304c\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u540c\u3058\u300c\u9032\u884c\u6027\u5bb6\u65cf\u6027\u809d\u5185\u80c6\u6c41\u3046\u3063\u6ede\u75c7\u300d\u3067\u3082\u30011\u578b\u30fb2\u578b\u306b\u304f\u3089\u3079\u3066\u767a\u75c7\u306e\u6642\u671f\u304c\u3084\u3084\u9045\u304f\u3001\u601d\u6625\u671f\u4ee5\u964d\u306b\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u539f\u56e0<\/h2>\n\n\n\n<p><strong>ABCB4<\/strong> \u907a\u4f1d\u5b50\u306f\u3001<strong>MDR3<\/strong> \u3068\u3044\u3046\u305f\u3093\u3071\u304f\u8cea\u306e\u8a2d\u8a08\u56f3\u3067\u3059\u3002MDR3\u306f\u3001\u809d\u81d3\u306e\u7d30\u80de\u304b\u3089\u80c6\u6c41\u306e\u306a\u304b\u3078\u300c\u30ea\u30f3\u8102\u8cea\u300d\u3092\u9001\u308a\u51fa\u3059\u306f\u305f\u3089\u304d\u3092\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30ea\u30f3\u8102\u8cea\u306f\u3001\u80c6\u6c41\u306e\u306a\u304b\u3067\u80c6\u6c41\u9178\u3092\u5305\u307f\u3053\u307f\u3001\u305d\u306e\u523a\u6fc0\u3092\u3084\u308f\u3089\u3052\u308b\u5f79\u76ee\u3092\u3057\u3066\u3044\u307e\u3059\u3002MDR3\u304c\u306f\u305f\u3089\u304b\u306a\u3044\u3068\u30ea\u30f3\u8102\u8cea\u304c\u8db3\u308a\u306a\u304f\u306a\u308a\u3001\u3080\u304d\u51fa\u3057\u306e\u80c6\u6c41\u9178\u304c\u80c6\u7ba1\u306e\u58c1\u3092\u50b7\u3064\u3051\u3001\u708e\u75c7\u3068\u7dda\u7dad\u5316\u304c\u9032\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u75c7\u72b6<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ec4\u75b8\uff08\u76ae\u819a\u3084\u767d\u76ee\u304c\u9ec4\u8272\u304f\u306a\u308b\uff09<\/li>\n\n\n\n<li>\u304b\u3086\u307f<\/li>\n\n\n\n<li>\u809d\u81d3\u3084\u813e\u81d3\u304c\u5927\u304d\u304f\u306a\u308b<\/li>\n\n\n\n<li>\u4f53\u91cd\u304c\u5897\u3048\u306b\u304f\u3044<\/li>\n\n\n\n<li>\u80c6\u77f3\u304c\u3067\u304d\u3084\u3059\u3044<\/li>\n\n\n\n<li>\u9032\u884c\u3059\u308b\u3068\u809d\u786c\u5909\u3001\u9580\u8108\u5727\u4ea2\u9032\u75c7\u3001\u809d\u4e0d\u5168\u306b\u81f3\u308b<\/li>\n\n\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u691c\u67fb\u30fb\u8a3a\u65ad<\/h2>\n\n\n\n<p>\u8840\u6db2\u691c\u67fb\u3001\u8179\u90e8\u306e\u8d85\u97f3\u6ce2\u691c\u67fb\u3001\u809d\u751f\u691c\u306a\u3069\u3067\u80c6\u6c41\u3046\u3063\u6ede\u306e\u539f\u56e0\u3092\u8abf\u3079\u307e\u3059\u3002\u80c6\u6c41\u3046\u3063\u6ede\u304c\u3042\u3063\u3066 <strong>\u03b3-GTP\u304c\u9ad8\u3044<\/strong> \u3053\u3068\u304c\u3053\u306e\u75c5\u6c17\u306e\u7279\u5fb4\u3067\u3001\u03b3-GTP\u304c\u6b63\u5e38\u304b\u4f4e\u30441\u578b\u30fb2\u578b\u3068\u898b\u5206\u3051\u308b\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<strong>ABCB4<\/strong> \u907a\u4f1d\u5b50\u306e\u89e3\u6790\u306b\u3088\u3063\u3066\u78ba\u5b9a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u6cbb\u7642<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30a6\u30eb\u30bd\u30c7\u30aa\u30ad\u30b7\u30b3\u30fc\u30eb\u9178\u306e\u5185\u670d\uff08\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\uff09<\/li>\n\n\n\n<li>\u304b\u3086\u307f\u3092\u3084\u308f\u3089\u3052\u308b\u85ac<\/li>\n\n\n\n<li>\u8102\u6eb6\u6027\u30d3\u30bf\u30df\u30f3\u306e\u88dc\u5145\u3068\u6804\u990a\u306e\u7ba1\u7406<\/li>\n\n\n\n<li>\u809d\u786c\u5909\u3084\u809d\u4e0d\u5168\u306b\u9032\u3093\u3060\u5834\u5408\u306f\u809d\u79fb\u690d<\/li>\n\n\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u3053\u306e\u75be\u60a3\u306f\u691c\u67fb\u3067\u308f\u304b\u308a\u307e\u3059<\/h2>\n\n\n\n<p>\u3053\u306e\u75be\u60a3\u306f\u3001\u539f\u56e0\u3068\u306a\u308b <strong>ABCB4<\/strong> \u907a\u4f1d\u5b50\u3092\u8abf\u3079\u308b\u3053\u3068\u3067\u3001\u767a\u75c7\u524d\u3084\u51fa\u751f\u524d\u306b\u898b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u30d2\u30ed\u30af\u30ea\u30cb\u30c3\u30afNIPT\u3067\u306f\u6b21\u306e2\u3064\u306e\u691c\u67fb\u3092\u3054\u7528\u610f\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30a8\u30af\u30bd\u30fc\u30e0\u89e3\u6790\u3092\u7528\u3044\u305f\u691c\u67fb\uff081,200\u7a2e\u985e\u4ee5\u4e0a\uff09<\/h3>\n\n\n\n<p>\u30a8\u30af\u30bd\u30fc\u30e0\u89e3\u6790\u306f\u3001\u907a\u4f1d\u5b50\u306e\u3046\u3061\u305f\u3093\u3071\u304f\u8cea\u306e\u8a2d\u8a08\u56f3\u306b\u3042\u305f\u308b\u90e8\u5206\uff08\u30a8\u30af\u30bd\u30f3\uff09\u3092\u307e\u3068\u3081\u3066\u8aad\u307f\u53d6\u308b\u691c\u67fb\u3067\u3059\u3002\u3053\u306e\u89e3\u6790\u3092\u884c\u3063\u305f\u3046\u3048\u3067\u3001<strong>ABCB4<\/strong> \u907a\u4f1d\u5b50\u3092\u542b\u3080<strong>1,200\u7a2e\u985e\u4ee5\u4e0a<\/strong>\u306e\u907a\u4f1d\u5b50\u3092\u5bfe\u8c61\u306b\u8abf\u3079\u3001<strong>\u3053\u306e\u75be\u60a3\u306e\u539f\u56e0\u3068\u306a\u308b\u5909\u5316\u3092\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059<\/strong>\u3002\u56fd\u5185\u306e\u691c\u67fb\u6240\u3067\u884c\u3044\u3001\u7d50\u679c\u307e\u3067\u306e\u671f\u9593\u306f5\u9031\u9593\u301c7\u9031\u9593\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30ad\u30e3\u30ea\u30a2\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c6\u30b9\u30c8\uff08228\u7a2e\u985e\uff09<\/h3>\n\n\n\n<p>\u5e38\u67d3\u8272\u4f53\u6f5c\u6027\uff08\u52a3\u6027\uff09\u907a\u4f1d\u306e\u75be\u60a3\u306f\u3001\u3054\u4e21\u89aa\u304c\u3069\u3061\u3089\u3082\u75c7\u72b6\u306e\u306a\u3044\u300c\u30ad\u30e3\u30ea\u30a2\uff08\u4fdd\u56e0\u8005\uff09\u300d\u3067\u3042\u308b\u3068\u304d\u306b\u3001<strong>4\u5206\u306e1\u306e\u78ba\u7387<\/strong>\u3067\u304a\u5b50\u3055\u307e\u304c\u767a\u75c7\u3057\u307e\u3059\u3002\u30ad\u30e3\u30ea\u30a2\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c6\u30b9\u30c8\u3067\u306f\u3001\u3054\u592b\u5a66\u304c\u3053\u306e\u75be\u60a3\u306e\u30ad\u30e3\u30ea\u30a2\u304b\u3069\u3046\u304b\u3092\u982c\u306e\u5185\u5074\u306e\u7c98\u819c\u304b\u3089\u8abf\u3079\u3001<strong>\u304a\u5b50\u3055\u307e\u306b\u53d7\u3051\u7d99\u304c\u308c\u308b\u53ef\u80fd\u6027\u3092\u3001\u598a\u5a20\u524d\u3084\u51fa\u751f\u524d\u306b\u4e88\u6e2c\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/strong>\u3002<\/p>\n\n\n\n<p>\u691c\u67fb\u306e\u5185\u5bb9\u30fb\u8cbb\u7528\u30fb\u7d50\u679c\u307e\u3067\u306e\u671f\u9593\u306f <a href=\"\/nipt\/nipt\/autosomal-recessive-inheritance\/\">\u30ad\u30e3\u30ea\u30a2\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c6\u30b9\u30c8228<\/a> \u306e\u30da\u30fc\u30b8\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5c02\u9580\u7684\u306a\u89e3\u8aac<\/h2>\n\n\n\n<p>PFIC3\u306f <strong>ABCB4<\/strong>\uff087q21.12\uff09\u304c\u30b3\u30fc\u30c9\u3059\u308b multidrug resistance protein 3\uff08MDR3, ABCB4\uff09\u306e\u6a5f\u80fd\u55aa\u5931\u306b\u3088\u308a\u751f\u3058\u308b\u3002MDR3\u306f\u809d\u7d30\u80de\u306e\u6bdb\u7d30\u80c6\u7ba1\u5074\u819c\u306b\u5c40\u5728\u3059\u308b\u30db\u30b9\u30d5\u30a1\u30c1\u30b8\u30eb\u30b3\u30ea\u30f3\u30d5\u30ea\u30c3\u30d1\u30fc\u30bc\u3067\u3001\u80c6\u6c41\u4e2d\u3078\u306e\u30ea\u30f3\u8102\u8cea\u5206\u6ccc\u3092\u62c5\u3046\u3002<\/p>\n\n\n\n<p>\u30ea\u30f3\u8102\u8cea\u5206\u6ccc\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3001\u80c6\u6c41\u4e2d\u3067\u6df7\u5408\u30df\u30bb\u30eb\u3092\u5f62\u6210\u3067\u304d\u306a\u3044\u904a\u96e2\u80c6\u6c41\u9178\u304c\u80c6\u7ba1\u4e0a\u76ae\u3092\u76f4\u63a5\u50b7\u5bb3\u3057\u3001\u80c6\u7ba1\u969c\u5bb3\u3068\u9580\u8108\u57df\u306e\u7dda\u7dad\u5316\u3092\u60f9\u8d77\u3059\u308b\u3002\u7d44\u7e54\u5b66\u7684\u306b\u306f\u80c6\u7ba1\u5897\u751f\u3092\u4f34\u3046\u9580\u8108\u57df\u306e\u7dda\u7dad\u5316\u3092\u793a\u3057\u3001\u80c6\u6c41\u6027\u809d\u786c\u5909\u3078\u9032\u5c55\u3059\u308b\u3002<\/p>\n\n\n\n<p>\u8840\u6e05\u03b3-GTP\u9ad8\u5024\u3092\u5448\u3059\u308b\u70b9\u304c\u3001\u03b3-GTP\u304c\u6b63\u5e38\u301c\u4f4e\u5024\u306ePFIC1\uff08ATP8B1\uff09\u30fbPFIC2\uff08ABCB11\uff09\u3068\u306e\u91cd\u8981\u306a\u9451\u5225\u70b9\u3067\u3042\u308b\u3002\u30d8\u30c6\u30ed\u63a5\u5408\u4f53\u3067\u306f\u3001\u598a\u5a20\u6027\u809d\u5185\u80c6\u6c41\u3046\u3063\u6ede\u75c7\uff08ICP\uff09\u3001\u85ac\u5264\u6027\u80c6\u6c41\u3046\u3063\u6ede\u3001\u4f4e\u30ea\u30f3\u8102\u8cea\u95a2\u9023\u80c6\u77f3\u75c7\uff08LPAC\u75c7\u5019\u7fa4\uff09\u3068\u3044\u3063\u305f\u8efd\u75c7\u578b\u306e\u8868\u73fe\u578b\u304c\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u5bfe\u7acb\u907a\u4f1d\u5b50\u75be\u60a3\u7fa4\u3092\u5f62\u6210\u3059\u308b\u3002<\/p>\n\n\n\n<p>\u30a6\u30eb\u30bd\u30c7\u30aa\u30ad\u30b7\u30b3\u30fc\u30eb\u9178\u306f\u6b8b\u5b58\u6a5f\u80fd\u304c\u3042\u308b\u75c7\u4f8b\u3067\u6709\u52b9\u306a\u3053\u3068\u304c\u3042\u308a\u3001\u7121\u52b9\u4f8b\u3084\u9032\u884c\u4f8b\u3067\u306f\u809d\u79fb\u690d\u304c\u9069\u5fdc\u3068\u306a\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u3088\u304f\u3042\u308b\u8cea\u554f<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q. \u304b\u3086\u307f\u3084\u9ec4\u75b8\u306f\u3044\u3064\u3054\u308d\u51fa\u307e\u3059\u304b\uff1f<\/h3>\n\n\n\n<p>A. 1\u578b\u30fb2\u578b\u3088\u308a\u3082\u9045\u304f\u3001\u4e73\u5e7c\u5150\u671f\u304b\u3089\u5b66\u7ae5\u671f\u3001\u3068\u304d\u306b\u306f\u601d\u6625\u671f\u4ee5\u964d\u306b\u898b\u3064\u304b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u7d4c\u904e\u306b\u306f\u5e45\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q. 1\u578b\u30fb2\u578b\u3068\u306f\u3069\u3046\u9055\u3046\u306e\u3067\u3059\u304b\uff1f<\/h3>\n\n\n\n<p>A. \u539f\u56e0\u3068\u306a\u308b\u907a\u4f1d\u5b50\u304c\u9055\u3044\u307e\u3059\u30023\u578b\u306f <strong>ABCB4<\/strong> \u304c\u539f\u56e0\u3067\u3001\u8840\u6db2\u691c\u67fb\u306e\u03b3-GTP\u304c\u9ad8\u304f\u306a\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u30021\u578b\u30fb2\u578b\u3067\u306f\u03b3-GTP\u306f\u6b63\u5e38\u304b\u4f4e\u3044\u5024\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q. \u30a6\u30eb\u30bd\u30c7\u30aa\u30ad\u30b7\u30b3\u30fc\u30eb\u9178\u306f\u52b9\u304d\u307e\u3059\u304b\uff1f<\/h3>\n\n\n\n<p>A. \u907a\u4f1d\u5b50\u306e\u306f\u305f\u3089\u304d\u304c\u4e00\u90e8\u6b8b\u3063\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u3001\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u52b9\u679c\u304c\u4e4f\u3057\u3044\u5834\u5408\u306b\u306f\u4ed6\u306e\u6cbb\u7642\u3092\u691c\u8a0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q. \u5c06\u6765\u3001\u809d\u79fb\u690d\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u304b\uff1f<\/h3>\n\n\n\n<p>A. \u809d\u786c\u5909\u3084\u809d\u4e0d\u5168\u306b\u9032\u3093\u3060\u5834\u5408\u306b\u306f\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002\u65e9\u3044\u6642\u671f\u304b\u3089\u6cbb\u7642\u3068\u7d4c\u904e\u89b3\u5bdf\u3092\u7d9a\u3051\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q. \u598a\u5a20\u4e2d\u306b\u809d\u6a5f\u80fd\u304c\u60aa\u304f\u306a\u3063\u305f\u5bb6\u65cf\u304c\u3044\u307e\u3059\u3002\u95a2\u4fc2\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<\/h3>\n\n\n\n<p>A. <strong>ABCB4<\/strong> \u306e\u5909\u5316\u3092\u7247\u65b9\u3060\u3051\u6301\u3064\u65b9\uff08\u4fdd\u56e0\u8005\uff09\u3067\u306f\u3001\u598a\u5a20\u6027\u809d\u5185\u80c6\u6c41\u3046\u3063\u6ede\u75c7\u3084\u80c6\u77f3\u75c7\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>de Vree JM, Jacquemin E, Sturm E, et al. Mutations in the MDR3 gene cause progressive familial intrahepatic cholestasis. <em>Proc Natl Acad Sci U S A<\/em>. 1998;95(1):282-287.<\/li>\n\n\n\n<li>Jacquemin E, De Vree JM, Cresteil D, et al. The wide spectrum of multidrug resistance 3 deficiency: from neonatal cholestasis to cirrhosis of adulthood. <em>Gastroenterology<\/em>. 2001;120(6):1448-1458.<\/li>\n\n\n\n<li>Rosmorduc O, Poupon R. Low phospholipid associated cholelithiasis: association with mutation in the MDR3\/ABCB4 gene. <em>Orphanet J Rare Dis<\/em>. 2007;2:29.<\/li>\n\n\n\n<li>Bull LN, Thompson RJ. Progressive Familial Intrahepatic Cholestasis. <em>Clin Liver Dis<\/em>. 2018;22(4):657-669.<\/li>\n\n\n\n<li>OMIM #602347 Cholestasis, progressive familial intrahepatic, 3<\/li>\n\n\n<\/ul>\n","protected":false},"featured_media":0,"menu_order":0,"template":"page_gd.php","class_list":["post-136656","genetic-diseases","type-genetic-diseases","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/genetic-diseases\/136656","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/genetic-diseases"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/types\/genetic-diseases"}],"version-history":[{"count":1,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/genetic-diseases\/136656\/revisions"}],"predecessor-version":[{"id":137026,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/genetic-diseases\/136656\/revisions\/137026"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/media?parent=136656"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}