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除了吃药,加一勺ta或也能减缓糖尿病慢性肾病进展!

2021-10-25 MedSci原创 MedSci原创

PLOS ONE:亚麻籽对有或无慢性肾病的糖尿病大鼠全身炎症和氧化应激的影响

据估计,2017年全球慢性肾脏疾病 (CKD)患病率为9.1%,比1990年高出29.3%,为卫生资源和社会带来了沉重负担,因为CKD患者患高血压、中风、贫血、骨质疏松症和抑郁症等其他疾病的风险随之增加。糖尿病(DM)是全球最常见的慢性非传染性疾病之一。DM 是一种渐进性疾病,可导致多种并发症,是CKD发展的主要风险因素之一。据统计,美国38%的末期肾脏疾病(ESKD)归因于糖尿病。

炎症和氧化应激已被证明在DM和CKD的发生和进展中起着重要作用。患有 DM 和/或 CKD 的患者有轻度而持续性炎症,而研究发现炎症和氧化生物标志物和介质的浓度与肾功能水平以及糖尿病微血管和大血管并发症成反比。 因此,抑制炎症和增强抗氧化能力的药物可被视为对DM和CKD患者的潜在辅助疗法。而亚麻籽含有丰富的油脂,其中51~55%是α亚麻酸。此外还含有一些化合物已被证明具有抗氧化、降血脂和降血糖作用 。

本研究旨在厘清亚麻籽对有或没有实验诱发CKD的老鼠实验诱发的糖尿病的影响。

试验大鼠(n = 48)被随机分成8个相等组(每组6个),并连续治疗33天。亚麻籽与饮食混合,浓度为15%w/w。不同分组的治疗细节汇总在表1。

1、生理参数
与对照组相比,腺嘌呤和链霉素(STZ)单独使用或同时使用时,测量的生理参数发生显著变化:显著降低了体重,显著增加了相对肾脏和肝脏的重量、水摄入量和食物摄入量以及尿量。当亚麻籽与腺嘌呤、STZ或两者联用组合用时,可显著减轻大部分上述变化。(表2)

2、生化和泌尿参数
表3显示了腺嘌呤、STZ和亚麻籽单独及不同组合使用对各生化参数的影响。

腺嘌呤和亚麻籽单独服用时对血糖水平没有任何显著影响。另一方面,STZ单独服用或与腺嘌呤同时服用,会导致血糖水平显著升高。亚麻籽能显著降低STZ引起的血糖水平升高。与对照组相比,腺嘌呤和STZ单独或联合给药可显著增加血浆肌酐、尿素、尿酸和磷水平。亚麻籽明显减轻腺嘌呤引起的变化, 减轻STZ引起的除尿酸外的变化,并能明显减轻腺嘌呤和STZ联合给药引起的变化。与对照组相比,腺嘌呤、STZ或它们的组合导致肌酐清除率、尿肌酐和尿渗透压显著下降,还导致NAG水平、尿白蛋白/肌酐比值和尿NAG/肌酐比值显著增加。此外,STZ显著增加尿中葡萄糖的排泄。
除了STZ及其与腺嘌呤联合给药对尿肌氨酸和NAG的影响外,将亚麻籽添加到腺嘌呤、STZ或它们的组合可显著缓解这些变化(表4)。

表5显示了腺嘌呤、STZ和亚麻籽单独和不同组合对血浆肾脏损伤生物标志物的影响。腺嘌呤和STZ或联合用药均显著提高吲哚酰硫酸盐、胱抑素C、NGAL和AGEs的浓度,显著降低renalase的浓度。除腺嘌呤和STZ联合治疗对renalase浓度的影响外,亚麻籽能显著缓解所有这些引起的变化。

3、氧化和炎症指标
不同处理对抗氧化生物标志物的影响如图1所示。腺嘌呤和STZ或它们的组合显著降低TAC、SOD和过氧化氢酶水平,显著提高8-OHdG和8-异前列腺素水平。除腺嘌呤和STZ对SOD的影响外,亚麻籽显著减轻了这些变化。

图2描述了不同处理对抗炎生物标志物的影响。腺嘌呤和STZ及其联合应用显著提高IL-1 β、IL-6和NF-κB水平,降低IL-10水平,亚麻籽显著缓解了这些变化。

4、组织病理学变化
肾组织HE染色、天狼星红染色的显微照片分别见图3和图4。图5所示为周期性酸希夫(PAS)染色。表6为病灶评分及纤维化指数。


总的来说,本研究发现证实亚麻籽有效地抑制了几乎所有由腺嘌呤和/或STZ引起的生理、生化和组织病理学改变,表明亚麻籽或是一种潜在的有用的膳食补充剂,用于糖尿病诱导的ckd的管理。亚麻籽的抗氧化和抗炎作用已被用于减轻某些人类疾病中的炎症和氧化级联反应。例如,补充亚麻籽可调节囊性纤维化和溃疡性结肠炎患者的炎症和氧化应激生物标志物。此外,亚麻籽被发现可以有效地改善一些代谢症状,如降低血压和脂质过氧化。


综上所述,亚麻籽可能是一种潜在的治疗糖尿病肾病的药物。

 

原文来源:

Mohammed Al Za’abi, et al.  Effect of flaxseed on systemic inflammationand oxidative stress in diabetic rats with or without chronic kidney disease.

PLOS ONE | https://doi.org/10.1371/journal.pone.0258800 October 19, 2021

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-11-12 湘雅科教

    已拜读,受益匪浅。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-26 dashuang

    亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-26 查查佳佳

    心电图不好记、看不懂,怎么办?记住这

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-25 1207866fm50(暂无昵称)

    谢谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-25 1250ccdem39暂无昵称

    好文章,谢谢分享

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-25 子夜卧龙

    这个确实有一定的帮助

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1808930, encodeId=98d8180893062, content=<a href='/topic/show?id=c5b68259068' target=_blank style='color:#2F92EE;'>#肾病进展#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82590, encryptionId=c5b68259068, topicName=肾病进展)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3eaf430, createdName=bsmagic9132, createdTime=Mon Sep 26 08:49:15 CST 2022, time=2022-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1069537, encodeId=9f4f106953e25, content=已拜读,受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Fri Nov 12 10:37:23 CST 2021, time=2021-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063973, encodeId=600810639e3d4, content=亚麻籽是一种有上千年古老的食物,营养丰富,含有人体需要的必须氨基酸,多糖,多种维生素,矿物质。平日我在自制的酸奶里面会加一勺亚麻籽一起吃,亚麻籽中富含欧米加-3脂肪酸,这是当今快速生长食物中所缺乏的,亚麻籽的热量比较高,对需要长期优质低蛋白、保证充足热量摄入的慢性肾脏病患者是不错的营养补充。, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db401542413, createdName=dashuang, createdTime=Tue Oct 26 08:26:25 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063958, encodeId=9a04106395870, content=心电图不好记、看不懂,怎么办?记住这, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Tue Oct 26 07:08:58 CST 2021, time=2021-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063926, encodeId=a3771063926d7, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=644b2182796, createdName=1207866fm50(暂无昵称), createdTime=Mon Oct 25 23:17:24 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063849, encodeId=e2f7106384912, content=好文章,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66cf2535024, createdName=1250ccdem39暂无昵称, createdTime=Mon Oct 25 19:11:15 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063840, encodeId=3f80106384056, content=这个确实有一定的帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/01/23/d70de12f3e8b629720d9aa66592b8d2d.jpg, createdBy=acae2536841, createdName=子夜卧龙, createdTime=Mon Oct 25 18:27:20 CST 2021, time=2021-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1063837, encodeId=5ce8106383ee7, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Mon Oct 25 18:23:23 CST 2021, time=2021-10-25, status=1, ipAttribution=)]
    2021-10-25 yangchou

    好文章,谢谢分享。

    0

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