Space Life Sciences Fundamentals of Space Medicine — Chapter 1 Introduction to Space Life Sciences Gilles Clément, Ph.D CNRS "Cerveau et Cognition" Laboratory Toulouse, France Kluwer Academic Publishers • Copyright © 2003 • All rights reserved 1 Space Life Sciences Key Concepts • Space Life Sciences: What is it ? Where we are • The historical context of human spaceflight How we got there • The importance of continuing research before long-duration exploration missions can be safely undertaken Where do we go from here 2 Space Life Sciences Space Life Sciences—What is it • Life Sciences are specifically devoted to the working of the living world (from bacteria and plants to humans) • On Earth, all living organisms have developed as a result of constant exposure to 1-g gravity • Space Life Sciences open a door to understanding ourselves, our evolution, the working of our world without the constraining barrier of gravity • Beside microgravity, during space flight living organisms are also affected by ionizing radiation, isolation, confinement, changes in circadian rhythms (24-hr day/night cycle), etc. • Objectives of space life sciences: – Enhance fundamental knowledge in cell biology and human physiology – Protect the health of astronauts – Develop advanced technology and applications for space and ground-based research 3 Justification for Human Spaceflight • Robotics versus Human crews = Apples versus Oranges – Human Pros: intelligent operators, efficient end-effectors – Human Cons: expensive, complexity of habitable environment Photo NASA Space Life Sciences • Human spaceflight critics often discount the value of Life Sciences on the “Discovery Ledger (Big Book)” — often due to following fundamentals differences: – Physical Sciences: more concrete discoveries in relatively unexplored sphere – Life Sciences: an inherently inexact science; context of background physiological variability; requirement for repeated measurements 4 Space Life Sciences Space Medicine versus Space Physiology • Space Medicine – To solve medical problems encountered in spaceflight – Includes some adaptive changes (e.g., space motion sickness), environmental exposures, etc. – Includes also some non-pathologic changes which become maladaptive on return to Earth (e.g., bone loss) – Outlook is operational, views problems/peculiarities from standpoint of mission impact • Space Physiology – To characterize response to space, especially 0-G – Necessary knowledge base for above – Outlook is investigational, views problems/peculiarities from standpoint of scientific return 5 Space Life Sciences Where we are (as of 1st July ‘03) • Total number of persons who have flown in space: 433 (41 ) • Cumulative spaceflight time: 72 years (26.410 days) • Mean spaceflight duration: 28 days • Cumulative spaceflight duration by individual: – Polyakov (679 days; 2 flights) 22 months – Avdeyev (748 days; 3 flights) 25 months • Re-adaptation to Earth gravity stated " to be 90% complete [after 6 years] " —Valery Polyakov (during a science conference) Photo CNES • How did we get there? 6 Space Life Sciences Major Space Life Sciences Events 7 • 1783: Two French gentlemen ride a hot-air (Montgolfier) balloon • 1951: First successful (non-orbital) flight of a sounding Photo NASA after a few days)—followed by monkeys Photo NASA • 1957: Dog Laika first living creature into orbit (died Photo CNES rocket with a monkey and 11 mice (previous attempts since 1948 were not successful) Space Life Sciences Major Space Life Sciences Events Photo NASA • 1959: Selection of 7 American astronauts Photo RSA • 1960: Selection of 11 Soviet cosmonauts 8 Space Life Sciences Major Space Life Sciences Events 9 • 1961: First human to orbit the Earth (Y. Gagarin) • 1963: First woman (V. Tereshkova) Photo CNES Photo NASA in space—second Russian woman (S. Savitskaya) did not fly until 1982 • 1965: First space walk (Extra-Vehicular Activity) Space Life Sciences Major Space Life Sciences Events • 1965-66: Longest stay in space is 14 days (Gemini 7) — first observations on human body adaptation — artificial gravity first tested (Gemini 11) Photos NASA • • • • 70’s : Salyut, Skylab — start of detailed SLS investigations 1981: First space vehicle piloted during return (Shuttle) 1994: Longest stay in space is 14 months (MIR) 2000: First expedition crew on board ISS 10 Space Life Sciences Human Spaceflight Experience Adapted from Reschke and Sawin (2003) 11 Space Life Sciences Human Spaceflight Experience greater than 30 days 12 Space Life Sciences Humans in Space • First space missions were to demonstrate that humans could survive a journey into space • Some people doubted whether humans could endure the g forces of launch and re-entry, or swallow, or sleep in the absence of gravity • Some predicted that "the bowels would not work without gravity, the heart might cavitate like a pump, or become so weakened as to prohibit return to Earth" • How long can humans live in space, and how effectively can they work in space are still open questions • Living and working is far different from merely surviving Movie: • After extended stays in13_impossi space, can people return safely to Earth and lead normal, healthy lives? Such questions are much more difficult than questions of survival because they require sophisticated scientific experimentation 13 Space Life Sciences Surviving the Odyssey 14 Space Life Sciences What Really Occurs • No up or down — disorientation, nausea • Fluids shift towards head — « puffy » face, sinus congestion, headache, changes in smell and taste • Antigravity postural (extensor) muscles not used — Photos NASA new locomotion pattern, « chicken » legs, muscle strength and endurance decrease 15 Space Life Sciences What Really Occurs • No up or down — disorientation, nausea • Fluids shift towards head — « puffy » face, sinus congestion, headache, changes in smell and taste • Antigravity postural (extensor) muscles not used — new locomotion pattern, « chicken » legs, muscle strength and endurance decrease • Fluids volume decreases changes in heart volume, heart rate, and blood pressure, breathing difficult (less red blood cells) • Bone density decreases by 1-3% per month 16 Space Life Sciences What Really Occurs • No up or down — disorientation, nausea • Fluids shift towards head — « puffy » face, sinus congestion, headache, changes in smell and taste • Antigravity postural (extensor) muscles not used — new locomotion pattern, « chicken » legs, muscle strength and endurance decrease • Fluids volume decreases — changes in heart rate and Photo NASA blood pressure, breathing difficult (less red blood cells) • Bone loss • Intervertebrate disks less compressed — height increases, back pain • Sleep disorders Adapted from Lujan and White (1994) 17 Space Life Sciences What Really Occurs • No up or down — disorientation, nausea • Fluids shift towards head — « puffy » face, sinus congestion, headache, changes in smell and taste • Antigravity postural (extensor) muscles not used — new locomotion pattern, « chicken » legs, muscle strength and endurance decrease • Fluids volume decreases — changes in heart rate and • Bone loss • Intervertebrate disks less compressed — height increases, back pain Photo NASA Photo NASA blood pressure, breathing difficult (less red blood cells) • Sleep disorders • Sharper vision, but light flashes (radiation) • Psychological troubles 18 Space Life Sciences Issues for Human Missions • Preflight: – Astronaut selection, crew selection, medical training • Inflight: – Acceleration, vibration, noise during launch and landing Soyuz Movie: 19_launch Shuttle 19 Space Life Sciences Issues for Human Missions • Preflight: – Astronaut selection; crew selection; medical training • Inflight: – Acceleration; vibration; noise during launch and landing – Physiological adaptation: heart (dys-rhythmias) and blood vessels, muscles (strength), bones (fractures, renal stones), nervous system, immune system (infection) – Psycho-sociological issues (support) – Environmental issues: toxic substances, pressure changes – Extra-Vehicular activity (EVA): strain on muscles and bones, decompression-related disorders – Radiation (sterility, cancer) – Crew medical officer: diagnosis, treatment (surgery) – Emergency return 20 Space Life Sciences Issues for Human Missions 21 – Piloting – "1-g feels like 4-g" – Emergency egress – Standing: orthostatic intolerance – Walking: postural instability – Motion sickness (Mal de Débarquement) – Muscle and bone weakness – Decreased exercise capacity – Return to flight status Photo NASA • Postflight: Space Life Sciences Countermeasures • 2 daily 1-hour sessions of exercise: Photos NASA – Treadmill with axial loading – Cycle ergometer – Resistive exercise – Traction on “bungee cords” • Low Body Negative Pressure • Fluid loading before re-entry 22 Space Life Sciences Human Mars Mission 23 Space Life Sciences • • • • • Challenges for a Mars Mission Crew selection Onboard medical officer Radiation dose Bone loss Advanced Life Support Systems 24 Spaceflight Life Support • Human requirements 25 Photo NASA Space Life Sciences – Hygiene, sanitation – Nutrition (adequate, appealing) – Rest (avoid chronic fatigue) – Exercise (fitness, recreation, motivation) – Human performance (psychosocial, workload, circadian factors) – Atmosphere, temperature, lighting, noise – Food, waste – From physico-chemical (recycled) to bioregenerative (ecologically closed) • Biosphere 2 • Mir Greenhouse • Bio-Plex Photo ESA • Life support systems Space Life Sciences Greenhouse in Space 26 • Critical questions to be addressed : – How far can we reduce reliance on expendables? – How well do biological and physico-chemical life support technologies work together over long periods of time? – How do various contaminants accumulate and what are the long-term cleanliness issues? Photo NASA – Is a “steady state” condition ever achieved with biological systems? Space Life Sciences Challenges 27 • Short-duration spaceflights presumably OK for tourists • For long-duration missions, the MIR experience indicates that current inflight countermeasures are not optimal Photo CNES Movie: 27_cosmonaut • Using the current countermeasures methods, humans would not be operational after landing on Mars • Artificial gravity probably the most efficient countermeasure Space Life Sciences Artificial Gravity • Principle of centrifugation • Criteria for comfort (less motion sickness with lower angular velocity; low velocity means large radius) for a effective • For interplanetary travel the design isRecommended most likelyzone to be human performance in rotating short-arm centrifuge... combined with muscular spaceexercise systems Movie: 28_hyperg Movie: 28_centrifuge Photo NASA 28 Space Life Sciences Future Research 29 • Space Life Sciences research is on hold now • ISS should be ideal for study of fundamental biological processes—new science: gravitational physiology; no Nobel prize yet, but given prizes have been challenged amphibians, mammals after several generations without perceived gravity Document NASDA • Think about development of insects, Movie: 29_frog • Changes seen at cellular level. However, too much publicity on biochemical factories in space • Plants in space. Life support systems: how to move from physico-chemical to closed ecological life support systems Photo NASA • Human Mars mission. Probably the longest period away from Earth to date; also probably the longest exposure to hypogravity (1/3 g) environment to date Space Life Sciences • Biology Benefits of SLS Research – Improve overall health of people of all ages – Improve crop yields using less nutrients and smaller surface – Advance understanding of cell behavior • Biotechnology – Provide information to design a new class of drugs to target specific proteins and cure specific diseases – Culture tissue for use in cancer research/surgery and bone and cartilage injuries • Biomedical Research – Enhance medical understanding of the role of force on bone in disease processes including osteoporosis (bone loss) – Advance fundamental understanding of the brain and nervous system and help develop new methods to prevent and treat various neurological disorders (e.g., multiple sclerosis) – Develop methods to keep humans healthy in low-gravity environments for extended time periods • Education – Use science on orbit to encourage and strengthen science education on Earth 30 Space Life Sciences Additional Reading 31 • Clément G (2003) Fundamentals of Space Medicine. Dordrecht: • • • • • • • • • • Kluwer Academic Publishers Mullane MR (1997) Do Your Ears Pop in Space? New York, NY: John Wiley & Sons Oser H, Battrick B (1989) Life Sciences Research in Space. ESA SP1105. Paris, France: ESA Publication Division Wassersug RJ (2001) Vertebrate Biology in Microgravity. American Scientist 89: 46-53 Wolfe T (1979) The Right Stuff. New York, NY: Farra, Straus & Giroux A Strategy for Research in Space Biology and Medicine in the New Century. National Research Council. Washington, DC: National Academy Press,1998 National Geographic. The Body in Space. January 2001 issue Fifth Symposium on the Role of the Vestibular Organs in Space Exploration. NASA SP-314, 1973 http://www.nsbri.org/HumanPhysSpace/index.html http://weboflife.arc.nasa.gov/ http://lifesci.arc.nasa.gov/