Protective alleles and precision healthcare in crewed spaceflight.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
22 Jul 2024
Historique:
received: 17 01 2023
accepted: 05 06 2024
medline: 23 7 2024
pubmed: 23 7 2024
entrez: 22 7 2024
Statut: epublish

Résumé

Common and rare alleles are now being annotated across millions of human genomes, and omics technologies are increasingly being used to develop health and treatment recommendations. However, these alleles have not yet been systematically characterized relative to aerospace medicine. Here, we review published alleles naturally found in human cohorts that have a likely protective effect, which is linked to decreased cancer risk and improved bone, muscular, and cardiovascular health. Although some technical and ethical challenges remain, research into these protective mechanisms could translate into improved nutrition, exercise, and health recommendations for crew members during deep space missions.

Identifiants

pubmed: 39039045
doi: 10.1038/s41467-024-49423-6
pii: 10.1038/s41467-024-49423-6
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

6158

Informations de copyright

© 2024. The Author(s).

Références

Fundamental Biological Features of Spaceflight. Advancing the field to enable deep-space exploration. Cell 183, 1162–1184 (2020).
doi: 10.1016/j.cell.2020.10.050
Schmidt, M. A. & Goodwin, T. J. Personalized medicine in human space flight: using Omics based analyses to develop individualized countermeasures that enhance astronaut safety and performance. Metabolomics 9, 1134–1156 (2013). pp.
pubmed: 24273472 pmcid: 3825629 doi: 10.1007/s11306-013-0556-3
Cope, H. et al. Routine omics collection is a golden opportunity for European human research in space and analog environments. Patterns 3, 100550 (2022).
pubmed: 36277820 pmcid: 9583032 doi: 10.1016/j.patter.2022.100550
Ruyters, G., Stang, K. Space medicine 2025 – A vision. REACH. 55–62 (2016).
Bennett, J. M. et al. The evolution of critical thermal limits of life on Earth. Nat. Commun. 12, 1198 (2021).
pubmed: 33608528 pmcid: 7895938 doi: 10.1038/s41467-021-21263-8
Garrett-Bakelman, F. E., et al. The NASA Twins Study: A multidimensional analysis of a year-long human spaceflight. Science. 364 (2019).
Ren, Z. et al. Biomanufacturing of 3D tissue constructs in microgravity and their applications in human pathophysiological studies. Adv. Health. Mater. 12, e2300157 (2023).
doi: 10.1002/adhm.202300157
Chancellor, J. C. et al. Limitations in predicting the space radiation health risk for exploration astronauts. NPJ Microgravity 4, 8 (2018).
pubmed: 29644336 pmcid: 5882936 doi: 10.1038/s41526-018-0043-2
Obrador, E. et al. Radioprotection and Radiomitigation: From the bench to clinical practice. Biomedicines 8, 461 (2020).
pubmed: 33142986 pmcid: 7692399 doi: 10.3390/biomedicines8110461
Hopewell, J. W. Models of CNS radiation damage during space flight. Adv. Space Res 14, 433–442 (1994).
pubmed: 11539980 doi: 10.1016/0273-1177(94)90497-9
Moreels, M., de Saint-Georges, L., Vanhavere, F., Baatout, S. Stress and radiation responsiveness. Stress Challenges Immun. Space. 239–260 (2012).
Cortese, F. et al. Vive la radiorésistance!: converging research in radiobiology and biogerontology to enhance human radioresistance for deep space exploration and colonization. Oncotarget 9, 14692–14722 (2018).
pubmed: 29581875 pmcid: 5865701 doi: 10.18632/oncotarget.24461
Restier-Verlet, J. et al. Radiation on Earth or in space: What does it change? Int J. Mol. Sci. 22, 3739 (2021).
pubmed: 33916740 pmcid: 8038356 doi: 10.3390/ijms22073739
Durante, M., Manti, L. Human response to high-background radiation environments on Earth and in space. Adv. Space Res. 999–1007 (2008).
Cucinotta, F. A., Kim, M.-H. Y., Willingham, V. & George, K. A. Physical and biological organ dosimetry analysis for international space station astronauts. Radiat. Res 170, 127–138 (2008).
pubmed: 18582161 doi: 10.1667/RR1330.1
Cucinotta, F. A. & Durante, M. Cancer risk from exposure to galactic cosmic rays: implications for space exploration by human beings. Lancet Oncol. 7, 431–435 (2006).
pubmed: 16648048 doi: 10.1016/S1470-2045(06)70695-7
Cucinotta, F. A. & Cacao, E. Non-targeted effects models predict significantly higher mars mission cancer risk than targeted effects models. Sci. Rep. 7, 1832 (2017).
pubmed: 28500351 pmcid: 5431989 doi: 10.1038/s41598-017-02087-3
Iosim, S., MacKay, M., Westover, C. & Mason, C. E. Translating current biomedical therapies for long duration, deep space missions. Precis Clin. Med. 2, 259–269 (2019).
pubmed: 31886035 pmcid: 6927098 doi: 10.1093/pcmedi/pbz022
Durante, M. Space radiation protection: Destination Mars. Life Sci. Space Res. 1, 2–9 (2014).
doi: 10.1016/j.lssr.2014.01.002
Clancy P., Brack A., Horneck, G. Looking for Life, Searching the Solar System. Cambridge University Press; 2005.
Smith, S. M. & Zwart, S. R. Chapter 3 nutritional biochemistry of spaceflight. Adv. Clin. Chem. 46, 87–130 (2008). pp.
pubmed: 19004188 doi: 10.1016/S0065-2423(08)00403-4
Durante, M. & Cucinotta, F. A. Heavy ion carcinogenesis and human space exploration. Nat. Rev. Cancer 8, 465–472 (2008).
pubmed: 18451812 doi: 10.1038/nrc2391
Ponder B. A. J. Cancer genetics. Nature. 336–341 (2001).
Foray, N., Bourguignon, M. & Hamada, N. Individual response to ionizing radiation. Mutat. Res. 770, 369–386 (2016).
doi: 10.1016/j.mrrev.2016.09.001
Pavez Loriè, E. et al. The future of personalized medicine in space: from observations to countermeasures. Front Bioeng. Biotechnol. 9, 739747 (2021).
pubmed: 34966726 pmcid: 8710508 doi: 10.3389/fbioe.2021.739747
Antonsen, E. L. & Reed, R. D. Policy considerations for precision medicine in human spaceflight. Hous. J. Health L Pol’y 19, 1 (2019).
Rosen, E. M., Day, R. & Singh, V. K. New approaches to radiation protection. Front Oncol. 4, 381 (2014).
pubmed: 25653923
LeBlanc, A. D., Spector, E. R., Evans, H. J. & Sibonga, J. D. Skeletal responses to space flight and the bed rest analog: a review. J. Musculoskelet. Neuronal. Interact. 7, 33–47 (2007).
pubmed: 17396004
Oganov, V. S., Bogomolov, V. V. The human skeletal system in weightlessness: A review of research data, hypotheses, and the possibility of predicting the state in long-term (Interplanetary) missions. Hum. Physiol. 768–776 (2011).
Gabel, L. et al. Incomplete recovery of bone strength and trabecular microarchitecture at the distal tibia 1 year after return from long duration spaceflight. Sci. Rep. 12, 9446 (2022).
pubmed: 35773442 pmcid: 9247070 doi: 10.1038/s41598-022-13461-1
Axpe, E. et al. A human mission to Mars: Predicting the bone mineral density loss of astronauts. PLoS One 15, e0226434 (2020).
pubmed: 31967993 pmcid: 6975633 doi: 10.1371/journal.pone.0226434
Kondo, H. et al. Oxidative stress and gamma radiation-induced cancellous bone loss with musculoskeletal disuse. J. Appl. Physiol. 108, 152–161 (2010).
pubmed: 19875718 doi: 10.1152/japplphysiol.00294.2009
Baxter, N. N., Habermann, E. B., Tepper, J. E., Durham, S. B. & Virnig, B. A. Risk of pelvic fractures in older women following pelvic irradiation. JAMA 294, 2587–2593 (2005).
pubmed: 16304072 doi: 10.1001/jama.294.20.2587
Lang, T. F., Leblanc, A. D., Evans, H. J. & Lu, Y. Adaptation of the proximal femur to skeletal reloading after long-duration spaceflight. J. Bone Min. Res. 21, 1224–1230 (2006).
doi: 10.1359/jbmr.060509
Smith, S. M. et al. Benefits for bone from resistance exercise and nutrition in long-duration spaceflight: Evidence from biochemistry and densitometry. J. Bone Min. Res. 27, 1896–1906 (2012).
doi: 10.1002/jbmr.1647
English, K. L., Lee, S. M. C., Loehr, J. A., Ploutz-Snyder, R. J. & Ploutz-Snyder, L. L. Isokinetic strength changes following long-duration spaceflight on the ISS. Aerosp. Med. Hum. Perform. 86, A68–A77 (2015).
pubmed: 26630197 doi: 10.3357/AMHP.EC09.2015
Crucian, B. E. et al. Countermeasures-based improvements in stress, immune system dysregulation and latent herpesvirus reactivation onboard the International Space Station - Relevance for deep space missions and terrestrial medicine. Neurosci. Biobehav. Rev. 115, 68–76 (2020).
pubmed: 32464118 doi: 10.1016/j.neubiorev.2020.05.007
Baca J., et al. Modular multi-motor exercise system for space exploration. SN Appl. Sci. https://doi.org/10.1007/s42452-020-2315-1 (2020).
Smith, S. M., Zwart, S. R., Block, G., Rice, B. L. & Davis-Street, J. E. The nutritional status of astronauts is altered after long-term space flight aboard the International Space Station. J. Nutr. 135, 437–443 (2005).
pubmed: 15735075 doi: 10.1093/jn/135.3.437
Smith, S., Heer, M., Zwart, S. Nutrition and human space flight: Evidence from 4–6 month missions to the International Space Station. Curr. Dev. Nutr. 1146–1146. (2020).
Schuelke, M. et al. Myostatin mutation associated with gross muscle hypertrophy in a child. N. Engl. J. Med. 350, 2682–2688 (2004).
pubmed: 15215484 doi: 10.1056/NEJMoa040933
Becker, C. et al. Myostatin antibody (LY2495655) in older weak fallers: a proof-of-concept, randomised, phase 2 trial. Lancet Diabetes Endocrinol. 3, 948–957 (2015).
pubmed: 26516121 doi: 10.1016/S2213-8587(15)00298-3
Saremi, A. et al. Effects of oral creatine and resistance training on serum myostatin and GASP-1. Mol. Cell Endocrinol. 317, 25–30 (2010).
pubmed: 20026378 doi: 10.1016/j.mce.2009.12.019
Boyden, L. M. et al. High bone density due to a mutation in LDL-receptor–related Protein 5. N. Engl. J. Med. 346, 1513–1521 (2002).
pubmed: 12015390 doi: 10.1056/NEJMoa013444
Saxon, L. K., Jackson, B. F., Sugiyama, T., Lanyon, L. E. & Price, J. S. Analysis of multiple bone responses to graded strains above functional levels, and to disuse, in mice in vivo show that the human Lrp5 G171V High Bone Mass mutation increases the osteogenic response to loading but that lack of Lrp5 activity reduces it. Bone 49, 184–193 (2011).
pubmed: 21419885 pmcid: 3121951 doi: 10.1016/j.bone.2011.03.683
de la Chapelle, A., Träskelin, A. L. & Juvonen, E. Truncated erythropoietin receptor causes dominantly inherited benign human erythrocytosis. Proc. Natl Acad. Sci. USA 90, 4495–4499 (1993).
pubmed: 8506290 pmcid: 46538 doi: 10.1073/pnas.90.10.4495
Weisgraber, K. H., Bersot, T. P., Mahley, R. W., Franceschini, G. & Sirtori, C. R. A-Imilano apoprotein. Isolation and characterization of a cysteine-containing variant of the A-I apoprotein from human high density lipoproteins. J. Clin. Invest. 66, 901–907 (1980).
pubmed: 6776144 pmcid: 371524 doi: 10.1172/JCI109957
Gualandri, V. et al. AIMilano apoprotein identification of the complete kindred and evidence of a dominant genetic transmission. Am. J. Hum. Genet. 37, 1083–1097 (1985).
pubmed: 3936350 pmcid: 1684746
Shah, P. K. HDL/apoA-I infusion for atherosclerosis management: an emerging therapeutic paradigm. Future Lipidol. 55–64 (2006).
Hauptmann, M., Mohan, A. K., Doody, M. M., Linet, M. S. & Mabuchi, K. Mortality from diseases of the circulatory system in radiologic technologists in the United States. Am. J. Epidemiol. 157, 239–248 (2003).
pubmed: 12543624 doi: 10.1093/aje/kwf189
Yamada, M., Naito, K., Kasagi, F., Masunari, N. & Suzuki, G. Prevalence of atherosclerosis in relation to atomic bomb radiation exposure: an RERF Adult Health Study. Int J. Radiat. Biol. 81, 821–826 (2005).
pubmed: 16484151 doi: 10.1080/09553000600555504
Meerman, M. et al. Myocardial disease and long-distance space travel: solving the radiation problem. Front. Cardiovasc. Med. 8, 631985 (2021).
pubmed: 33644136 pmcid: 7906998 doi: 10.3389/fcvm.2021.631985
Guevara-Aguirre, J. et al. Growth hormone receptor deficiency is associated with a major reduction in pro-aging signaling, cancer, and diabetes in humans. Sci. Transl. Med. 3, 70ra13 (2011).
pubmed: 21325617 pmcid: 3357623 doi: 10.1126/scitranslmed.3001845
Coschigano, K. T. et al. Deletion, but not antagonism, of the mouse growth hormone receptor results in severely decreased body weights, insulin, and insulin-like growth Factor I levels and increased life span. Endocrinology 144, 3799–3810 (2003).
pubmed: 12933651 doi: 10.1210/en.2003-0374
Poulain, M. et al. Specific features of the oldest old from the Longevity Blue Zones in Ikaria and Sardinia. Mech. Ageing Dev. 198, 111543 (2021).
pubmed: 34265327 doi: 10.1016/j.mad.2021.111543
Schagatay, E. Human breath-hold diving ability and the underlying physiology. Hum. Evol. 29, 125–140 (2014).
Ilardo, M. A. et al. Physiological and genetic adaptations to diving in sea nomads. Cell 173, 569–580.e15 (2018).
pubmed: 29677510 doi: 10.1016/j.cell.2018.03.054
Wang, V., Davis, D. A., Haque, M., Eric Huang, L. & Yarchoan, R. Differential gene up-regulation by Hypoxia-Inducible Factor-1α and Hypoxia-Inducible Factor-2α in HEK293T cells. Cancer Res. 65, 3299–3306 (2005).
pubmed: 15833863 doi: 10.1158/0008-5472.CAN-04-4130
Beall, C. M. Two routes to functional adaptation: Tibetan and Andean high-altitude natives. Proc. Natl Acad. Sci. USA. 104, 8655–8660 (2007).
pubmed: 17494744 pmcid: 1876443 doi: 10.1073/pnas.0701985104
Yang, J. et al. Genetic signatures of high-altitude adaptation in Tibetans. Proc. Natl Acad. Sci. USA 114, 4189–4194 (2017).
pubmed: 28373541 pmcid: 5402460 doi: 10.1073/pnas.1617042114
Beheshti, A., Cekanaviciute, E., Smith, D. J. & Costes, S. V. Global transcriptomic analysis suggests carbon dioxide as an environmental stressor in spaceflight: A systems biology GeneLab case study. Sci. Rep. 8, 4191 (2018).
pubmed: 29520055 pmcid: 5843582 doi: 10.1038/s41598-018-22613-1
Ranciaro, A. et al. Genetic origins of lactase persistence and the spread of pastoralism in Africa. Am. J. Hum. Genet. 94, 496–510 (2014).
pubmed: 24630847 pmcid: 3980415 doi: 10.1016/j.ajhg.2014.02.009
Fumagalli, M. et al. Greenlandic Inuit show genetic signatures of diet and climate adaptation. Science 349, 1343–1347 (2015).
pubmed: 26383953 doi: 10.1126/science.aab2319
Neeha, V. S. & Kinth, P. Nutrigenomics research: a review. J. Food Sci. Technol. 50, 415–428 (2013).
pubmed: 24425937 doi: 10.1007/s13197-012-0775-z
Guest, N. S., Horne, J., Vanderhout, S. M. & El-Sohemy, A. Sport nutrigenomics: personalized nutrition for athletic performance. Front. Nutr. 6, 8 (2019).
pubmed: 30838211 pmcid: 6389634 doi: 10.3389/fnut.2019.00008
Zwart, S. R. et al. Genotype, B-vitamin status, and androgens affect spaceflight-induced ophthalmic changes. FASEB J. 30, 141–148 (2016).
pubmed: 26316272 doi: 10.1096/fj.15-278457
Crucian, B. E. et al. Immune system dysregulation during spaceflight: potential countermeasures for deep space exploration missions. Front. Immunol. 9, 1437 (2018).
pubmed: 30018614 pmcid: 6038331 doi: 10.3389/fimmu.2018.01437
Sun, C. et al. SIRT1 improves insulin sensitivity under insulin-resistant conditions by repressing PTP1B. Cell Metab. 6, 307–319 (2007).
pubmed: 17908559 doi: 10.1016/j.cmet.2007.08.014
Hughson, R. L. et al. Increased postflight carotid artery stiffness and inflight insulin resistance resulting from 6-mo spaceflight in male and female astronauts. Am. J. Physiol. Heart Circ. Physiol. 310, H628–H638 (2016).
pubmed: 26747504 doi: 10.1152/ajpheart.00802.2015
Ahn, J., Lee, H., Kim, S. & Ha, T. Curcumin-induced suppression of adipogenic differentiation is accompanied by activation of Wnt/beta-catenin signaling. Am. J. Physiol. Cell Physiol. 298, C1510–C1516 (2010).
pubmed: 20357182 doi: 10.1152/ajpcell.00369.2009
Shammas, M. A. Telomeres, lifestyle, cancer, and aging. Curr. Opin. Clin. Nutr. Metab. Care 14, 28–34 (2011). pp.
pubmed: 21102320 pmcid: 3370421 doi: 10.1097/MCO.0b013e32834121b1
Shiota, C. et al. Flavones inhibit LPS-induced Atrogin-1/MAFbx Expression in mouse C2C12 skeletal Myotubes. J. Nutr. Sci. Vitaminol. 61, 188–194 (2015).
pubmed: 26052151 doi: 10.3177/jnsv.61.188
Adorni, M. P., Zimetti, F., Lupo, M. G., Ruscica, M. & Ferri, N. Naturally occurring PCSK9 inhibitors. Nutrients 12, 1440 (2020).
pubmed: 32429343 pmcid: 7284437 doi: 10.3390/nu12051440
Daniell, H. et al. Affordable oral proinsulin bioencapsulated in plant cells regulates blood sugar levels similar to natural insulin. Biomaterials 298, 122142 (2023).
pubmed: 37148757 pmcid: 10219636 doi: 10.1016/j.biomaterials.2023.122142
Mortimer, J. C. & Gilliham, M. SpaceHort: redesigning plants to support space exploration and on-earth sustainability. Curr. Opin. Biotechnol. 73, 246–252 (2021).
pubmed: 34563931 doi: 10.1016/j.copbio.2021.08.018
Schmidt, M. A., Schmidt, C. M., Goodwin, T. J. Pharmacogenomics in Spaceflight: A Foundation of Personalized Medicine in Astronauts. (2019).
Pathak, Y., dos Santos, M., & Zea, L., (Eds). Handbook of Space Pharmaceuticals. Springer Nature. Cham. https://doi.org/10.1007/978-3-319-50909-9_26-1 .
Wilke, R. A. et al. The clinical pharmacogenomics implementation consortium: CPIC guideline for SLCO1B1 and simvastatin‐induced myopathy. Clin. Pharmacol. Ther. 92, 112–117 (2012).
pubmed: 22617227 pmcid: 3384438 doi: 10.1038/clpt.2012.57
Chanfreau-Coffinier, C., Hull, L. E., Lynch, J. A. & Tuteja, S. Projected prevalence of actionable pharmacogenetic variants and level a drugs prescribed among US veterans health administration pharmacy users. JAMA Netw. Open 2, e195345 (2019).
pubmed: 31173123 pmcid: 6563578 doi: 10.1001/jamanetworkopen.2019.5345
Schmidt, M. A., Jones, J. A. & Mason, C. E. Optimizing human performance in extreme environments through precision medicine: From spaceflight to high-performance operations on Earth. Cambridge Prisms: Precision. Medicine 1, E27 (2023).
Sven, J. J. et al. Pharmacogenetics: from bench to byte-an update of guidelines. Clin. Pharmacol. Ther. 89, 662–673 (2011).
doi: 10.1038/clpt.2011.34
Rutter, L. et al. A new era for space life science: International Standards for Space Omics Processing. Patterns 1, 100148 (2020).
pubmed: 33336201 pmcid: 7733874 doi: 10.1016/j.patter.2020.100148
Rutter, L. et al. Astronaut omics and the impact of space on the human body at scale. Nat. Commun. (2024).
Kim, M. S. et al. Testing the generalizability of ancestry-specific polygenic risk scores to predict prostate cancer in sub-Saharan Africa. Genome Biol. 23, 194 (2022).
pubmed: 36100952 pmcid: 9472407 doi: 10.1186/s13059-022-02766-z
Wang, Q. et al. Rare variant contribution to human disease in 281,104 UK Biobank exomes. Nature 597, 527–532 (2021).
pubmed: 34375979 pmcid: 8458098 doi: 10.1038/s41586-021-03855-y
Liew, S.-C. & Gupta, E. D. Methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism: epidemiology, metabolism and the associated diseases. Eur. J. Med. Genet. 58, 1–10 (2015).
pubmed: 25449138 doi: 10.1016/j.ejmg.2014.10.004
Rosenfeld, J. A., Mason, C. E. & Smith, T. M. Limitations of the human reference genome for personalized genomics. PLoS One 7, e40294 (2012).
pubmed: 22811759 pmcid: 3394790 doi: 10.1371/journal.pone.0040294
Tomás-Loba, A. et al. Telomerase reverse transcriptase delays aging in cancer-resistant mice. Cell 135, 609–622 (2008).
pubmed: 19013273 doi: 10.1016/j.cell.2008.09.034
Rashid, S. et al. Decreased plasma cholesterol and hypersensitivity to statins in mice lacking Pcsk9. Proc. Natl Acad. Sci. USA 102, 5374–5379 (2005).
pubmed: 15805190 pmcid: 556275 doi: 10.1073/pnas.0501652102
Schmidt, A. F. et al. PCSK9 genetic variants and risk of type 2 diabetes: a mendelian randomisation study. Lancet Diabetes Endocrinol. 5, 97–105 (2017).
pubmed: 27908689 pmcid: 5266795 doi: 10.1016/S2213-8587(16)30396-5
Jones, C. J., et al. Molecular and physiologic changes in the SpaceX Inspiration4 civilian crew. Nature. https://doi.org/10.1038/s41586-024-07648-x . (2024).
Halama, N. et al. Tumoral immune cell exploitation in colorectal cancer metastases can be targeted effectively by Anti-CCR5 therapy in cancer patients. Cancer Cell 29, 587–601 (2016).
pubmed: 27070705 doi: 10.1016/j.ccell.2016.03.005
Hütter, G. et al. Long-term control of HIV by CCR5 Delta32/Delta32 stem-cell transplantation. N. Engl. J. Med. 360, 692–698 (2009).
pubmed: 19213682 doi: 10.1056/NEJMoa0802905
Lin, C.-S. et al. The CCL5/CCR5 axis promotes vascular smooth muscle cell proliferation and atherogenic phenotype switching. Cell Physiol. Biochem. 47, 707–720 (2018).
pubmed: 29794461 doi: 10.1159/000490024
Perez-Martinez, L. et al. Maraviroc, a CCR5 antagonist, ameliorates the development of hepatic steatosis in a mouse model of non-alcoholic fatty liver disease (NAFLD). J. Antimicrob. Chemother. 69, 1903–1910 (2014).
pubmed: 24651825 doi: 10.1093/jac/dku071
Joy, M. T. et al. CCR5 is a therapeutic target for recovery after stroke and traumatic brain injury. Cell 176, 1143–1157.e13 (2019).
pubmed: 30794775 pmcid: 7259116 doi: 10.1016/j.cell.2019.01.044
Klein, R. S. A moving target: the multiple roles of CCR5 in infectious diseases. J. Infect. Dis. 197, 183–186 (2008).
pubmed: 18179384 doi: 10.1086/524692
Woodward, W. A. et al. WNT/beta-catenin mediates radiation resistance of mouse mammary progenitor cells. Proc. Natl Acad. Sci. 104, 618–623 (2007).
pubmed: 17202265 pmcid: 1766434 doi: 10.1073/pnas.0606599104
Liu, X. et al. β-Catenin overexpression in malignant glioma and its role in proliferation and apoptosis in glioblastma cells. Med. Oncol. 28, 608–614 (2011).
pubmed: 20300972 doi: 10.1007/s12032-010-9476-5
Robling, A. G., Castillo, A. B., Turner, C. H. Biomechanical and molecular regulation of bone remodeling. Ann. Rev. Biomed. Eng. 455–498. (2006).
Wilbrey-Clark, A., Roberts, K. & Teichmann, S. A. Cell Atlas technologies and insights into tissue architecture. Biochem. J. 477, 1427–1442 (2020).
pubmed: 32339226 doi: 10.1042/BCJ20190341
Guéguinou, N. et al. Could spaceflight-associated immune system weakening preclude the expansion of human presence beyond Earth’s orbit? J. Leukoc. Biol. 86, 1027–1038 (2009).
pubmed: 19690292 doi: 10.1189/jlb.0309167
Satoh, A. et al. Sirt1 extends life span and delays aging in mice through the regulation of Nk2 homeobox 1 in the DMH and LH. Cell Metab. 18, 416–430 (2013).
pubmed: 24011076 pmcid: 3794712 doi: 10.1016/j.cmet.2013.07.013
Herranz, D. et al. Sirt1 improves healthy ageing and protects from metabolic syndrome-associated cancer. Nat. Commun. 1, 3 (2010).
pubmed: 20975665 doi: 10.1038/ncomms1001
Mason, C. E. The Next 500 Years: Engineering Life to Reach New Worlds. MIT Press; 2021.
Savitsky, K. et al. A single ataxia telangiectasia gene with a product similar to PI-3 kinase. Science 268, 1749–1753 (1995).
pubmed: 7792600 doi: 10.1126/science.7792600
Pluth, J. M. et al. DNA double-strand break and chromosomal rejoining defects with misrejoining in Nijmegen breakage syndrome cells. DNA Repair 7, 108–118 (2008).
pubmed: 17919995 doi: 10.1016/j.dnarep.2007.08.004
di Masi, A. & Antoccia, A. NBS1 heterozygosity and cancer risk. Curr. Genomics 9, 275–281 (2008).
pubmed: 19452044 pmcid: 2682932 doi: 10.2174/138920208784533610
Waltes, R. et al. Human RAD50 deficiency in a Nijmegen Breakage Syndrome-like disorder. Am. J. Hum. Genet. 84, 605–616 (2009).
pubmed: 19409520 pmcid: 2681000 doi: 10.1016/j.ajhg.2009.04.010
Hall, E. J., Brenner, D. J., Worgul, B. & Smilenov, L. Genetic susceptibility to radiation. Adv. Space Res. 35, 249–253 (2005). pp.
pubmed: 15934202 doi: 10.1016/j.asr.2004.12.032
Komarova, E. A. et al. Dual effect of p53 on radiation sensitivity in vivo: p53 promotes hematopoietic injury, but protects from gastro-intestinal syndrome in mice. Oncogene 23, 3265–3271 (2004).
pubmed: 15064735 doi: 10.1038/sj.onc.1207494
Romeo, S. et al. Genetic variation in PNPLA3 confers susceptibility to nonalcoholic fatty liver disease. Nat. Genet 40, 1461–1465 (2008).
pubmed: 18820647 pmcid: 2597056 doi: 10.1038/ng.257
Abul-Husn, N. S. et al. A protein-truncating HSD17B13 variant and protection from chronic liver disease. N. Engl. J. Med 378, 1096–1106 (2018).
pubmed: 29562163 pmcid: 6668033 doi: 10.1056/NEJMoa1712191
Beheshti, A. et al. Multi-omics analysis of multiple missions to space reveal a theme of lipid dysregulation in mouse liver. Sci. Rep. 9, 19195 (2019).
pubmed: 31844325 pmcid: 6915713 doi: 10.1038/s41598-019-55869-2
da Silveira, W. A. et al. Comprehensive multi-omics analysis reveals mitochondrial stress as a central biological hub for spaceflight impact. Cell 183, 1185–1201.e20 (2020).
pubmed: 33242417 pmcid: 7870178 doi: 10.1016/j.cell.2020.11.002
Fernandez, H. R., Varma, A., Flowers, S. A. & Rebeck, G. W. Cancer chemotherapy related cognitive impairment and the impact of the Alzheimer’s disease risk factor APOE. Cancers 12, 3842 (2020).
pubmed: 33352780 pmcid: 7766535 doi: 10.3390/cancers12123842
Ahles, T. A. et al. Longitudinal assessment of cognitive changes associated with adjuvant treatment for breast cancer: The impact of APOE and smoking. Psycho-Oncol. 23, 1382–1390 (2014).
doi: 10.1002/pon.3545
Mandelblatt, J. S. et al. Cancer-related cognitive outcomes among older breast cancer survivors in the thinking and living. Cancer Study J. Clin. Oncol. 36, 3211–3222 (2018).
Cramer, C. K. et al. Treatment of radiation-induced cognitive decline in adult brain tumor patients. Curr. Treat. Options Oncol. (2017).
Makale, M. T. et al. Mechanisms of radiotherapy-associated cognitive disability in patients with brain tumors. Nat. Rev. Neurol. 133, 52–64 (2017).
doi: 10.1038/nrneurol.2016.185
Rosendaal, F. R., Koster, T., Vandenbroucke, J. P. & Reitsma, P. H. High risk of thrombosis in patients homozygous for factor V Leiden (activated protein C resistance). Blood 85, 1504–1508 (1995).
pubmed: 7888671 doi: 10.1182/blood.V85.6.1504.bloodjournal8561504
Cannegieter, S. C., Doggen, C. J. M., van Houwelingen, H. C. & Rosendaal, F. R. Travel-related venous thrombosis: results from a large population-based case control study (MEGA study). PLoS Med. 3, e307 (2006).
pubmed: 16933962 pmcid: 1551914 doi: 10.1371/journal.pmed.0030307
Jain, V. & Wotring, V. E. Medically induced amenorrhea in female astronauts. NPJ Microgravity 2, 16008 (2016).
pubmed: 28725726 pmcid: 5516549 doi: 10.1038/npjmgrav.2016.8
Clarke, M. J., Broderick, C., Hopewell, S., Juszczak, E. & Eisinga, A. Compression stockings for preventing deep vein thrombosis in airline passengers. Cochrane Database Syst. Rev. 4, CD004002 (2021).
pubmed: 33878207
Griko, Y. V., Loftus, D. J., Stolc, V. & Peletskaya, E. Private spaceflight: a new landscape for dealing with medical risk. Life Sci. Space Res. 33, 41–47 (2022).
doi: 10.1016/j.lssr.2022.03.001
Seylani, A. et al. Ethical considerations for the age of non-governmental space exploration. Nat. Commun. In press. (2024).
Ray, S. et al. GeneLab: Omics database for spaceflight experiments. Bioinformatics 35, 1753–1759 (2019).
pubmed: 30329036 doi: 10.1093/bioinformatics/bty884
Urquieta, E., Wu, J., Hury, J. & Donoviel, D. Establishment of an open biomedical database for commercial spaceflight. Nat. Med. 28, 611–612 (2022).
pubmed: 35318465 doi: 10.1038/s41591-022-01761-y
Mega, J. L. et al. Reduced-function CYP2C19 genotype and risk of adverse clinical outcomes among patients treated with clopidogrel predominantly for PCI: a meta-analysis. JAMA 304, 1821–1830 (2010).
pubmed: 20978260 pmcid: 3048820 doi: 10.1001/jama.2010.1543
Chapman, P. B. et al. Improved survival with vemurafenib in melanoma with BRAF V600E mutation. N. Engl. J. Med. 364, 2507–2516 (2011).
pubmed: 21639808 pmcid: 3549296 doi: 10.1056/NEJMoa1103782
Cope, H. et al. A data collection programme for improving healthcare in UK human spaceflight ventures. J. Br. Interplanet. Soc. 76, 213–220 (2023).
doi: 10.59332/jbis-076-06-0213
Frangoul, H. et al. CRISPR-Cas9 gene editing for sickle cell disease and β-Thalassemia. N. Engl. J. Med. 384, 252–260 (2021).
pubmed: 33283989 doi: 10.1056/NEJMoa2031054
Szocik, K. et al. Future space missions and human enhancement: Medical and ethical challenges. Futures 133, 102819 (2021).
doi: 10.1016/j.futures.2021.102819
Knoppers, B. M. & Thorogood, A. M. Ethics and big data in health. Curr. Opin. Syst. Biol. 4, 53–57 (2017).
doi: 10.1016/j.coisb.2017.07.001
Winglee, R. Advances in magnetized plasma propulsion and radiation shielding. Proceedings. 2004 NASA/DoD Conference on Evolvable Hardware. https://doi.org/10.1109/eh.2004.1310849 (2004).
Hargens, A. R., Bhattacharya, R. & Schneider, S. M. Space physiology VI: exercise, artificial gravity, and countermeasure development for prolonged space flight. Eur. J. Appl. Physiol. 113, 2183–2192 (2013).
pubmed: 23079865 doi: 10.1007/s00421-012-2523-5
Nangle, S. N. et al. The case for biotech on Mars. Nat. Biotechnol. 38, 401–407 (2020).
pubmed: 32265561 doi: 10.1038/s41587-020-0485-4
Church, C. Protective alleles. [cited 21 Aug 2023]. Available: https://arep.med.harvard.edu/gmc/protect.html
Overbey, E. G., et al. The Space Omics and Medical Atlas (SOMA) and international astronaut biobank. Nature https://doi.org/10.1038/s41586-024-07639-y (2024).
Mason, C. E., et al. A second space age spanning omics, platforms, and medicine across orbits. Nature https://doi.org/10.1038/s41586-024-07586-8 (2024).
Kim, J., et al. Single-cell multi-ome and immune profiles of the Inspiration4 crew reveal conserved, cell-type, and sex-specific responses to spaceflight. Nat. Commun. https://doi.org/10.1038/s41467-024-49211-2 . (2024).
Tierney, B., et al. Longitudinal multi-omics analysis of host microbiome architecture and immune responses during short-term spaceflight. Nat. Microbiol. https://doi.org/10.1038/s41564-024-01635-8 . (2024).
Park J., et al. Spatial multi-omics of human skin reveals KRAS and inflammatory responses to spaceflight. Nat. Commun. https://doi.org/10.1038/s41467-024-48625-2 . (2024).
Overbey, E. G., et al. Collection of biospecimens from the Inspiration4 Mission establishes the standards for the Space Omics and Medical Atlas (SOMA). Nat. Commun. https://doi.org/10.1038/s41467-024-48806-z . (2024).
Houerbi, N., et al. Secretome profiling reveals acute changes in oxidative stress, brain homeostasis, and coagulation following short-duration spaceflight. Nat. Commun. https://doi.org/10.1038/s41467-024-48841-w . (2024).
Grigorev, K. et al. Direct RNA sequencing of astronaut blood reveals spaceflight-associated m6A increases and hematopoietic transcriptional responses. Nat. Commun. https://doi.org/10.1038/s41467-024-48929-3 . (2024).
Garcia Medina, S. Genome and Clonal Hematopoiesis stability contrasts with immune, cfDNA, mitochondrial, and telomere length changes to short duration spaceflight. Precis. Clin. Med. In press. https://doi.org/10.1093/pcmedi/pbae007 . (2024).

Auteurs

Lindsay A Rutter (LA)

Transborder Medical Research Center, University of Tsukuba, Ibaraki, 305-8575, Japan.
Department of Genome Biology, Institute of Medicine, University of Tsukuba, Ibaraki, 305-8575, Japan.
School of Chemistry, University of Glasgow, Glasgow, G12 8QQ, UK.

Matthew J MacKay (MJ)

Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, 10065, USA.
The HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA.
The WorldQuant Initiative for Quantitative Prediction, Weill Cornell Medicine, New York, NY, 10065, USA.

Henry Cope (H)

School of Medicine, University of Nottingham, Nottingham, DE22 3DT, UK.

Nathaniel J Szewczyk (NJ)

School of Medicine, University of Nottingham, Nottingham, DE22 3DT, UK.
Ohio Musculoskeletal and Neurological Institute (OMNI), Heritage College of Osteopathic Medicine, Ohio University, Athens, OH, 45701, USA.

JangKeun Kim (J)

Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, 10065, USA.
The HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA.

Eliah Overbey (E)

Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, 10065, USA.
The HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA.

Braden T Tierney (BT)

Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, 10065, USA.
The HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA.

Masafumi Muratani (M)

Transborder Medical Research Center, University of Tsukuba, Ibaraki, 305-8575, Japan.
Department of Genome Biology, Institute of Medicine, University of Tsukuba, Ibaraki, 305-8575, Japan.

Ben Lamm (B)

Colossal Biosciences, 1401 Lavaca St, Unit #155 Austin, Austin, TX, 78701, USA.

Daniela Bezdan (D)

Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
NGS Competence Center Tübingen (NCCT), University of Tübingen, Tübingen, Germany.
Yuri GmbH, Meckenbeuren, Germany.

Amber M Paul (AM)

Embry-Riddle Aeronautical University, Department of Human Factors and Behavioral Neurobiology, Daytona Beach, FL, 32114, USA.

Michael A Schmidt (MA)

Sovaris Aerospace, Boulder, CO, 80302, USA. mschmidtphd@patternanalysis.org.
Advanced Pattern Analysis & Human Performance Group, Boulder, CO, 80302, USA. mschmidtphd@patternanalysis.org.

George M Church (GM)

GC Therapeutics Inc, Cambridge, MA, 02139, USA. gc@hms.harvard.edu.
Department of Genetics, Harvard Medical School, Boston, MA, 02115, USA. gc@hms.harvard.edu.
Wyss Institute for Biologically Inspired Engineering, Harvard University, Cambridge, MA, 02115, USA. gc@hms.harvard.edu.

Stefania Giacomello (S)

SciLifeLab, KTH Royal Institute of Technology, Stockholm, 17165, Sweden. stefania.giacomello@scilifelab.se.

Christopher E Mason (CE)

Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, 10065, USA. chm2042@med.cornell.edu.
The HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA. chm2042@med.cornell.edu.
The WorldQuant Initiative for Quantitative Prediction, Weill Cornell Medicine, New York, NY, 10065, USA. chm2042@med.cornell.edu.
Wyss Institute for Biologically Inspired Engineering, Harvard University, Cambridge, MA, 02115, USA. chm2042@med.cornell.edu.
The Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY, 10065, USA. chm2042@med.cornell.edu.

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