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Preflight virtual reality training as a countermeasure for space motion sickness and disorientation.

INTRODUCTION: Research suggests that preflight training in virtual reality devices can simulate certain aspects of microgravity and may prove to be an effective countermeasure for space motion sickness (SMS) and spatial disorientation (SD). It is hypothesized that exposing subjects preflight to variable virtual orientations, similar to those encountered during spaceflight, will reduce the incidence and/or severity of SMS and SD. METHODS: Subjects were assigned to either a variable training (VT) or nonvariable training (NVT) condition to perform a simple navigation and switch activation task in a virtual space station. VT subjects performed the task starting in several different orientations, whereas NVT subjects always performed the task starting in the same orientation. On a separate day, all subjects then performed the same task in a transfer of training session starting from a novel orientation. RESULTS: When exposed to the novel test orientation, VT subjects performed the tasks more quickly (12%) and with fewer nausea symptoms (53%) than during the training session, compared with NVT subjects who performed more slowly (6%) and with more nausea symptoms (28%). Both VT and NVT conditions were effective in reducing the number of wall hits in the novel orientation (39% and 34%, respectively). DISCUSSION: These results demonstrate the effectiveness of using variable training in a virtual environment for reducing nausea and improving task performance in potentially disorienting surroundings, and suggest that such training may be developed into an effective countermeasure for SMS, SD, and associated performance decrements that occur in spaceflight.

Adult↗

Effect of dry immersion in combination with stimulation of foot support zones upon muscle force-velocity characteristics.

The complex of motor disturbances arising under conditions of real and simulated microgravity that include decrease of contractile characteristics of postural muscles is likely to be a result of withdrawal of support stimuli. Artificial stimulation of support zones of feet is shown to diminish partially or prevent completely the negative effects of microgravity on the motor system. The aim of the study was to evaluate and compare the changes of contractile properties of extensors and flexors of knee joint measured in isokinetic and isotonic regimes under conditions of simulated microgravity (7 days dry immersion).

Foot↗

The effect of a microgravity (space) environment on the expression of expansins from the peg and root tissues of Cucumis sativus.

In young cucumber seedlings, the peg is a polar outgrowth of tissue that functions by snagging the seed coat, thereby freeing the cotyledons. The development of the peg is thought to be gravity-dependent and has become a model system for plant-gravity response. Peg development requires rapid cell expansion, a process thought to be catalyzed by alpha-expansins, and thus was a good system to identify expansins that were regulated by gravity. This study identified 7 new alpha-expansin cDNAs from cucumber seedlings (Cucumis sativus L. cv Burpee Hybrid II) and examined their expression patterns. Two alpha-expansins (CsExp3 and CsExp4) were more highly expressed in the peg and the root. Earlier reports stated that pegs tend not to form in the absence of gravity, so the expression levels were compared in the pegs of seedlings grown in space (STS-95), on a clinostat, and on earth (1 g). Pegs were observed to form at high frequency on clinostat and space-grown seedlings, yet on clinostats there was more than a 4-fold reduction in the expression of CsExp3 in the pegs of seedlings grown on clinostats vs. those grown at 1 g, while the CsExp4 gene appeared to be turned off (below detection limits). There were no detectable differences in expansin gene expression levels for the pegs of seedlings grown in space or in the orbiter environmental simulator (OES) (1 g) at NASA. The microgravity environment did not affect the expression of CsExp3 or CsExp4, and the clinostat did not simulate the microgravity environment well.

Cucumis sativus↗

Possible mechanisms of indirect gravity sensing by cells.

We have to distinguish between (a) direct gravisensing, in which specialized cells function as parts of a gravisensing organ and (b) indirect gravisensing, in which other cells that have no specialized gravity detectors are nevertheless affected by the inertial acceleration. In both cases, cells may detect (a) the direction of gravity ("up" versus "down"), and /or (b) the amplitude (0 - 1 g) of gravity. This chapter argues that the weight of single normal-sized cells (approximately 10 microns in diameter) is too small compared with other cellular forces to allow them the distinction between up and down. However, the weight of the surrounding medium is much larger. Cells may be able to sense certain environmental changes caused by gravity and thus may sense indirectly at least the amplitude of gravitational forces. In particular, the fluid environment of the cell can be expected at normal gravity to support microconvective currents that cease to flow at microgravity. Thus, the absence of gravity may be transduced into the accumulation of metabolites and ions from the cells and depletion of fresh nutrients. These changes, in turn, can affect the contacts of cells, their membrane potential, their cytoskeleton, and thus, ultimately, their behavior. As to ground-based simulations of microgravity, the above considerations suggest that the averaging of the vectorial force of gravity in clinorotation is inadequate for simulation because it may actually increase rather than suppress convective mixing above the normal levels.

Animals↗

[The progress in research on the mechanisms of the effects of blood volume reduction on orthostatic tolerance after microgravity or simulated microgravity].

Orthostatic intolerance commonly occurs after spaceflight, but its mechanisms remain to be clarified. It is believed that the reduction of blood volume might be one of the important factors. So the current countermeasures against orthostatic intolerance are aimed to control the changes of blood volume. The main differences between physiological effects of microgravity and simulated microgravity on humans appear in the circulation of the low pressure side and in humoral and electrolyte metabolism. Reflexes elicited from the low pressure side are very important for regulation of the extracellular fluids. The authors postulated that for a further understanding of mechanisms of orthostatic intolerance after spaceflight and to establish appropriate countermeasures against orthostatic intolerance, it is important to study the course of changes of the circulation in the low pressure side and the reflexes thus elicited with more appropriate method of simulation.

Adaptation, Physiological↗

Muscle sympathetic nerve activity (MSNA) after 120 days of 6 degrees head-down bed rest (HDBR).

The alterations in the sympathetic nervous system are commonly seen after spaceflight and its ground-based simulation model, 6 degrees head-down bed rest (HDBR). Several studies have examined the effect of HDBR for a few days or a weeks on the vasomotor sympathetic tone at rest. However, it remains unclear how a long-lasting (>50 days) HDBR affects resting vasomotor sympathetic nervous activity. Consequently, we measured muscle sympathetic nerve activity (MSNA) in six healthy male volunteers (range, 26-42 years) in a resting supine position before and after 60 and 120 days of HDBR. MSNA was measured directly from the tibial nerve using a microneurographic technique. Resting supine MSNA significantly increased after 60 (28.2 +/- 2.7 bursts/min) and 120 (29.4 +/- 4.2 bursts/min) days of HDBR compared with the pre-HDBR level (19.0 +/- 2.3 bursts/min). Heart rate was significantly higher after 60 (73 +/- 2 beats/min) and 120 (72 +/- 3 beats/min) days of HDBR than before (65 +/- 2 beats/min). In contrast, mean blood pressure remained unchanged during and after 120 days of HDBR. In conclusion, the resting vasomotor sympathetic tone increased after long-lasting simulated microgravity.

Adult↗

Muscle sympathetic nerve activity during handgrip and post-handgrip muscle ischemia after exposure to simulated microgravity in humans.

To examine the effect of 6 degrees head-down bed rest (HDBR) on vasomotor sympathetic responses to isometric forearm exercise, 16 healthy male subjects aged 20-36 years performed voluntary isometric handgrip (HG) at 30% of maximal voluntary contraction until fatigue, followed by 2 min of post-handgrip muscle ischemia (PHGMI) with 250 mmHg of cuff inflation, before and after 14 days of HDBR. Time to fatigue and maximal voluntary HG force were not affected by HDBR. Pre-exercise baseline muscle sympathetic nerve activity (MSNA, measured by microneurography), heart rate (measured by electrocardiogram) and mean blood pressure (measured by Portapres) increased after HDBR. Increases in MSNA were similar during HG but significantly lower during PHGMI (P < 0.01) after HDBR. Responses of heart rate and mean blood pressure during HG and PHGMI were not affected by HDBR. These results suggest that the magnitude of muscle metaboreflex during isometric forearm exercise might be attenuated after 14 days of simulated microgravity.

Adult↗

Cardio-respiratory changes during the onset of head-down tilt.

BACKGROUND: During spaceflight, changes in the cardiovascular system and in pulmonary mechanics take place but no apparent impairment of respiratory function occurs. However, little is known about the first hours in microgravity. HYPOTHESIS: The changes occurring at the same time in the cardiovascular and pulmonary systems could interact and lead to a transient impairment of blood gases at the onset of microgravity. METHODS: Cardiovascular and respiratory changes were studied during 6 degrees head-down tilt (HDT), a now well-known method for simulation of microgravity. After a baseline standing position, 10 men were exposed to 4 h of 6 degrees HDT. Hemodynamic parameters were measured by thoracic electrical bioimpedance. Ventilatory parameters were studied by spirographic measurements and mass spectrometer analysis of expired gases. Arterial blood parameters were analyzed by specific electrodes. RESULTS: Immediately after tilting, stroke volume and cardiac output increased, as measured by thoracic bio-impedance, while heart rate and thoracic fluid index decreased. Blood gas analysis showed hypercapnia, acidosis and a tendency to hypoxia. These changes were related to hypoventilation shown by the decrease in minute ventilation. After usually less than 30 min, all the parameters reached a steady state. Return to the standing position provoked reverse variations with orthostatic intolerance in 4 subjects. CONCLUSION: Marked changes in both the cardiovascular and respiratory systems occur within the first minutes of HDT (i.e., transition to simulated microgravity).

Adult↗

Decongestant effects on hemodynamics at rest, exercise, and recovery from exercise during--6 degrees of head down tilt.

HYPOTHESIS: Ten males were studied to examine the effects of a decongestant, pseudoephedrine hydrochloride, on rest, exercise, and recovery from exercise during -6 degrees of head down tilt (HDT). METHODS: Subjects were positioned in the HDT for a total of 6 hr: 2 hr 45 min rest, 30 min exercise, and 2 hr 45 min recovery. Sessions were identical except for the ingestion of a drug or placebo. Variables evaluated during rest, exercise, and recovery conditions were: systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), stroke volume (SV), cardiac output (Q), pulse pressure (PP), mean arterial pressure (MAP), total peripheral resistance (TPR), and forearm blood flow (FBF). RESULTS: During rest PP at 120 min was less than resting baseline, and MAP increased throughout rest. There was a treatment effect for SBP which increased up to 90 min from resting baseline for the placebo treatment only. Normal changes were found with exercise, with all variables increasing above baseline except for TPR which decreased. DBP showed no change during exercise. During the recovery condition for the drug treatment HR decreased, while SBP increased from 30 min. In addition, DBP and MAP were higher for the placebo at 30 min and higher for the drug at 90 min. CONCLUSION: The results show that ingestion of the sympathomimetic agent pseudoephedrine hydrochloride has no significant effects on the cardiovascular system during simulated microgravity.

Adult↗

Human adaptation to simulated gravitational fields.

We present the resuIts of manned studies in which test subjects were exposed to simulated zero g (water immersion or head-down tilt at -6 degrees) and head-to-feet acceleration. The findings give evidence that humans have different individual tolerances to an acceleration of +3 Gz after exposure to zero g, whether simulated by immersion or by head-down tilt. The paper discusses the role of functional relationship between water balance and cardiac output in the establishment of adaptive reactions to simulated zero g.

Acceleration↗

In vitro modeling of human tibial strains during exercise in micro-gravity.

Prolonged exposure to micro-gravity causes substantial bone loss (Leblanc et al., Journal of Bone Mineral Research 11 (1996) S323) and treadmill exercise under gravity replacement loads (GRLs) has been advocated as a countermeasure. To date, the magnitudes of GRLs employed for locomotion in space have been substantially less than the loads imposed in the earthbound 1G environment, which may account for the poor performance of locomotion as an intervention. The success of future treadmill interventions will likely require GRLs of greater magnitude. It is widely held that mechanical tissue strain is an important intermediary signal in the transduction pathway linking the external loading environment to bone maintenance and functional adaptation; yet, to our knowledge, no data exist linking alterations in external skeletal loading to alterations in bone strain. In this preliminary study, we used unique cadaver simulations of micro-gravity locomotion to determine relationships between localized tibial bone strains and external loading as a means to better predict the efficacy of future exercise interventions proposed for bone maintenance on orbit. Bone strain magnitudes in the distal tibia were found to be linearly related to ground reaction force magnitude (R(2)>0.7). Strain distributions indicated that the primary mode of tibial loading was in bending, with little variation in the neutral axis over the stance phase of gait. The greatest strains, as well as the greatest strain sensitivity to altered external loading, occurred within the anterior crest and posterior aspect of the tibia, the sites furthest removed from the neutral axis of bending. We established a technique for estimating local strain magnitudes from external loads, and equations for predicting strain during simulated micro-gravity walking are presented.

Aged↗

Novel three-dimensional organoid model for evaluation of the interaction of uropathogenic Escherichia coli with terminally differentiated human urothelial cells.

Human bladder 5637 cells cultivated under microgravity conditions formed organoids that displayed characteristics of in vivo tissue-specific differentiation. Uropathogenic Escherichia coli (UPEC) strain CP9 colonized and penetrated the organoids and induced alpha-hemolysin-mediated exfoliation of uroepithelial cells. We propose these uro-organoids as models that simulate the interactions between UPEC and terminally differentiated human urothelium.

Cell Differentiation↗

Sympathetic nerve responses in humans to short and long term simulation of microgravity.

The present paper aimed to review findings obtained by our researches to elucidate sympathetic nerve mechanisms of cardiovascular deconditioning in humans exposed to short and long term simulation of microgravity. Sympathetic nerve activity in humans has been so far investigated using indirect methods by analyzing the activities of effector organs, such as heart rate, blood flow, blood pressure, sweating etc. or by measuring the plasma nor-adrenaline level. Now we have a technique called microneurography which has enabled us to measure directly the sympathetic nerve activity form human peripheral nerves. The microneurography technique was used for the first time before, during and after the Space Shuttle "Neurolab" mission launched in April 1998 to elucidate how sympathetic nerve activity in astronauts is modified by exposure to microgravity in space. In this paper, we would like to present our recent findings concerning sympathetic nerve responses to short and long term microgravity simulated by different methods.

Bed Rest↗

Does bed rest produce changes in orthostatic function comparable to those induced by space flight?

Use of bed rest to simulate microgravity exposure is not well validated. We compared heart rate (HR) and blood pressure (BP) responses to standing in bed-rest (BR) subjects (n=11) to those of two astronaut groups. One astronaut group (n=28) fluid loaded (FL) before landing by consuming a water and salt tablet mixture, the second astronaut group (n=8) did not (NL). Bed-rest or microgravity exposure lasted approximately 7.0 days. Preexposure, the responses to standing did not differ between groups. Postexposure, all groups demonstrated an increased HR response (p<0.01), a decreased SBP response (p<0.05), no change in DBP response, and a reduced PP response (p<0.05) compared to preexposure. Change in HR response was lowest for the FL group, presumably due to increased plasma volume induced by fluid consumption. These findings generally support bed rest as a valid simulator of microgravity.

Adult↗

Blood pressure and heart rate responses to sudden change of posture during 20 days of simulated microgravity (-6 degrees head-down tilt).

The cardiovascular function buffering the disturbance of blood pressure caused by postural changes may be deconditioned after exposure to microgravity (microG). However, total picture of the deconditioning including its longitudinal process is still unknown. The aim of this study was to determine time-dependent changes in the feedback regulation system of blood pressure as exposed to simulated microG (-6 degrees head-down tilt (HDT)) for 20 days.

Adult↗

Simulated conditions of microgravity suppress progesterone production by luteal cells of the pregnant rat.

The purpose of this study was to assess whether simulated conditions of microgravity induce changes in the production of progesterone by luteal cells of the pregnant rat ovary using an in vitro model system. The microgravity environment was simulated using either a high aspect ratio vessel (HARV) bioreactor with free fall or a clinostat without free fall of cells. A mixed population of luteal cells isolated from the corpora lutea of day 8 pregnant rats was attached to cytodex microcarrier beads (cytodex 3). These anchorage dependent cells were placed in equal numbers in the HARV or a spinner flask control vessel in culture conditions. It was found that HARV significantly reduced the daily production of progesterone from day 1 through day 8 compared to controls. Scanning electron microscopy showed that cells attached to the microcarrier beads throughout the duration of the experiment in both types of culture vessels. Cells cultured in chamber slide flasks and placed in a clinostat yielded similar results when compared to those in the HARV. Also, when they were stained by Oil Red-O for lipid droplets, the clinostat flasks showed a larger number of stained cells compared to control flasks at 48 h. Further, the relative amount of Oil Red-O staining per milligram of protein was found to be higher in the clinostat than in the control cells at 48 h. It is speculated that the increase in the level of lipid content in cells subjected to simulated conditions of microgravity may be due to a disruption in cholesterol transport and/or lesions in the steroidogenic pathway leading to a fall in the synthesis of progesterone. Additionally, the fall in progesterone in simulated conditions of microgravity could be due to apoptosis of luteal cells.

Animals↗