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Bakr MM, Caswell GM, Hussein H, Shamel M, Al-Ankily MM. Considerations for oral and dental tissues in holistic care during long-haul space flights. Front Physiol 2024; 15:1406631. [PMID: 39055690 PMCID: PMC11269229 DOI: 10.3389/fphys.2024.1406631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 06/12/2024] [Indexed: 07/27/2024] Open
Abstract
The health of astronauts during and after the return from long-haul space missions is paramount. There is plethora of research in the literature about the medical side of astronauts' health, however, the dental and oral health of the space crew seem to be overlooked with limited information in the literature about the effects of the space environment and microgravity on the oral and dental tissues. In this article, we shed some light on the latest available research related to space dentistry and provide some hypotheses that could guide the directions of future research and help maintain the oral health of space crews. We also promote for the importance of regenerative medicine and dentistry as well highlight the opportunities available in the expanding field of bioprinting/biomanufacturing through utilizing the effects of microgravity on stem cells culture techniques. Finally, we provide recommendations for adopting a multidisciplinary approach for oral healthcare during long-haul space flights.
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Affiliation(s)
- Mahmoud M. Bakr
- School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia
| | | | - Habiba Hussein
- Faculty of Dentistry, The British University in Egypt, Cairo, Egypt
| | - Mohamed Shamel
- Faculty of Dentistry, The British University in Egypt, Cairo, Egypt
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2
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Robin A, Van Ombergen A, Laurens C, Bergouignan A, Vico L, Linossier MT, Pavy-Le Traon A, Kermorgant M, Chopard A, Py G, Green DA, Tipton M, Choukér A, Denise P, Normand H, Blanc S, Simon C, Rosnet E, Larcher F, Fernandez P, de Glisezinski I, Larrouy D, Harant-Farrugia I, Antunes I, Gauquelin-Koch G, Bareille MP, Billette De Villemeur R, Custaud MA, Navasiolava N. Comprehensive assessment of physiological responses in women during the ESA dry immersion VIVALDI microgravity simulation. Nat Commun 2023; 14:6311. [PMID: 37813884 PMCID: PMC10562467 DOI: 10.1038/s41467-023-41990-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 09/26/2023] [Indexed: 10/11/2023] Open
Abstract
Astronauts in microgravity experience multi-system deconditioning, impacting their inflight efficiency and inducing dysfunctions upon return to Earth gravity. To fill the sex gap of knowledge in the health impact of spaceflights, we simulate microgravity with a 5-day dry immersion in 18 healthy women (ClinicalTrials.gov Identifier: NCT05043974). Here we show that dry immersion rapidly induces a sedentarily-like metabolism shift mimicking the beginning of a metabolic syndrome with a drop in glucose tolerance, an increase in the atherogenic index of plasma, and an impaired lipid profile. Bone remodeling markers suggest a decreased bone formation coupled with an increased bone resorption. Fluid shifts and muscular unloading participate to a marked cardiovascular and sensorimotor deconditioning with decreased orthostatic tolerance, aerobic capacity, and postural balance. Collected datasets provide a comprehensive multi-systemic assessment of dry immersion effects in women and pave the way for future sex-based evaluations of countermeasures.
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Affiliation(s)
- Adrien Robin
- Univ Angers, CRC, CHU Angers, Inserm, CNRS, MITOVASC, Equipe CARME, SFR ICAT, F-49000, Angers, France.
| | | | - Claire Laurens
- Institute of Metabolic and Cardiovascular Diseases, INSERM, Paul Sabatier University, UMR1297, Toulouse, France
| | - Audrey Bergouignan
- Anschutz Health and Wellness Center, Division of Endocrinology, University of Colorado, Aurora, CO, USA
| | - Laurence Vico
- INSERM, University Jean Monnet, Mines Saint-Etienne, U 1059, Saint Etienne, France
| | | | - Anne Pavy-Le Traon
- Department of Neurology, CHU Toulouse and I2MC-INSERM 1297, Toulouse, France
| | - Marc Kermorgant
- Department of Neurology, CHU Toulouse and I2MC-INSERM 1297, Toulouse, France
| | - Angèle Chopard
- DMEM, Montpellier University, INRAE, Montpellier, France
| | - Guillaume Py
- DMEM, Montpellier University, INRAE, Montpellier, France
| | - David Andrew Green
- Centre of Human and Applied Physiological Sciences, King's College London, London, UK
| | - Michael Tipton
- Extreme Environments Laboratory, School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, PO1 2EF, UK
| | - Alexander Choukér
- Laboratory of Translational Research Stress and Immunity, Department of Anesthesiology, Hospital of the Ludwig-Maximilians-University (LUM), Munich, Germany
| | - Pierre Denise
- Université de Caen Normandie, Inserm, COMETE U1075, CYCERON, CHU de Caen, F-14000, Caen, France
| | - Hervé Normand
- Université de Caen Normandie, Inserm, COMETE U1075, CYCERON, CHU de Caen, F-14000, Caen, France
| | - Stéphane Blanc
- DEPE-IPHC - Département Ecologie, Physiologie et Ethologie, Strasbourg, France
| | - Chantal Simon
- CarMeN Laboratory, INSERM 1060, INRA 1397, University Claude Bernard Lyon1, Human Nutrition Research Center Rhône-Alpes, Oullins, France
| | - Elisabeth Rosnet
- Faculty of Sport Sciences, Université de Reims Champagne-Ardenne, Reims, France
| | | | - Peter Fernandez
- INSERM, University Jean Monnet, Mines Saint-Etienne, U 1059, Saint Etienne, France
| | - Isabelle de Glisezinski
- Institute of Metabolic and Cardiovascular Diseases, INSERM, Paul Sabatier University, UMR1297, Toulouse, France
| | - Dominique Larrouy
- Institute of Metabolic and Cardiovascular Diseases, INSERM, Paul Sabatier University, UMR1297, Toulouse, France
| | - Isabelle Harant-Farrugia
- Institute of Metabolic and Cardiovascular Diseases, INSERM, Paul Sabatier University, UMR1297, Toulouse, France
| | - Inês Antunes
- Telespazio Belgium S.R.L. for the European Space Agency, Noordwijk, The Netherlands
| | | | | | | | - Marc-Antoine Custaud
- Univ Angers, CRC, CHU Angers, Inserm, CNRS, MITOVASC, Equipe CARME, SFR ICAT, F-49000, Angers, France.
| | - Nastassia Navasiolava
- Univ Angers, CRC, CHU Angers, Inserm, CNRS, MITOVASC, Equipe CARME, SFR ICAT, F-49000, Angers, France.
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Gerasimova-Meigal L, Meigal A, Gerasimova M, Sklyarova A, Sirotinina E. Cerebral Circulation and Brain Temperature during an Ultra-Short Session of Dry Immersion in Young Subjects. PATHOPHYSIOLOGY 2023; 30:209-218. [PMID: 37218916 DOI: 10.3390/pathophysiology30020018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 04/22/2023] [Accepted: 05/09/2023] [Indexed: 05/24/2023] Open
Abstract
The primary aim of the study was to assess cerebral circulation in healthy young subjects during an ultra-short (45 min) session of ground-based microgravity modeled by "dry" immersion (DI), with the help of a multifunctional Laser Doppler Flowmetry (LDF) analyzer. In addition, we tested a hypothesis that cerebral temperature would grow during a DI session. The supraorbital area of the forehead and forearm area were tested before, within, and after a DI session. Average perfusion, five oscillation ranges of the LDF spectrum, and brain temperature were assessed. Within a DI session, in the supraorbital area most of LDF parameters remained unchanged except for a 30% increase in respiratory associated (venular) rhythm. The temperature of the supraorbital area increased by up to 38.5 °C within the DI session. In the forearm area, the average value of perfusion and its nutritive component increased, presumably due to thermoregulation. In conclusion, the results suggest that a 45 min DI session does not exert a substantial effect on cerebral blood perfusion and systemic hemodynamics in young healthy subjects. Moderate signs of venous stasis were observed, and brain temperature increased during a DI session. These findings must be thoroughly validated in future studies because elevated brain temperature during a DI session can contribute to some reactions to DI.
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Affiliation(s)
- Liudmila Gerasimova-Meigal
- Department of Physiology and Pathophysiology, Petrozavodsk State University, 33, Lenin Pr., 185910 Petrozavodsk, Russia
| | - Alexander Meigal
- Department of Physiology and Pathophysiology, Petrozavodsk State University, 33, Lenin Pr., 185910 Petrozavodsk, Russia
| | - Maria Gerasimova
- Department of Physiology and Pathophysiology, Petrozavodsk State University, 33, Lenin Pr., 185910 Petrozavodsk, Russia
| | - Anna Sklyarova
- Department of Physiology and Pathophysiology, Petrozavodsk State University, 33, Lenin Pr., 185910 Petrozavodsk, Russia
| | - Ekaterina Sirotinina
- Department of Physiology and Pathophysiology, Petrozavodsk State University, 33, Lenin Pr., 185910 Petrozavodsk, Russia
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Santiago O, Cruz RC, da Cunha THR, Lacerda RG, Ferreira MVL, Huebner R. Impact of pivoting bite tip on bite force measurement tests. Clin Oral Investig 2023:10.1007/s00784-023-04901-x. [PMID: 36781476 DOI: 10.1007/s00784-023-04901-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 02/03/2023] [Indexed: 02/15/2023]
Abstract
OBJECTIVE Present a gnathodynamometer design that increases patient comfort, precision, and/or ease for the operator during bite force tests. MATERIALS AND METHODS A bite tip capable of pivoting 180° was tested on senior dental students in a double-blind trial. The tests were performed in teeth 11 and 16 with the bite tip on the long axis of the clamp and at an angle of 90° to the clamp. The sample was composed of 24 students, 13 males and 11 females, randomly divided into two groups: the operator group (OP), which was composed of 12 students, 7 males and 5 females, and the test group (TI), which was composed of 12 students, 6 males and 6 females. The operator and participants were asked to evaluate comfort and precision/ease in positioning the bite tip by attributing scores from 0 (total discomfort) to 10 (total comfort) during the test. RESULTS No difference was noted in tooth 11 (P > 0.05). In tooth 16, there was a statistically significant improvement (P < 0.01) for the participants tested and the operator using the pivoting bite tip. CONCLUSIONS The pivoting bite tip showed no difference in the comfort of the participants and operator precision when testing incisors; however, the tip showed a difference for both conditions in the molar region. The gnathodynamometer geometry showed good results in participant comfort and operator precision when used in bite force tests of the incisors and molars. Further investigations are needed to confirm whether these improvements influence the mean value and maximum bite force measurement. CLINICAL RELEVANCE Bite force measurement is a method for obtaining important data to check the functional conditions of the stomatognathic system. With the aging of the world population, it has become important to check the quality of life during aging. The pivoting bite tip improves the comfort and precision of bite tests for the participants tested and for the operator, respectively.
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Affiliation(s)
- Orlando Santiago
- Graduate Program in Mechanical Engineering, Minas Gerais Federal University (UFMG), Avenida Antônio Carlos 6627, Belo Horizonte, MG, 31270-901, Brazil.
| | - Rosana C Cruz
- Graduate Program in Mechanical Engineering, Minas Gerais Federal University (UFMG), Avenida Antônio Carlos 6627, Belo Horizonte, MG, 31270-901, Brazil
| | | | - Rodrigo G Lacerda
- Department of Physics, Institute of Exact Sciences (ICEX), Minas Gerais Federal University (UFMG), Belo Horizonte, MG, Brazil
| | - Marcus Vinícius L Ferreira
- Department of Restorative Dentistry, Faculty of Dentistry, Minas Gerais Federal University (UFMG), Belo Horizonte, MG, Brazil
| | - Rudolf Huebner
- Graduate Program in Mechanical Engineering, Minas Gerais Federal University (UFMG), Avenida Antônio Carlos 6627, Belo Horizonte, MG, 31270-901, Brazil
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Cromwell RL, Huff JL, Simonsen LC, Patel ZS. Earth-Based Research Analogs to Investigate Space-Based Health Risks. NEW SPACE 2021; 9:204-216. [PMID: 35024249 PMCID: PMC8743922 DOI: 10.1089/space.2020.0048] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
During spaceflight, astronauts are exposed to a variety of unique hazards, including altered gravity fields, long periods of isolation and confinement, living in a closed environment at increasing distances from Earth, and exposure to higher levels of hazardous ionizing radiation. Preserving human health and performance in the face of these relentless hazards becomes progressively more difficult as missions increase in length and extend beyond low Earth orbit. Finding solutions is a significant challenge that is further complicated by logistical issues associated with studying these unique hazards. Although research studies using space-based platforms are the gold standard, these are not without limitations. Factors such as the small sample size of the available astronaut crew, high expense, and time constraints all add to the logistical challenge. To overcome these limitations, a wide variety of Earth-based analogs, from polar research outposts to an undersea laboratory, are available to augment space-based studies. Each analog simulates unique physiological and behavioral effects associated with spaceflight and, therefore, for any given study, the choice of an appropriate platform is closely linked to the phenomena under investigation as well as the characteristics of the analog. There are pros and cons to each type of analog and each actual facility, but overall they provide a reasonable means to overcome the barriers associated with conducting experimental research in space. Analogs, by definition, will never be perfect, but they are a useful component of an integrated effort to understand the human risks of living and working in space. They are a necessary resource for pushing the frontier of human spaceflight, both for astronauts and for commercial space activities. In this review, we describe the use of analogs here on Earth to replicate specific aspects of the spaceflight environment and highlight how analog studies support future human endeavors in space.
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Affiliation(s)
- Ronita L Cromwell
- Baylor College of Medicine, Center for Space Medicine, Houston, Texas, USA
| | - Janice L Huff
- NASA Langley Research Center, Hampton, Virginia, USA
| | | | - Zarana S Patel
- KBR, Houston, Texas, USA
- NASA Johnson Space Center, Houston, Texas, USA
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6
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Colomar J, Corbi F, Baiget E. Alterations in mechanical muscle characteristics and postural control induced by tennis match-play in young players. PeerJ 2021; 9:e11445. [PMID: 34026370 PMCID: PMC8121060 DOI: 10.7717/peerj.11445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 04/21/2021] [Indexed: 11/20/2022] Open
Abstract
Background Central and peripheric fatigue indicators are among the main reasons for performance decline following competition. Because of the impact of these factors on performance, how these variables are affected by match-play could be of interest, especially in young tennis players. Objective This study aimed to investigate alterations induced by a simulated tennis match on postural control and muscle characteristics in young tennis players. Method Seventeen male junior players took part in pre- and post-competition testing sessions performing postural control (displacement, speed and surface area of center of pressures) and muscle characteristics measurements (tone, stiffness, time to relaxation and elasticity). Between trials, participants played an 80-min simulated tennis match. Results No significant differences were observed in any of the tested variables. Moderate-to-large effect sizes (ES) for decreased stiffness and tone and greater time to relaxation were found between pre- and post-conditions in the right rectus abdominis (−9.8%, −4.4% and 7.8%; ES = 0.8, 0.54 and −0.85). Also, a decrease in tone was found in the right vastus medialis (−7.1%; ES = 0.56), while surface area of the center of pressures with eyes open showed trends towards increasing in post-match measurements (55.9%; ES = 0.56). Conclusion An 80-min simulated tennis match seems insufficient to elicit significant changes in postural control and mechanical muscle characteristics. Results suggest that physiological responses triggered by match-play were closer to those seen after a moderate activity than those present following a strenuous task.
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Affiliation(s)
- Joshua Colomar
- Institut Nacional d'Educació Física de Catalunya - INEFC Barcelona, Barcelona, Spain.,Academia Sánchez-Casal, Barcelona, Spain
| | - Francisco Corbi
- Institut Nacional d'Educació Física de Catalunya - INEFC Lleida, Lleida, Spain
| | - Ernest Baiget
- Sports Performance Analysis Research Group (SPARG), Universitat de Vic - Universitat Central de Catalunya, Vic, Spain
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7
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Amirova LE, Plehuna A, Rukavishnikov IV, Saveko AA, Peipsi A, Tomilovskaya ES. Sharp Changes in Muscle Tone in Humans Under Simulated Microgravity. Front Physiol 2021; 12:661922. [PMID: 34025451 PMCID: PMC8134537 DOI: 10.3389/fphys.2021.661922] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 03/26/2021] [Indexed: 11/17/2022] Open
Abstract
A decrease in muscle tone induced by space flight requires a standardized assessment of changes to control the state of the neuromuscular system. This study is a step toward the development of a unified protocol, aimed at determining the initial effect of the presence or withdrawal of support on muscle tone, the effects of a 2-h supportlessness in Dry Immersion (DI) experiments, and the changes in muscle tone depending on the site of measurement. To perform measurements of changes in muscle tone, we used a MyotonPRO device. The list of muscles that we assessed includes: trunk – mm. deltoideus posterior, trapezius, erector spinae; leg – mm. biceps femoris, rectus femoris, tibialis anterior, soleus, gastrocnemius; foot – m. flexor digitorum brevis, tendo Achillis, aponeurosis plantaris. The study involved 12 healthy volunteers (6 men, 6 women) without musculoskeletal disorders and aged 32.8 ± 1.6 years. At the start of DI, there was a significant decrease in muscle tone of the following muscles: mm. tibialis anterior (−10.9%), soleus (−9.6%), erector spinae (−14.4%), and the tendo Achillis (−15.3%). The decrease continued to intensify over the next 2 h. In contrast, the gastrocnemius muscle demonstrated an increase in muscle tone (+7.5%) 2 h after the start of DI compared to the immediate in-bath baseline. Muscle tone values were found to be site-dependent and varied in different projections of mm. erector spinae and soleus. In previous experiments, we observed a high sensitivity of the myotonometry technique, which was confirmed in this study. To make it possible to compare data from different studies, a standardized protocol for measuring muscle tone for general use in gravitational physiology needs to be developed.
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Affiliation(s)
- Liubov E Amirova
- Laboratory of Gravitational Physiology of the Sensorimotor System, Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Anastasija Plehuna
- King's College London, Centre of Human & Applied Physiological Sciences, London, United Kingdom
| | - Ilya V Rukavishnikov
- Department of Medical Support for Spaceflight, Institute of Biomedical Problem of Russian Academy of Science, Moscow, Russia
| | - Alina A Saveko
- Laboratory of Gravitational Physiology of the Sensorimotor System, Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | | | - Elena S Tomilovskaya
- Laboratory of Gravitational Physiology of the Sensorimotor System, Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
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8
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Álvarez Solano C, González Camacho LA, Castaño Duque SP, Cortés Velosa T, Vanoy Martin JA, Chambrone L. To evaluate whether there is a relationship between occlusion and body posture as delineated by a stabilometric platform: A systematic review. Cranio 2020:1-12. [DOI: 10.1080/08869634.2020.1857614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- C Álvarez Solano
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
- Department of Functional Orthopedics, Cruzeiro Do Sul University, São Paulo, Brazil
| | | | - SP Castaño Duque
- Division of Orthodontics and Epidemiology, El Bosque University, Bogotá D.C, Colombia
| | - T Cortés Velosa
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
| | - JA Vanoy Martin
- Department of Orthodontics, El Bosque University, Bogotá D.C, Colombia
| | - L Chambrone
- Dentistry Program, Ibirapuera University, São Paulo, Brazil
- Unit of Basic Oral Investigation-UIBO, School of Dentistry, El Bosque University, Bogotá D.C, Colombia
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9
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Yang JQ, Jiang N, Li ZP, Guo S, Chen ZY, Li BB, Chai SB, Lu SY, Yan HF, Sun PM, Zhang T, Sun HW, Yang JW, Zhou JL, Yang HM, Cui Y. The effects of microgravity on the digestive system and the new insights it brings to the life sciences. LIFE SCIENCES IN SPACE RESEARCH 2020; 27:74-82. [PMID: 34756233 DOI: 10.1016/j.lssr.2020.07.009] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 07/04/2020] [Accepted: 07/28/2020] [Indexed: 06/13/2023]
Abstract
BACKGROUND Weightlessness is a component of the complex space environment. It exerts adverse effects on the human body, and may pose unknown challenges to the implementation of space missions. The regular function of the digestive system is an important checkpoint for astronauts to conduct missions. Simulated microgravity can recreate the changes experienced by the human body in a weightless environment in space to a certain extent, providing technical support for the exploration of its mechanism and a practical method for other scientific research. METHODS AND MATERIALS In the present study, we reviewed and discussed the latest research on the effects of weightlessness or simulated microgravity on the digestive system, as well as the current challenges and future expectations for progress in medical science and further space exploration. RESULTS A series of studies have investigated the effects of weightlessness on the human digestive system. On one hand, weightlessness and the changing space environment may exert certain adverse effects on the human body. Studies based on cells or animals have demonstrated the complex effects on the human digestive system in response to weightlessness. On the other hand, a microgravity environment also facilitates the ideation of novel concepts for research in the domain of life science. CONCLUSION The effects of weightlessness on the digestive system are considerably complicated. The emergence of methods that help simulate a weightless environment provides a more convenient alternative for assessing the impact and the mechanism underlying the effect of weightlessness on the human body. In addition, the simulated microgravity environment facilitates the ideation of novel concepts for application in regenerative medicine and other fields of life science.
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Affiliation(s)
- Jia-Qi Yang
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China; Department of General Surgery, the 306th Hospital of Chinese PLA-Peking University Teaching Hospital, Beijing 100101, China
| | - Nan Jiang
- The Center for Hepatopancreatobiliary Diseases, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
| | - Zheng-Peng Li
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Song Guo
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China; Department of General Surgery, the 306th Hospital of Chinese PLA-Peking University Teaching Hospital, Beijing 100101, China
| | - Zheng-Yang Chen
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China; Department of General Surgery, the 306th Hospital of Chinese PLA-Peking University Teaching Hospital, Beijing 100101, China
| | - Bin-Bin Li
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Shao-Bin Chai
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Sheng-Yu Lu
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China; Department of General Surgery, the 306th Hospital of Chinese PLA-Peking University Teaching Hospital, Beijing 100101, China
| | - Hong-Feng Yan
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Pei-Ming Sun
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Tao Zhang
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Hong-Wei Sun
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Jian-Wu Yang
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Jin-Lian Zhou
- Department of Pathology, the Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China.
| | - He-Ming Yang
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China
| | - Yan Cui
- Department of General Surgery, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing 100101, China.
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10
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Nay K, Koechlin-Ramonatxo C, Rochdi S, Island ML, Orfila L, Treffel L, Bareille MP, Beck A, Gauquelin-Koch G, Ropert M, Loréal O, Derbré F. Simulated microgravity disturbs iron metabolism and distribution in humans: Lessons from dry immersion, an innovative ground-based human model. FASEB J 2020; 34:14920-14929. [PMID: 32918768 DOI: 10.1096/fj.202001199rr] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 08/24/2020] [Accepted: 08/25/2020] [Indexed: 01/16/2023]
Abstract
The objective of the present study was to determine the effects of dry immersion, an innovative ground-based human model of simulated microgravity and extreme physical inactivity, on iron homeostasis and distribution. Twenty young healthy men were recruited and submitted to 5 days of dry immersion (DI). Fasting blood samples and MRI were performed before and after DI exposure to assess iron status, as well as hematological responses. DI increased spleen iron concentrations (SIC), whereas hepatic iron store (HIC) was not affected. Spleen iron sequestration could be due to the concomitant increase in serum hepcidin levels (P < .001). Increased serum unconjugated bilirubin, as well as the rise of serum myoglobin levels support that DI may promote hemolysis and myolysis. These phenomena could contribute to the concomitant increase of serum iron and transferrin saturation levels (P < .001). As HIC remained unchanged, increased serum hepcidin levels could be due both to higher transferrin saturation level, and to low-grade pro-inflammatory as suggested by the significant rise of serum ferritin and haptoglobin levels after DI (P = .003 and P = .003, respectively). These observations highlight the need for better assessment of iron metabolism in bedridden patients, and an optimization of the diet currently proposed to astronauts.
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Affiliation(s)
- Kévin Nay
- Laboratory "Movement Sport and Health Sciences" EA7470, University of Rennes/ENS Rennes, Bruz, France.,DMEM, University of Montpellier, INRAE, Montpellier, France.,Exercise and Nutrition Research Program, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
| | | | - Sarah Rochdi
- Laboratory "Movement Sport and Health Sciences" EA7470, University of Rennes/ENS Rennes, Bruz, France
| | - Marie-Laure Island
- INSERM, University of Rennes, INRAE, UMR 1241, AEM2 Platform, Nutrition Metabolisms and Cancer (NuMeCan) Institute, Rennes, France.,Department of Biochemistry, CHU Rennes, France
| | - Luz Orfila
- Laboratory "Movement Sport and Health Sciences" EA7470, University of Rennes/ENS Rennes, Bruz, France
| | - Loïc Treffel
- Institut NeuroMyoGène, Faculté de Médecine Lyon Est, Lyon, France
| | | | - Arnaud Beck
- Institute for Space Medicine and Physiology (MEDES), Toulouse, France
| | | | - Martine Ropert
- INSERM, University of Rennes, INRAE, UMR 1241, AEM2 Platform, Nutrition Metabolisms and Cancer (NuMeCan) Institute, Rennes, France.,Department of Biochemistry, CHU Rennes, France
| | - Olivier Loréal
- INSERM, University of Rennes, INRAE, UMR 1241, AEM2 Platform, Nutrition Metabolisms and Cancer (NuMeCan) Institute, Rennes, France
| | - Frédéric Derbré
- Laboratory "Movement Sport and Health Sciences" EA7470, University of Rennes/ENS Rennes, Bruz, France
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11
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Loïc T, Nastassia N, Mkhitaryan K, Emmanuelle J, Kathryn Z, Guillemette GK, Marc-Antoine C, Claude G. DI-5-Cuffs: Lumbar Intervertebral Disc Proteoglycan and Water Content Changes in Humans after Five Days of Dry Immersion to Simulate Microgravity. Int J Mol Sci 2020; 21:ijms21113748. [PMID: 32466473 PMCID: PMC7312650 DOI: 10.3390/ijms21113748] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/13/2020] [Accepted: 05/22/2020] [Indexed: 12/17/2022] Open
Abstract
Most astronauts experience back pain after spaceflight, primarily located in the lumbar region. Intervertebral disc herniations have been observed after real and simulated microgravity. Spinal deconditioning after exposure to microgravity has been described, but the underlying mechanisms are not well understood. The dry immersion (DI) model of microgravity was used with eighteen male volunteers. Half of the participants wore thigh cuffs as a potential countermeasure. The spinal changes and intervertebral disc (IVD) content changes were investigated using magnetic resonance imaging (MRI) analyses with T1-T2 mapping sequences. IVD water content was estimated by the apparent diffusion coefficient (ADC), with proteoglycan content measured using MRI T1-mapping sequences centered in the nucleus pulposus. The use of thigh cuffs had no effect on any of the spinal variables measured. There was significant spinal lengthening for all of the subjects. The ADC and IVD proteoglycan content both increased significantly with DI (7.34 ± 2.23% and 10.09 ± 1.39%, respectively; mean ± standard deviation), p < 0.05). The ADC changes suggest dynamic and rapid water diffusion inside IVDs, linked to gravitational unloading. Further investigation is needed to determine whether similar changes occur in the cervical IVDs. A better understanding of the mechanisms involved in spinal deconditioning with spaceflight would assist in the development of alternative countermeasures to prevent IVD herniation.
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Affiliation(s)
- Treffel Loïc
- Institut NeuroMyogène, Faculté de Médecine Lyon Est, 69008 Lyon, France;
- Correspondence:
| | - Navasiolava Nastassia
- Centre de Recherche Clinique, Centre Hospitalier Universitaire d’Angers, 49100 Angers, France; (N.N.); (C.M.-A.)
| | - Karen Mkhitaryan
- Siemens Healthinners, Service Application, 93210 Saint-Denis, France;
| | | | - Zuj Kathryn
- Department of Kinesiology, University of Waterloo, Waterloo, ON N2L3G1, Canada;
| | | | - Custaud Marc-Antoine
- Centre de Recherche Clinique, Centre Hospitalier Universitaire d’Angers, 49100 Angers, France; (N.N.); (C.M.-A.)
- MitoVasc UMR INSERM 1083-CNRS 6015, Université d’Angers, 49100 Angers, France
| | - Gharib Claude
- Institut NeuroMyogène, Faculté de Médecine Lyon Est, 69008 Lyon, France;
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12
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Julià-Sánchez S, Álvarez-Herms J, Cirer-Sastre R, Corbi F, Burtscher M. The Influence of Dental Occlusion on Dynamic Balance and Muscular Tone. Front Physiol 2020; 10:1626. [PMID: 32082183 PMCID: PMC7005008 DOI: 10.3389/fphys.2019.01626] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 12/24/2019] [Indexed: 12/18/2022] Open
Abstract
Excellent postural control is essential to improve the physical performance of athletes. Stability of the body during motor tasks depends on different physiological systems. The influence of dental occlusion on body balance has been widely investigated in the past few years. It has been suggested that this relationship is strengthened by disturbing environments for balance control (i.e., unstable platform, fatigue, development tasks.). Moreover, dental occlusion may influence the muscle tone of both masticatory and postural muscles, which are involved in the preservation of balance. Therefore, we attempted to determine whether (i) there are differences in dynamic balance assessed by the modified star excursion balance test between opposed dental occlusion conditions (dental contact: intercuspal position/no dental contact: cotton rolls mandibular position) and (ii) dental occlusion influences the biomechanical and viscoelastic properties of the masticatory and postural muscles assessed with MyotonPRO®. Thirty physically active subjects were recruited for the study. The main findings were the following: (i) the Star Excursion Balance Test composite score was significantly higher for measurements made in cotton rolls mandibular position (p < 0.001) and also in subjects showing a correct occlusion (p = 0.04), and (ii) the biomechanic and viscolelastic properties of selected muscles showed different trend according to the presence of malocclusal traits. It is concluded that dental occlusion conditioned both dynamic stability and the biomechanic and viscoelastic properties of the analyzed muscles.
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Affiliation(s)
- Sonia Julià-Sánchez
- Faculty of Physical Activity and Sport Sciences, European University, Madrid, Spain
| | - Jesús Álvarez-Herms
- Faculty of Physical Activity and Sport Sciences, European University, Madrid, Spain
| | - Rafel Cirer-Sastre
- Institut Nacional d'Educació Física de Catalunya, Universitat de Lleida, Lleida, Spain
| | - Francisco Corbi
- Institut Nacional d'Educació Física de Catalunya, Universitat de Lleida, Lleida, Spain
| | - Martin Burtscher
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
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13
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Kubryak OV, Markov NM, Krechina EK, Pogabalo IV, Rozhnova EV. [Achievement of consensus and standardization of methods in dentistry on the example of studies of support reactions (posturography, stabilometry)]. STOMATOLOGII︠A︡ 2019; 98:103-106. [PMID: 31513160 DOI: 10.17116/stomat201998041103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Comprehensive treatment of dental pathology involves a multidisciplinary integration of doctors, the use of general physiological control methods and correction of human conditions, such as study of support reactions (on the stabilometric platform). Participation of dentists in the public scientific-methodological initiative 'Moscow consensus on the use of stabilometry and biofeedback for the support reactions in public health practice and research' increases the efficiency of application of this method in dentistry and the development of relationships with other practical areas.
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Affiliation(s)
- O V Kubryak
- P.K. Anokhin Scientific Research Institute of Normal Physiology, Moscow, Russia
| | - N M Markov
- Central Research Institute of Dentistry and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia
| | - E K Krechina
- Central Research Institute of Dentistry and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia
| | - I V Pogabalo
- Central Research Institute of Dentistry and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia
| | - E V Rozhnova
- I.M. Sechenov First Moscow State Medical University, Moscow, Russia
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14
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Yuan M, Custaud MA, Xu Z, Wang J, Yuan M, Tafforin C, Treffel L, Arbeille P, Nicolas M, Gharib C, Gauquelin-Koch G, Arnaud L, Lloret JC, Li Y, Navasiolava N. Multi-System Adaptation to Confinement During the 180-Day Controlled Ecological Life Support System (CELSS) Experiment. Front Physiol 2019; 10:575. [PMID: 31164833 PMCID: PMC6536695 DOI: 10.3389/fphys.2019.00575] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 04/24/2019] [Indexed: 02/01/2023] Open
Abstract
Confinement experiments are essential to prepare long-term space exploration. The 180-day Chinese CELSS (Controlled Ecological Life Support System) study is unique in its design, including a closed-loop system and mid-mission simulation of Mars-like day-night cycle of 24 h 40 min for 36 days (days 72-108). Our aim was to study physiological and psychological consequences of this confinement in four healthy volunteers (one female). CELSS platform consisted of six interconnected modules including four greenhouses. Life support systems were controlled automatically. Body composition, fluid compartments, metabolic state, heart, large vessels, endothelial function, and muscle tone were studied using biological, functional, and/or morphological measurements. Behavioral activities were studied by ethological monitoring; psychological state was assessed by questionnaires. Body weight decreased by ∼2 kg mostly due to lean mass loss. Plasma volume and volume-regulating hormones were mostly stable. Carotid intima-media thickness (IMT) increased by 10-15%. Endothelium-dependent vasodilation decreased. Masseter tone increased by 6-14% suggesting stress, whereas paravertebral muscle tone diminished by 10 ± 6%. Behavioral flow reflecting global activity decreased 1.5- to 2-fold after the first month. Psychological questionnaires revealed decrease in hostility and negative emotions but increase in emotional adaptation suggesting boredom and monotony. One subject was clearly different with lower fitness, higher levels of stress and anxiety, and somatic signs as back pain, peak in masseter tone, increased blood cortisol and C-reactive protein. Comparison of CELSS experiment with Mars500 confinement program suggests the need for countermeasures to prevent increased IMT and endothelial deconditioning. Daily activity in greenhouse could act as countermeasure against psycho-physiological deconditioning.
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Affiliation(s)
- Ming Yuan
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center, Beijing, China
- Space Institute of Southern China, Shenzhen, China
| | - Marc-Antoine Custaud
- Centre de Recherche Clinique, Centre Hospitalier Universitaire d’Angers, Angers, France
- MitoVasc UMR INSERM 1083-CNRS 6015, Université d’Angers, Angers, France
| | - Zi Xu
- Space Institute of Southern China, Shenzhen, China
| | - Jingyu Wang
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center, Beijing, China
| | - Min Yuan
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center, Beijing, China
| | - Carole Tafforin
- Research and Study Group in Human and Space Ethology, Ethospace, Toulouse, France
| | - Loïc Treffel
- Institut Toulousain d’Ostéopathie, Toulouse, France
- Centre de Recherche International en Biomécanique, Lagarde, France
| | - Philippe Arbeille
- Faculté de Médecine, Unité de Médecine et Physiologie Spatiales, Centre Hospitalier Universitaire Trousseau de Tours, Tours, France
| | - Michel Nicolas
- Laboratory of Psychology Psy-DREPI (EA 7458), Sport Sciences Department, University Bourgogne Franche-Comté, Dijon, France
| | - Claude Gharib
- Institut NeuroMyogène, Université Claude Bernard Lyon 1, Lyon, France
| | | | | | | | - Yinghui Li
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center, Beijing, China
| | - Nastassia Navasiolava
- Centre de Recherche Clinique, Centre Hospitalier Universitaire d’Angers, Angers, France
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15
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Tomilovskaya E, Shigueva T, Sayenko D, Rukavishnikov I, Kozlovskaya I. Dry Immersion as a Ground-Based Model of Microgravity Physiological Effects. Front Physiol 2019; 10:284. [PMID: 30971938 PMCID: PMC6446883 DOI: 10.3389/fphys.2019.00284] [Citation(s) in RCA: 69] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Accepted: 03/04/2019] [Indexed: 01/04/2023] Open
Abstract
Dry immersion (DI) is one of the most widely used ground models of microgravity. DI accurately and rapidly reproduces most of physiological effects of short-term space flights. The model simulates such factors of space flight as lack of support, mechanical and axial unloading as well as physical inactivity. The current manuscript gathers the results of physiological studies performed from the time of the model's development. This review describes the changes induced by DI of different duration (from few hours to 56 days) in the neuromuscular, sensory-motor, cardiorespiratory, digestive and excretory, and immune systems, as well as in the metabolism and hemodynamics. DI reproduces practically the full spectrum of changes in the body systems during the exposure to microgravity. The numerous publications from Russian researchers, which until present were mostly inaccessible for scientists from other countries are summarized in this work. These data demonstrated and validated DI as a ground-based model for simulation of physiological effects of weightlessness. The magnitude and rate of physiological changes during DI makes this method advantageous as compared with other ground-based microgravity models. The actual and potential uses of the model are discussed in the context of fundamental studies and applications for Earth medicine.
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Affiliation(s)
- Elena Tomilovskaya
- RF SSC – Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Tatiana Shigueva
- RF SSC – Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Dimitry Sayenko
- Center for Neuroregeneration, Houston Methodist Research Institute, Houston, TX, United States
| | - Ilya Rukavishnikov
- RF SSC – Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Inessa Kozlovskaya
- RF SSC – Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
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16
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Pagano AF, Brioche T, Arc-Chagnaud C, Demangel R, Chopard A, Py G. Short-term disuse promotes fatty acid infiltration into skeletal muscle. J Cachexia Sarcopenia Muscle 2018; 9:335-347. [PMID: 29248005 PMCID: PMC5879967 DOI: 10.1002/jcsm.12259] [Citation(s) in RCA: 76] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 09/10/2017] [Accepted: 10/02/2017] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Many physiological and/or pathological conditions lead to muscle deconditioning, a well-described phenomenon characterized by a loss of strength and muscle power mainly due to the loss of muscle mass. Fatty infiltrations, or intermuscular adipose tissue (IMAT), are currently well-recognized components of muscle deconditioning. Despite the fact that IMAT is present in healthy human skeletal muscle, its increase and accumulation are linked to muscle dysfunction. Although IMAT development has been largely attributable to inactivity, the precise mechanisms of its establishment are still poorly understood. Because the sedentary lifestyle that accompanies age-related sarcopenia may favour IMAT development, deciphering the early processes of muscle disuse is of great importance before implementing strategies to limit IMAT deposition. METHODS In our study, we took advantage of the dry immersion (DI) model of severe muscle inactivity to induce rapid muscle deconditioning during a short period. During the DI, healthy adult men (n = 12; age: 32 ± 5) remained strictly immersed, in a supine position, in a controlled thermo-neutral water bath. Skeletal muscle biopsies were obtained from the vastus lateralis before and after 3 days of DI. RESULTS We showed that DI for only 3 days was able to decrease myofiber cross-sectional areas (-10.6%). Moreover, protein expression levels of two key markers commonly used to assess IMAT, perilipin, and fatty acid binding protein 4, were upregulated. We also observed an increase in the C/EBPα and PPARγ protein expression levels, indicating an increase in late adipogenic processes leading to IMAT development. While many stem cells in the muscle environment can adopt the capacity to differentiate into adipocytes, fibro-adipogenic progenitors (FAPs) represent the population that appears to play a major role in IMAT development. In our study, we showed an increase in the protein expression of PDGFRα, the specific cell surface marker of FAPs, in response to 3 days of DI. It is well recognized that an unfavourable muscle environment drives FAPs to ectopic adiposity and/or fibrosis. CONCLUSIONS This study is the first to emphasize that during a short period of severe inactivity, muscle deconditioning is associated with IMAT development. Our study also reveals that FAPs could be the main resident muscle stem cell population implicated in ectopic adiposity development in human skeletal muscle.
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Affiliation(s)
- Allan F Pagano
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France
| | - Thomas Brioche
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France
| | - Coralie Arc-Chagnaud
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France.,Freshage Research Group - Dept. Physiology, University of Valencia, CIBERFES, INCLIVA, Valencia, Spain
| | - Rémi Demangel
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France
| | - Angèle Chopard
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France
| | - Guillaume Py
- INRA, UMR866 Dynamique Musculaire et Métabolisme, Université de Montpellier, F-34060, Montpellier, France
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17
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Paço M, Chaves P, Pinho F, Lemos C, Costa R, Duarte JA, Pinho T. Common symptoms of temporomandibular disorders do not mean same treatment plans: A case series. Int Orthod 2018. [PMID: 29540283 DOI: 10.1016/j.ortho.2018.01.029] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Temporomandibular disorders (TMDs) present several risks and different contributing factors with consequently diverse treatment approaches. It is important to recognize what patients' characteristics may benefit from orthodontics, from physiotherapy, from other treatment modalities or even from a combined approach. CASES PRESENTATION We present three cases of patients with common TMDs signs and/or symptoms and different treatment approaches and outcomes, and our aim is to understand what might explain the different outcomes observed and also provide a rationale about the skeletal, muscular, facial and occlusal characteristics that may be indicative of a particular intervention benefit. CONCLUSION It has been shown that orthodontics plays an important role solving occlusal problems as well as changes in the vertical dimension. On the other hand, physiotherapy was effective in pain management and range improvement, when musculoskeletal changes were clearly found. Finally, it has also been shown that a multidisciplinary approach may be crucial, and the clinician should be aware of a comprehensive assessment, valuing all the contributing factors, namely the psychological ones.
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Affiliation(s)
- Maria Paço
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal
| | - Paula Chaves
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal
| | - Francisco Pinho
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal; Universidade de Aveiro, Escola Superior de Saúde, Aveiro, Portugal; Algoritmi-Universidade do Minho, Guimarães, Portugal
| | - Carolina Lemos
- IBMC-Inst. Biologia Molecular e Celular; i3S-Inst. Inovação e Investigação em Saúde, Universidade do Porto, Portugal
| | - Rui Costa
- Universidade de Aveiro, Escola Superior de Saúde, Aveiro, Portugal
| | - José A Duarte
- CIAFEL, Faculdade de Desporto da Universidade do Porto, Porto, Portugal
| | - Teresa Pinho
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal; IBMC-Inst. Biologia Molecular e Celular; i3S-Inst. Inovação e Investigação em Saúde, Universidade do Porto, Portugal.
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18
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Paço M, Chaves P, Pinho F, Lemos C, Costa R, Duarte JA, Pinho T. Une même symptomatologie articulaire temporomandibulaire n’implique pas nécessairement la même thérapeutique : une série de cas cliniques. Int Orthod 2018. [DOI: 10.1016/j.ortho.2018.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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19
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20
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De Abreu S, Amirova L, Murphy R, Wallace R, Twomey L, Gauquelin-Koch G, Raverot V, Larcher F, Custaud MA, Navasiolava N. Multi-System Deconditioning in 3-Day Dry Immersion without Daily Raise. Front Physiol 2017; 8:799. [PMID: 29081752 PMCID: PMC5645726 DOI: 10.3389/fphys.2017.00799] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 09/28/2017] [Indexed: 11/30/2022] Open
Abstract
Dry immersion (DI) is a Russian-developed, ground-based model to study the physiological effects of microgravity. It accurately reproduces environmental conditions of weightlessness, such as enhanced physical inactivity, suppression of hydrostatic pressure and supportlessness. We aimed to study the integrative physiological responses to a 3-day strict DI protocol in 12 healthy men, and to assess the extent of multi-system deconditioning. We recorded general clinical data, biological data and evaluated body fluid changes. Cardiovascular deconditioning was evaluated using orthostatic tolerance tests (Lower Body Negative Pressure + tilt and progressive tilt). Metabolic state was tested with oral glucose tolerance test. Muscular deconditioning was assessed via muscle tone measurement. Results: Orthostatic tolerance time dropped from 27 ± 1 to 9 ± 2 min after DI. Significant impairment in glucose tolerance was observed. Net insulin response increased by 72 ± 23% on the third day of DI compared to baseline. Global leg muscle tone was approximately 10% reduced under immersion. Day-night changes in temperature, heart rate and blood pressure were preserved on the third day of DI. Day-night variations of urinary K+ diminished, beginning at the second day of immersion, while 24-h K+ excretion remained stable throughout. Urinary cortisol and melatonin metabolite increased with DI, although within normal limits. A positive correlation was observed between lumbar pain intensity, estimated on the second day of DI, and mean 24-h urinary cortisol under DI. In conclusion, DI represents an accurate and rapid model of gravitational deconditioning. The extent of glucose tolerance impairment may be linked to constant enhanced muscle inactivity. Muscle tone reduction may reflect the reaction of postural muscles to withdrawal of support. Relatively modest increases in cortisol suggest that DI induces a moderate stress effect. In prospect, this advanced ground-based model is extremely suited to test countermeasures for microgravity-induced deconditioning and physical inactivity-related pathologies.
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Affiliation(s)
- Steven De Abreu
- Mitovasc, UMR Institut National de la Santé et de la Recherche Médicale 1083, Centre National de la Recherche Scientifique 6015, Université d'Angers, Angers, France
| | - Liubov Amirova
- Mitovasc, UMR Institut National de la Santé et de la Recherche Médicale 1083, Centre National de la Recherche Scientifique 6015, Université d'Angers, Angers, France.,Russian Federation State Research Center, Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Ronan Murphy
- Center for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | - Robert Wallace
- Center for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | - Laura Twomey
- Center for Preventive Medicine, School of Health and Human Performance, Dublin City University, Dublin, Ireland
| | | | | | - Françoise Larcher
- Laboratoire de Biochimie, Centre Hospitalier Universitaire d'Angers, Angers, France
| | - Marc-Antoine Custaud
- Mitovasc, UMR Institut National de la Santé et de la Recherche Médicale 1083, Centre National de la Recherche Scientifique 6015, Université d'Angers, Angers, France.,Centre de Recherche Clinique, Centre Hospitalier Universitaire d'Angers, Angers, France
| | - Nastassia Navasiolava
- Centre de Recherche Clinique, Centre Hospitalier Universitaire d'Angers, Angers, France
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21
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Linossier MT, Amirova LE, Thomas M, Normand M, Bareille MP, Gauquelin-Koch G, Beck A, Costes-Salon MC, Bonneau C, Gharib C, Custaud MA, Vico L. Effects of short-term dry immersion on bone remodeling markers, insulin and adipokines. PLoS One 2017; 12:e0182970. [PMID: 28806419 PMCID: PMC5555617 DOI: 10.1371/journal.pone.0182970] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Accepted: 07/27/2017] [Indexed: 12/21/2022] Open
Abstract
Background Dry immersion (DI), a ground-based model of microgravity previously used in Russia, has been recently implemented in France. The aim of this study was to analyze early events in a short-term DI model in which all conditions are met to investigate who is first challenged from osteo- or adipo-kines and to what extent they are associated to insulin-regulating hormones. Methods Twelve healthy men were submitted to a 3-day DI. Fasting blood was collected during pre-immersion phase for the determination of the baseline data collection (BDC), daily during DI (DI24h, DI48H and DI72h), then after recovery (R+3h and R+24h). Markers of bone turnover, phosphocalcic metabolism, adipokines and associated factors were measured. Results Bone resorption as assessed by tartrate-resistant acid phosphatase isoform 5b and N-terminal crosslinked telopeptide of type I collagen levels increased as early as DI24h. At the same time, total procollagen type I N- and C-terminal propeptides and osteoprotegerin, representing bone formation markers, decreased. Total osteocalcin [OC] was unaffected, but its undercarboxylated form [Glu-OC] increased from DI24h to R+3h. The early and progressive increase in bone alkaline phosphatase activities suggested an increased mineralization. Dickkopf-1 and sclerostin, as negative regulators of the Wnt-β catenin pathway, were unaltered. No change was observed either in phosphocalcic homeostasis (calcium and phosphate serum levels, 25-hydroxyvitamin D, fibroblast growth factor 23 [FGF23]) or in inflammatory response. Adiponectemia was unchanged, whereas circulating leptin concentrations increased. Neutrophil gelatinase-associated lipocalin [lipocalin-2], a potential regulator of bone homeostasis, was found elevated by 16% at R+3h compared to DI24h. The secretory form of nicotinamide phosphoribosyl-transferase [visfatin] concentrations almost doubled after one day of DI and remained elevated. Serum insulin-like growth factor 1 levels progressively increased. Fasting insulin concentrations increased during the entire DI, whereas fasting glucose levels tended to be higher only at DI24h and then returned to BDC values. Changes in bone resorption parameters negatively correlated with changes in bone formation parameters. Percent changes of ultra-sensitive C-reactive protein positively correlated with changes in osteopontin, lipocalin-2 and fasting glucose. Furthermore, a positive correlation was found between changes in FGF23 and Glu-OC, the two main osteoblast-/osteocyte-derived hormones. Conclusion Our results demonstrated that DI induced an unbalanced remodeling activity and the onset of insulin resistance. This metabolic adaptation was concomitant with higher levels of Glu-OC. This finding confirms the role of bone as an endocrine organ in humans. Furthermore, visfatin for which a great responsiveness was observed could represent an early and sensitive marker of unloading in humans.
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Affiliation(s)
- Marie-Thérèse Linossier
- University of Lyon, Medicine Faculty of Saint-Etienne, INSERM, UMR 1059, Saint Etienne, France
- * E-mail:
| | - Liubov E. Amirova
- University of Angers, Medicine Faculty, Mitovasc Laboratory, UMR CNRS 6015, INSERM 1083, Angers, France
- Institute of Biomedical Problems, Russian Academy of Sciences, Moscow, Russia
| | - Mireille Thomas
- University of Lyon, Medicine Faculty of Saint-Etienne, INSERM, UMR 1059, Saint Etienne, France
| | - Myriam Normand
- University of Lyon, Medicine Faculty of Saint-Etienne, INSERM, UMR 1059, Saint Etienne, France
| | | | | | - Arnaud Beck
- Institute of Space Physiology and Medicine (MEDES), Toulouse, France
| | | | | | | | - Marc-Antoine Custaud
- University of Angers, Medicine Faculty, Mitovasc Laboratory, UMR CNRS 6015, INSERM 1083, Angers, France
- Clinical Research Center, CHU d'Angers, Angers, France
| | - Laurence Vico
- University of Lyon, Medicine Faculty of Saint-Etienne, INSERM, UMR 1059, Saint Etienne, France
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22
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Pain and Vertebral Dysfunction in Dry Immersion: A Model of Microgravity Simulation Different from Bed Rest Studies. Pain Res Manag 2017; 2017:9602131. [PMID: 28785161 PMCID: PMC5530446 DOI: 10.1155/2017/9602131] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Revised: 05/04/2017] [Accepted: 06/07/2017] [Indexed: 12/28/2022]
Abstract
BACKGROUND Astronauts frequently experience back pain during and after spaceflight. The aim of this study was to utilize clinical methods to identify potential vertebral somatic dysfunction (VD) in subjects exposed to dry immersion (DI), a model of microgravity simulation. METHOD The experiment was performed in a space research clinic, respecting all the ethical rules, with subjects completing three days of dry immersion (n = 11). Assessments of VD, spine height, and back pain were made before and after simulated microgravity. RESULTS Back pain was present in DI with great global discomfort during the entire protocol. A low positive correlation was found (Pearson r = 0.44; P < 0.001) between VD before DI and pain developed in the DI experiment. CONCLUSIONS There is a specific location of pain in both models of simulation. Our analysis leads to relativizing constraints on musculoskeletal system in function of simulation models. This study was the first to examine manual palpation of the spine in a space experience. Additionally, osteopathic view may be used to select those individuals who have less risk of developing back pain.
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Demangel R, Treffel L, Py G, Brioche T, Pagano AF, Bareille MP, Beck A, Pessemesse L, Candau R, Gharib C, Chopard A, Millet C. Early structural and functional signature of 3-day human skeletal muscle disuse using the dry immersion model. J Physiol 2017; 595:4301-4315. [PMID: 28326563 DOI: 10.1113/jp273895] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 03/16/2017] [Indexed: 02/06/2023] Open
Abstract
KEY POINTS Our study contributes to the characterization of muscle loss and weakness processes induced by a sedentary life style, chronic hypoactivity, clinical bed rest, immobilization and microgravity. This study, by bringing together integrated and cellular evaluation of muscle structure and function, identifies the early functional markers and biomarkers of muscle deconditioning. Three days of muscle disuse in healthy adult subjects is sufficient to significantly decrease muscle mass, tone and force, and to induce changes in function relating to a weakness in aerobic metabolism and muscle fibre denervation. The outcomes of this study should be considered in the development of an early muscle loss prevention programme and/or the development of pre-conditioning programmes required before clinical bed rest, immobilization and spaceflight travel. ABSTRACT Microgravity and hypoactivity are associated with skeletal muscle deconditioning. The decrease of muscle mass follows an exponential decay, with major changes in the first days. The purpose of the study was to dissect out the effects of a short-term 3-day dry immersion (DI) on human quadriceps muscle function and structure. The DI model, by suppressing all support zones, accurately reproduces the effects of microgravity. Twelve healthy volunteers (32 ± 5 years) completed 3 days of DI. Muscle function was investigated through maximal voluntary contraction (MVC) tests and muscle viscoelasticity. Structural experiments were performed using MRI analysis and invasive experiments on muscle fibres. Our results indicated a significant 9.1% decrease of the normalized MVC constant (P = 0.048). Contraction and relaxation modelization kinetics reported modifications related to torque generation (kACT = -29%; P = 0.014) and to the relaxation phase (kREL = +34%; P = 0.040) after 3 days of DI. Muscle viscoelasticity was also altered. From day one, rectus femoris stiffness and tone decreased by, respectively, 7.3% (P = 0.002) and 10.2% (P = 0.002), and rectus femoris elasticity decreased by 31.5% (P = 0.004) after 3 days of DI. At the cellular level, 3 days of DI translated into a significant atrophy of type I muscle fibres (-10.6 ± 12.1%, P = 0.027) and an increased proportion of hybrid, type I/IIX fibre co-expression. Finally, we report an increase (6-fold; P = 0.002) in NCAM+ muscle fibres, showing an early denervation process. This study is the first to report experiments performed in Europe investigating human short-term DI-induced muscle adaptations, and contributes to deciphering the early changes and biomarkers of skeletal muscle deconditioning.
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Affiliation(s)
- Rémi Demangel
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | - Loïc Treffel
- Université Claude Bernard Lyon 1, Lyon, France.,Université de Strasbourg, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 7178, Strasbourg, France
| | - Guillaume Py
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | - Thomas Brioche
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | - Allan F Pagano
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | | | - Arnaud Beck
- Institute for Space Medicine and Physiology (MEDES), Toulouse, France
| | - Laurence Pessemesse
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | - Robin Candau
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | | | - Angèle Chopard
- Université de Montpellier, INRA, UMR866 Dynamique Musculaire et Métabolisme, Montpellier, France
| | - Catherine Millet
- Université Claude Bernard Lyon 1, Lyon, France.,Service d'Odontologie, Hospices Civils de Lyon, Lyon, France
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Taani MH, Kovach CR, Buehring B. Muscle Mechanography: A Novel Method to Measure Muscle Function in Older Adults. Res Gerontol Nurs 2017; 10:17-24. [DOI: 10.3928/19404921-20161209-03] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 10/11/2016] [Indexed: 12/23/2022]
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Treffel L, Mkhitaryan K, Gellee S, Gauquelin-Koch G, Gharib C, Blanc S, Millet C. Intervertebral Disc Swelling Demonstrated by 3D and Water Content Magnetic Resonance Analyses after a 3-Day Dry Immersion Simulating Microgravity. Front Physiol 2016; 7:605. [PMID: 27994557 PMCID: PMC5136574 DOI: 10.3389/fphys.2016.00605] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Accepted: 11/21/2016] [Indexed: 12/26/2022] Open
Abstract
Background: Vertebral deconditioning is commonly experienced after space flight and simulation studies. Disc herniation is quadrupled after space flight. Purpose: The main hypothesis formulated by the authors is that microgravity results in intervertebral disc (IVD) swelling. Study Design: The aim of the study was to identify the morphological changes of the spine and their clinical consequences after simulated microgravity by 3-day dry immersion (DI). The experimental protocol was performed on 12 male volunteers using magnetic resonance imaging and spectroscopy before and after DI. Methods: All the experiment was financially supported by CNES (Centre national d'études spatiales i.e., French Space Agency). Results: We observed an increase in spine height of 1.5 ± 0.4 cm and a decrease in curvature, particularly for the lumbar region with a decrease of −4 ± 2.5°. We found a significant increase in IVD volume of +8 ± 9% at T12-L1 and +11 ± 9% at L5-S1. This phenomenon is likely associated with the increase in disc intervertebral water content (IWC), 17 ± 27%. During the 3 days in DI, 92% of the subjects developed back pain in the lumbar region below the diaphragmatic muscle. This clinical observation may be linked to the morphological changes of the spine. Conclusions: The morphological changes observed and, specifically, the disc swelling caused by increased IWC may contribute to understanding disc herniation after microgravity exposure. Our results confirmed the efficiency of the 3-day DI model to reproduce quickly the effects of microgravity on spine morphology. Our findings raise the question of the subject selection in spatial studies, especially studies about spine morphology and reconditioning programs after space flight. These results may contribute to a better understanding of the mechanisms underlying disc herniation and may serve as the basis to develop countermeasures for astronauts and to prevent IVD herniation and back pain on Earth.
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Affiliation(s)
- Loïc Treffel
- Institut Pluridisciplinaire Hubert Curien, Université de Strasbourg, Centre National de la Recherche Scientifique (CNRS) Strasbourg, France
| | | | - Stéphane Gellee
- CHU Toulouse Rangueil Hospital Imaging Service Toulouse, France
| | | | - Claude Gharib
- Faculté de Médecine et d'Odontologie, Université Claude Bernard Lyon 1 Lyon, France
| | - Stéphane Blanc
- Institut Pluridisciplinaire Hubert Curien, Université de Strasbourg, Centre National de la Recherche Scientifique (CNRS) Strasbourg, France
| | - Catherine Millet
- Faculté de Médecine et d'Odontologie, Université Claude Bernard Lyon 1Lyon, France; Service d'Odontologie, Hospices Civils de LyonLyon, France
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