Effects of prolonged isolation in a confined space on status of oxidative stress and prothrombogenesis: In preparation for possible future manned space expedition to Mars

INTRODUCTION

Apart from inflammation and endothelial dysfunction, other key components in the development of atherogenesis include prothrombogenesis and oxidative stress. The effects of long-term confinement and isolation, exposure to radiation and different gravity forces during space travel could potentially increase the long-term risk of atherosclerosis. To the best of our knowledge, this is the first study determining the status of prothrombogenesis and oxidative stress in six cosmonauts subjected to the longest duration of confined isolation period of 520 days in preparation for prospective undetermined manned space travel to Mars.

MATERIALS AND METHODS

This collaborative research between the National Space Agency (ANGKASA), Universiti Teknologi MARA, Malaysia and Institute of Biomedical Problems (IBMP), Russia was conducted at the Russian Academy of Sciences IBMP, Moscow, Russia. Six multi-national cosmonauts were assigned to live in a ground-based confined module for 520 days. Standard exercise and diet regime were instituted throughout the isolation phase. Six age, ethnic and gender-matched healthy, free-living ground controls were recruited in parallel. Serial serum and whole blood were analysed for biomarkers of prothrombogenesis [plasminogen activator inhibitor-1 (PAI-1) and homocysteine] and oxidative stress [oxidised low-density lipoprotein (ox-LDL) and malondialdehyde (MDA)].

RESULTS

There were significantly lower concentrations of PAI-1 and homocysteine in cosmonauts during confinement compared to the controls. There were no significant differences seen in the concentrations of biomarkers of oxidative stress during confinement but there was a significant percentage change increment for serum MDA in cosmonauts.

CONCLUSION

Long-term confinement decreased the risk of prothrombogenesis and this could be attributed to the exercise and diet regime which includes omega-3 fatty acids supplementation given to the crew members during their confinement period. However, oxidative damage could not be excluded and may be attributed to the influence of psychological stress during this prolonged confinement.

Ex Vivo Expansion of Hematopoietic Stem and Progenitor Cells from Umbilical Cord Blood

Transplantation of umbilical cord blood cells is currently widely used in modern cell therapy. However, the limited number of hematopoietic stem and progenitor cells (HSPCs) and prolonged time of recovery after the transplantation are significant limitations in the use of cord blood. Ex vivo expansion with various cytokine combinations is one of the most common approaches for increasing the number of HSPCs from one cord blood unit. In addition, there are protocols that enable ex vivo amplification of cord blood cells based on native hematopoietic microenvironmental cues, including stromal components and the tissue-relevant oxygen level. The newest techniques for ex vivo expansion of HSPCs are based on data from the elucidation of the molecular mechanisms governing the hematopoietic niche function. Application of these methods has provided an improvement of several important clinical outcomes. Alternative methods of cord blood transplantation enhancement based on optimization of HPSC homing and engraftment in patient tissues have also been successful. The goal of the present review is to analyze recent methodological approaches to cord blood HSPC ex vivo amplification.

Mechanisms of gravitational sensitivity of osteogenic precursor cells

This report is a detailed review of the current data on the mechanic and gravitational sensitivity of osteoblasts and osteogenic precursor cells in vitro. It summarizes the numerous responses of cells with an osteoblastic phenotype and osteogenic precursor cells and especially their responses to the alteration of their mechanic or gravitational surroundings. The review also discusses the osteogenic cell's pathways of signal transduction and the mechanisms of gravitational sensitivity. It was shown that the earliest multipotent stromal precursor cells of an adult organism's bone marrow can sense changes of intensity in a gravitational or mechanic field in model conditions, which may play a certain role in the development of osteopenia in microgravity.

Blood biochemical parameters in women during long-term simulated hyperoxic diving up to 8 ATA

Nowadays an increasing number of women are participating in recreational diving. A special recompression treatment table for delayed pulmonary barotrauma or decompression sickness was developed by V.V. Smolin in the Institute for Biomedical Problems (IBMP, Russia). The aim of our study was to investigate the effect of simulated dives (similar to this recompression treatment table) on biochemical parameters of healthy women. Three healthy female volunteers participated in long-term simulated diving to 8 ATA (0.8 MPa). Blood samples for determination of the biochemical substrate levels and activity of blood enzymes using a Reflotron analyzer were obtained at the control period, at the beginning of decompression and at the post dive period. No significant changes of serum levels of glucose, triglycerides, cholesterol, HDL cholesterol and urea were found during this experimental period or in comparison with the predive values. There were no significant changes in ALT activity in two volunteers but there was some tendency for an insignificant decrease in AST activity. One of the volunteers had a considerable increase in AST and ALT activities 15 h after the dive, probably due to a modified diet outside the experiment conditions. Thus, the long-term simulated diving recompression treatment table did not lead to a shift in the woman's serum biochemical status. However, it remains necessary to consider probable dysfunction of liver due to hyperbaric exposure.

Cell-to-cell interactions in changed gravity: ground-based and flight experiments

Cell-to-cell interactions play an important role in all physiological processes and are mediated by humoral and mechanical factors. Mechanosensitive cells (e.g., osteocytes, chondrocytes, and fibroblasts) can be studied ex vivo to understand the effects of an altered gravity environment. In particular, cultured endothelial cells (EC) are very sensitive to a broad spectrum of mechanical and biochemical stimuli. Earlier, we demonstrated that clinorotation leads to cytoskeletal remodeling in cultured ECs. Long-term gravity vector changes also modulate the expression of surface adhesion molecules (ICAM-1, E-selectin, VCAM-1) on cultured ECs. To study the interactions of geterological cells, we cocultured endothelial monolayers and human lymphocytes, immune cells and myeloleucemic (K-560) cells. It was found that, although clinorotation did not alter the basal adhesion level of non-activated immune cells on endothelial monolayers, the adhesion of PMA-activated lymphocytes was increased. During flight experiments onboard the Russian segment of the International Space Station, we measured the cytotoxic activity of natural killer (NK) cells incubated with labeled target cells. It was found that immune cells in microgravity retained their ability to contact, recognize, and destroy oncogenic cells in vitro. Together, our data concerning the effects of simulated and real microgravity suggest that, despite changes in the cytoskeleton, cell motility, and expression of adhesion molecules, cell-cell interactions are not compromised, thus preserving the critical physiological functions of immune and endothelial cells.

Simulated hypogravity stimulates cell spreading and wound healing in cultured human vascular endothelial cells

It is well known that endothelial cells (EC) are highly sensitive to mechanical influences such as hemodynamic conditions or pulsatile stretch. However, it is still unknown, how endothelium responds to the changed gravity. The results of some studies suggest that cellular elements of vascular wall and, particularly, endothelium, may directly participate in development of physiological responces to microgravity. On our suggestion, this is extremely attractive since vascular endothelium is one of the main regulators of vascular tone (via its interaction with vascular smooth muscle cells) and, consequently, can play not last role in maintaining of normal cardiovascular system operation in microgravity. On the other hand, the endothelium itself may be regarded as a widely dispersed organ of approximately 1.5 kg in weight (in the adult human organism). Finally, endothelium is not just a passive barrier between vascular wall and circulating blood but synthesizes, metabolizes, and releases a substances which act on adjacent cell systems or distant cell structures. The main aims of this study were: 1) the development of experimental model, allowing to study functional parameters of human endothelial cells in hypogravity conditions in vitro; 2) the verification of endothelial sensitivity to gravitational micro-environment.

Oxidative phosphorylation in rat skeletal muscles after space flight on board biosatellites

Polarographic analysis of biological oxidation in rat's skeletal muscles after the 18- and 22-day flights revealed changes specific for the flight animals: oxidative phosphorylation uncoupling, distinct inertness of energy accumulation after 10 hrs of landing. Tissue respiration's inhibition was observed in both flight and synchronous rats suggesting the effect of other than microgravity factors. Energy metabolism in muscles of flight animals returned to the pre-flight level later (29 d) compared to the synchronous rats (6 d). Muscles of different functions (predominance of fast or slow fibers) showed similar responses of energy metabolism to weightlessness, i.e. inhibition of the intensity and decline of the energy efficiency of oxidative processes. A decrease in dehydrogenase activity has been found in the first day of recovery. The effects may be caused by the inhibition of both aerobic and anaerobic metabolism after space flight.

Involvement of protein kinase C in hypoxia-induced desensitization of the beta-adrenergic system in human endothelial cells

In order to better understand the mechanisms whereby oxygen deficiency promotes blunting of the endothelial beta-adrenergic receptor (beta-AR) system we examined the effects of hypoxia on beta-AR, adenylate cyclase (AC) activity and phosphoinositide turnover in cultures of human pulmonary artery and umbilical vein endothelial cells. 1 hr of hypobaric hypoxia (290 mm Hg) increased basal levels of inositol mono-, bis-, and tris-phosphate to those following histamine stimulation under normoxia. Basal and isoproterenol-stimulated AC activities were lowered after 1 hr of hypoxia. beta-AR density was decreased after 2-3 hrs of hypoxia and after treatment of EC with histamine, platelet activating factor or phorbol myristate acetate (PMA). In protein-kinase C (PK-C)-downregulated EC, neither hypoxia nor PMA influenced beta-AR density or AC activity. Hypoxia-induced desensitization of beta-AR signal transduction in EC may involve hypoxia-stimulated phosphoinositide turnover and subsequent PK-C activation.