» Articles » PMID: 33298950

Red Risks for a Journey to the Red Planet: The Highest Priority Human Health Risks for a Mission to Mars

Overview
Publisher Springer Nature
Date 2020 Dec 10
PMID 33298950
Citations 85
Authors
Affiliations
Soon will be listed here.
Abstract

NASA's plans for space exploration include a return to the Moon to stay-boots back on the lunar surface with an orbital outpost. This station will be a launch point for voyages to destinations further away in our solar system, including journeys to the red planet Mars. To ensure success of these missions, health and performance risks associated with the unique hazards of spaceflight must be adequately controlled. These hazards-space radiation, altered gravity fields, isolation and confinement, closed environments, and distance from Earth-are linked with over 30 human health risks as documented by NASA's Human Research Program. The programmatic goal is to develop the tools and technologies to adequately mitigate, control, or accept these risks. The risks ranked as "red" have the highest priority based on both the likelihood of occurrence and the severity of their impact on human health, performance in mission, and long-term quality of life. These include: (1) space radiation health effects of cancer, cardiovascular disease, and cognitive decrements (2) Spaceflight-Associated Neuro-ocular Syndrome (3) behavioral health and performance decrements, and (4) inadequate food and nutrition. Evaluation of the hazards and risks in terms of the space exposome-the total sum of spaceflight and lifetime exposures and how they relate to genetics and determine the whole-body outcome-will provide a comprehensive picture of risk profiles for individual astronauts. In this review, we provide a primer on these "red" risks for the research community. The aim is to inform the development of studies and projects with high potential for generating both new knowledge and technologies to assist with mitigating multisystem risks to crew health during exploratory missions.

Citing Articles

The utility of animal models to inform the next generation of human space exploration.

Duporge I, Pereira T, Castiello de Obeso S, Ross J, Lee S, G Hindle A NPJ Microgravity. 2025; 11(1):7.

PMID: 39984492 PMC: 11845785. DOI: 10.1038/s41526-025-00460-5.


Exploring the Impact of Microgravity on Gene Expression: Dysregulated Pathways and Candidate Repurposed Drugs.

Galcenko K, Bourdakou M, Spyrou G Int J Mol Sci. 2025; 26(3).

PMID: 39941055 PMC: 11818396. DOI: 10.3390/ijms26031287.


Validated space radiation exposure predictions from earth to mars during Artemis-I.

Slaba T, Rahmanian S, George S, Laramore D, Norbury J, Werneth C NPJ Microgravity. 2025; 11(1):6.

PMID: 39934155 PMC: 11814067. DOI: 10.1038/s41526-025-00459-y.


A multifactorial, evidence-based analysis of pathophysiology in Spaceflight Associated Neuro-Ocular Syndrome (SANS).

Galdamez L, Mader T, Ong J, Kadipasaoglu C, Lee A Eye (Lond). 2025; 39(4):700-709.

PMID: 39827235 PMC: 11885454. DOI: 10.1038/s41433-025-03618-3.


Hypothesis on the outflow of optic nerve cerebrospinal fluid in spaceflight associated neuro ocular syndrome.

Hu Y, Lin Y, Cheng L, Xu Y, Zhang J, Zheng Z NPJ Microgravity. 2024; 10(1):112.

PMID: 39702371 PMC: 11659609. DOI: 10.1038/s41526-024-00449-6.


References
1.
Zwart S, Gibson C, Gregory J, Mader T, Stover P, Zeisel S . Astronaut ophthalmic syndrome. FASEB J. 2017; 31(9):3746-3756. DOI: 10.1096/fj.201700294. View

2.
Sylvester C, Abe J, Patel Z, Grande-Allen K . Radiation-Induced Cardiovascular Disease: Mechanisms and Importance of Linear Energy Transfer. Front Cardiovasc Med. 2018; 5:5. PMC: 5797745. DOI: 10.3389/fcvm.2018.00005. View

3.
Datta K, Suman S, Kallakury B, Fornace Jr A . Exposure to heavy ion radiation induces persistent oxidative stress in mouse intestine. PLoS One. 2012; 7(8):e42224. PMC: 3427298. DOI: 10.1371/journal.pone.0042224. View

4.
Smith S, Davis-Street J, Rice B, Nillen J, Gillman P, Block G . Nutritional status assessment in semiclosed environments: ground-based and space flight studies in humans. J Nutr. 2001; 131(7):2053-61. DOI: 10.1093/jn/131.7.2053. View

5.
Zwart S, Launius R, Coen G, Morgan J, Charles J, Smith S . Body mass changes during long-duration spaceflight. Aviat Space Environ Med. 2014; 85(9):897-904. DOI: 10.3357/ASEM.3979.2014. View