Ophthalmic changes have occurred in a subset of astronauts on International Space Station missions. Visual deterioration is considered the greatest human health risk of spaceflight. Affected astronauts exhibit higher concentrations of 1-carbon metabolites (e.g., homocysteine) before flight. We hypothesized that genetic variations in 1-carbon metabolism genes contribute to susceptibility to ophthalmic changes in astronauts. We investigated 5 polymorphisms in the methionine synthase reductase (MTRR), methylenetetrahydrofolate reductase (MTHFR), serine hydroxymethyltransferase (SHMT), and cystathionine beta-synthase (CBS) genes and their association with ophthalmic changes after flight in 49 astronauts. The number of G alleles of MTRR 66 and C alleles of SHMT1 1420 both contributed to the odds of visual disturbances. Preflight dehydroepiandrosterone was positively associated with cotton wool spots, and serum testosterone response during flight was associated with refractive change. Block regression showed that B-vitamin status and genetics were significant predictors of many of the ophthalmic outcomes that we observed. In one example, genetics trended toward improving (P = 0.10) and B-vitamin status significantly improved (P < 0.001) the predictive model for refractive change after flight. We document an association between MTRR 66 and SHMT1 1420 polymorphisms and spaceflight-induced vision changes. This line of research could lead to therapeutic options for both space travelers and terrestrial patients.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/26316272
Research Containing: Eye
Optic disc edema in an astronaut after repeat long-duration space flight
BACKGROUND: A number of ophthalmic findings including optic disc edema, globe flattening, and choroidal folds have been observed in several astronauts after long-duration space flights. The authors report the first astronaut with previously documented postflight ophthalmic abnormalities who developed new pathological changes after a repeat long-duration mission. METHODS: A case study of an astronaut with 2 long-duration (6 months) exposures to microgravity. Before and after his first long-duration space flight, he underwent complete eye examination, including fundus photography. Before and after his second flight, 9 years later, he underwent fundus photography, optical coherence tomography, ocular ultrasonography, and brain magnetic resonance imaging, as well as in-flight fundus photography and ultrasound. RESULTS: After his first long-duration mission, the astronaut was documented to have eye findings limited to unilateral choroidal folds and a single cotton wool spot. During a subsequent 6-month mission, he developed more widespread choroidal folds and new onset of optic disc edema in the same eye. CONCLUSION: Microgravity-induced anatomical changes that occurred during the first mission may have set the stage for recurrent or additional changes when the astronaut was subjected to physiological stress of repeat space flight.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/23851997
Perception of affordances during long-term exposure to weightlessness in the International Space station
On Earth, visual eye height (VEH)–the distance from the observer’s line of gaze to the ground in the visual scene–constitutes an effective cue in perceiving affordance such as the passability through apertures, based on the assumption that one’s feet are on the ground. In the present study, we questioned whether an observer continues to use VEH to estimate the width of apertures during long-term exposure to weightlessness, where contact with the floor is not required. Ten astronauts were tested in preflight, inflight in the International Space Station, and postflight sessions. They were asked to adjust the opening of a virtual doorway displayed on a laptop device until it was perceived to be just wide enough to pass through (i.e., the critical aperture). We manipulated VEH by raising and lowering the level of the floor in the visual scene. We observed an effect of VEH manipulation on the critical aperture. When VEH decreased, the critical aperture decreased too, suggesting that widths relative to the body were perceived to be larger when VEH was smaller. There was no overall significant session effect, but the analysis of between-subjects variability revealed two participant profile groups. The effect of weightlessness was different for these two groups even though the VEH strategy remained operational during spaceflight. This study shows that the VEH strategy appears to be very robust and can be used, if necessary, in inappropriate circumstances such as free-floating, perhaps promoted by the nature of the visual scene.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/26224263
Long-Duration Spaceflight Increases Depth Ambiguity of Reversible Perspective Figures
The objective of this study was to investigate depth perception in astronauts during and after spaceflight by studying their sensitivity to reversible perspective figures in which two-dimensional images could elicit two possible depth representations. Other ambiguous figures that did not give rise to a perception of illusory depth were used as controls. Six astronauts and 14 subjects were tested in the laboratory during three sessions for evaluating the variability of their responses in normal gravity. The six astronauts were then tested during four sessions while on board the International Space Station for 5-6 months. They were finally tested immediately after return to Earth and up to one week later. The reaction time decreased throughout the sessions, thus indicating a learning effect. However, the time to first percept reversal and the number of reversals were not different in orbit and after the flight compared to before the flight. On Earth, when watching depth-ambiguous perspective figures, all subjects reported seeing one three-dimensional interpretation more often than the other, i.e. a ratio of about 70-30%. In weightlessness this asymmetry gradually disappeared and after 3 months in orbit both interpretations were seen for the same duration. These results indicate that the perception of "illusory" depth is altered in astronauts during spaceflight. This increased depth ambiguity is attributed to the lack of the gravitational reference and the eye-ground elevation for interpreting perspective depth cues.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/26146839
MOSFET dosimetry mission inside the ISS as part of the Matroshka-R experiment
Radiation measurements of surface and deep organ doses were performed aboard the International Space Station, for the period of January 2006 to April 2007, using a MOSFET dosimetry system combined with the Matroshka-R spherical phantom. The averaged internal and surface dose rates are found to be 0.19 and 0.29 mGy d(-1), respectively. The levels of radiation dose to blood-forming organs (BFO) and to surface organs are compared with recommended safe limits. The maximum measured BFO dose has an average dose rate of 0.23 mGy d(-1) (84 mGy y(-1)), corresponding to 44 % of the recommended annual limit of 0.5 Sv, for a space radiation quality factor of 2.6. The annual surface dose is found to be higher at 126 mGy, corresponding to 16 % of the eye dose limit and to 11 % of the skin dose limit. Doses calculated using the Spenvis software showed deviations of up to 37 % from measurements.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/19933696
Heavy ions light flashes and brain functions: recent observations at accelerators and in spaceflight
Interactions between ionizing radiation in space and brain functions, and the related risk assessments, are among the major concerns when programming long permanence in space, especially when outside the protective shield of the Earth's magnetosphere. The light flashes (LF) observed by astronauts in space, mostly when dark adapted, are an example of these interactions; investigations in space and on the ground showed that these effects can originate with the action of ionizing radiation in the eye. Recent findings from ALTEA, an interdisciplinary and multiapproach program devoted to the study of different aspects of the radiation–brain functions interaction, are presented in this paper. These include: (i) study of radiation passing through the astronauts' eyes in the International Space Station (≈20 ions min −1 , excluding H and fast and very slow He), measured in conjunction with reporting of the perception of LF; (ii) preliminary electrophysiological evidence of these events in astronauts and in patients during heavy ion therapy; and (iii) in vitro results showing the radiation driven activation of rhodopsin at the start of the phototransduction cascade in the process of vision. These results are in agreement with our previous work on mice. A brief but complete summary of the earlier works is also reported to permit a discussion of the results.
Related URLs:
http://stacks.iop.org/1367-2630/10/i=7/a=075010
Spaceflight Environment Induces Mitochondrial Oxidative Damage in Ocular Tissue
A recent report shows that more than 30% of the astronauts returning from Space Shuttle missions or the International Space Station (ISS) were diagnosed with eye problems that can cause reduced visual acuity. We investigate here whether spaceflight environment-associated retinal damage might be related to oxidative stress-induced mitochondrial apoptosis. Female C57BL/6 mice were flown in the space shuttle Atlantis (STS-135), and within 35 h of landing, the spaceflight and ground-control mice, similarly housed in animal enclosure modules (AEMs) were euthanized and their eyes were removed for analysis. Changes in expression of genes involved in oxidative stress, mitochondrial and endothelial cell biology were examined. Apoptosis in the retina was analyzed by caspase-3 immunocytochemical analysis and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) assay. Levels of 4-hydroxynonenal (4-HNE) protein, an oxidative specific marker for lipid peroxidation were also measured. Evaluation of spaceflight mice and AEM ground-control mice showed that expression of several genes playing central roles in regulating the mitochondria-associated apoptotic pathway were significantly altered in mouse ocular tissue after spaceflight compared to AEM ground-control mice. In addition, the mRNA levels of several genes, which are responsible for regulating the production of reactive oxygen species were also significantly up-regulated in spaceflight samples compared to AEM ground-control mice. Further more, the level of HNE protein was significantly elevated in the retina after spaceflight compared to controls. Our results also revealed that spaceflight conditions induced significant apoptosis in the retina especially inner nuclear layer (INL) and ganglion cell layer (GCL) compared to AEM ground controls. The data provided the first evidence that spaceflight conditions induce oxidative damage that results in mitochondrial apoptosis in the retina. This data suggest that astronauts may be at increased risk for late retinal degeneration.
Related URLs:
http://dx.doi.org/10.1667/RR3309.1
MOSFET dosimetry mission inside the ISS as part of the Matroshka-R experiment
Radiation measurements of surface and deep organ doses were performed aboard the International Space Station, for the period of January 2006 to April 2007, using a MOSFET dosimetry system combined with the Matroshka-R spherical phantom. The averaged internal and surface dose rates are found to be 0.19 and 0.29 mGy d(-1), respectively. The levels of radiation dose to blood-forming organs (BFO) and to surface organs are compared with recommended safe limits. The maximum measured BFO dose has an average dose rate of 0.23 mGy d(-1) (84 mGy y(-1)), corresponding to 44 % of the recommended annual limit of 0.5 Sv, for a space radiation quality factor of 2.6. The annual surface dose is found to be higher at 126 mGy, corresponding to 16 % of the eye dose limit and to 11 % of the skin dose limit. Doses calculated using the Spenvis software showed deviations of up to 37 % from measurements.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/19933696
Ocular examination for trauma; clinical ultrasound aboard the International Space Station
BACKGROUND: Ultrasound imaging is a successful modality in a broad variety of diagnostic applications including trauma. Ultrasound has been shown to be accurate when performed by non-radiologist physicians; recent reports have suggested that non-physicians can perform limited ultrasound examinations. A multipurpose ultrasound system is installed on the International Space Station (ISS) as a component of the Human Research Facility (HRF). This report documents the first ocular ultrasound examination conducted in space, which demonstrated the capability to assess physiologic alterations or pathology including trauma during long-duration space flight. METHODS: An ISS crewmember with minimal sonography training was remotely guided by an imaging expert from Mission Control Center (MCC) through a comprehensive ultrasound examination of the eye. A multipurpose ultrasound imager was used in conjunction with a space-to-ground video downlink and two-way audio. Reference cards with topological reference points, hardware controls, and target images were used to facilitate the examination. Multiple views of the eye structures were obtained through a closed eyelid. Pupillary response to light was demonstrated by modifying the light exposure of the contralateral eye. RESULTS: A crewmember on the ISS was able to complete a comprehensive ocular examination using B- and M-mode ultrasonography with remote guidance from an expert in the MCC. Multiple anteroposterior, oblique, and coronal views of the eye clearly demonstrated the anatomic structures of both segments of the globe. The iris and pupil were readily visualized with probe manipulation. Pupillary diameter was assessed in real time in B- and M-mode displays. The anatomic detail and fidelity of ultrasound video were excellent and could be used to answer a variety of clinical and space physiologic questions. CONCLUSIONS: A comprehensive, high-quality ultrasound examination of the eye was performed with a multipurpose imager aboard the ISS by a non-expert operator using remote guidance. Ocular ultrasound images were of diagnostic quality despite the 2-second communication latency and the unconventional setting of a weightless spacecraft environment. The remote guidance techniques developed to facilitate this successful NASA research experiment will support wider applications of ultrasound for remote medicine on Earth including the assessment of pupillary reactions in patients with severe craniofacial trauma and swelling.
Related URLs:
http://www.ncbi.nlm.nih.gov/pubmed/15920397
NASCA Report 2: Longitudinal Study of Relationship of Exposure to Space Radiation and Risk of Lens Opacity
The NASA Study of Cataract in Astronauts (NASCA) was designed to measure the impact of exposure to space radiation on progression rates of cortical, nuclear, and posterior subcapsular cataract in U.S. astronauts who have flown in space and comparison groups of astronauts who had not flown in space, and subjects with a history of military aviation. We present our analyses of 5 years of data with an average of 3.8 exams per subject. All subjects had digital lens images with the Nidek EAS 1000 Lens Imaging System. Because of high variability and skewness of opacity measures, nonparametric methods were used to test for association between rates of opacification and space radiation exposure. First, median regression was used to collapse longitudinal data into robust estimates of progression rates (opacity severity compare to time for each eye of each subject). To quantify and test for a radiation effect, median regression with the dependent variable being the maximum of the two slopes (OD and OS) per subject was then used, adjusting for the confounding variables of age, nutritional, and sun-exposure histories. Median regression showed evidence of an association between the rate of cortical progression in the worse eye with radiation dose and age. The estimated median progression rate from space radiation being 0.25 ± 0.13% lens area/Sv/year (P = 0.062). We found no relationship between radiation exposure and progression of aggregate area of posterior subcapsular cataract or nuclear progression rates. However, longer follow-up may be needed to further understand any impact of space radiation on progression rates for posterior subcapsular cataracts and nuclear cataracts, and to characterize changes to visual acuity.
Related URLs:
http://dx.doi.org/10.1667/RR2876.1