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Leblanc, Adrian

Publications and source records attributed to Leblanc, Adrian.

Magnetic resonance imaging after exposure to microgravity

A number of physiological changes were demonstrated in bone, muscle, and blood from exposure of humans and animals to microgravity. Determining mechanisms and the development of effective countermeasures for long-duration space missions is an important NASA goal. Historically, NASA has had to rely on tape measures, x-ray, and metabolic balance studies with collection of excreta and blood specimens to obtain this information. The development of magnetic resonance imaging (MRI) offers the possibility of greatly extending these early studies in ways not previously possible; MRI is also non-invasive and safe; i.e., no radiation exposure. MRI provides both superb anatomical images for volume measurements of individual structures and quantification of chemical/physical changes induced in the examined tissues. This investigation will apply MRI technology to measure muscle, intervertebral disc, and bone marrow changes resulting from exposure to microgravity.

Leblanc, Adrian↗

Countermeasures against space flight related bone loss

A general review is presented of data on bone loss with references to countermeasures for use during spaceflight and bedrest. The two primary countermeasures against skeletal atrophy are skeletal loading such as centrifugation and exercise and/or the administration of drugs designed to alter the rate of bone remodeling. Bone loss is argued to be unavoidable in long-duration spaceflight in spite of countermeasures utilized, but a combination of exercise, biochemical treatments, and post-flight therapy is considered the optimal solution.

Leblanc, Adrian↗

Can the adult skeleton recover lost bone?

The loss of bone mineral with aging and subsequent development of osteoporosis is a common problem in elderly women, and as life expectancy increases, in elderly men as well. Space flight also causes bone loss and could be a limiting factor for long duration missions, such as, a Mars expedition or extended occupation of a Space Station. Before effective countermeasures can be devised, a thorough knowledge of the extent, location, and rate of bone loss during weightlessness is needed from actual space flight data or ground-based disuse models. In addition, the rate and extent that these losses are reversed after return from space flight are of primary importance. Although the mechanisms are not likely to be the same in aging and space flight, there are common elements. For example, strategies developed to prevent disuse bone loss or to enhance the rate of recovery following space flight might have direct applicability to clinical medicine. For various reasons, little attention has been given to recovery of bone mass following space flight. As a prelude to the design of strategies to enhance recovery of bone, this paper reviews published literature related to bone recovery in the adult. We conclude that recovery can be expected, but the rate and extent will be individual and bone site dependent. The development of strategies to encourage or enhance bone formation following space flight may be as important as implementing countermeasures during flight.

Leblanc, Adrian↗

Prevention of space flight induced soft tissue calcification and disuse osteoporosis

Medical complications such as renal stone formation, increased uric acid output, and disuse osteoporosis are discussed. A series of experiments was conducted in order to study and eventually reduce these flight hazards. Attempts to prevent the negative calcium balance and loss of calcaneal density during prolonged bed rest had only a limited success. Of the five biochemical regiments tested, only diphosphonate applied in a high dose had a positive effect in elliminating mineral losses. It is found that clodronate can prevent disuse osteoporosis and that fluoride can enhance bone formation. It is concluded that exercises, combined with pharmaceutical agents, are beneficial during long-duration space missions.

Schneider, Victor S.↗