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Spaceflight-Induced Changes in Microbial Virulence and the Impact to the Host Immune Response

Many microbial pathogens have repeatedly exhibited unexpected responses relevant to infectious disease when grown in microgravity and microgravity analogue environments, including changes in final cell concentration, biofilm production, stress resistance, antibiotic sensitivity, gene expression, host-pathogen interactions, and virulence. Notably, the classic foodborne pathogen Salmonella enterica serovar Typhimurium displayed increased virulence in animals when cultured in either the spaceflight analogue or true spaceflight environment. Recently, Serratia marcescens also was shown to increase virulence when cultured in the spaceflight environment. In parallel, astronaut studies have characterized a persistent spaceflight-induced dysregulation of the human immune system at multiple levels, which suggests an increased risk of infectious diseases. Moreover, astronauts have some degree of clinical infectious disease incidence. However, the contribution of the microgravity environment on host-pathogen interactions and potential for clinical disease remains understudied and poorly characterized. The goal of this study is to gain insight into the breadth of other medically significant microbial pathogens that may exhibit altered virulence and pathogenesis-related responses when cultured in spaceflight analogue conditions. Specifically, we are characterizing the effect of spaceflight analogue culture (Low Shear Modeled Microgravity/LSMMG) on microbial pathogenesis-related stress responses, in vitro host-pathogen interactions, gene expression, and virulence potential in animals using five important model bacterial pathogens, Salmonella enterica Enteritidis, Pseudomonas aeruginosa, Burkholderia cepacia, Streptococcus pneumoniae, and enterohemorrhagic Escherichia coli. The information to date is providing a better understanding into the potential impact of microgravity on alterations in microbial virulence and associated infectious disease risk to crew health during spaceflight missions.

C M Ott↗

NASA System Safety Handbook: System Safety Framework and Concepts for Implementation - Volume 1

System safety assessment is defined in NPR 8715.3C, NASA General Safety Program Requirements as a disciplined, systematic approach to the analysis of risks resulting from hazards that can affect humans, the environment, and mission assets. Achievement of the highest practicable degree of system safety is one of NASA's highest priorities. Traditionally, system safety assessment at NASA and elsewhere has focused on the application of a set of safety analysis tools to identify safety risks and formulate effective controls.1 Familiar tools used for this purpose include various forms of hazard analyses, failure modes and effects analyses, and probabilistic safety assessment (commonly also referred to as probabilistic risk assessment (PRA)). In the past, it has been assumed that to show that a system is safe, it is sufficient to provide assurance that the process for identifying the hazards has been as comprehensive as possible and that each identified hazard has one or more associated controls. The NASA Aerospace Safety Advisory Panel (ASAP) has made several statements in its annual reports supporting a more holistic approach. In 2006, it recommended that "... a comprehensive risk assessment, communication and acceptance process be implemented to ensure that overall launch risk is considered in an integrated and consistent manner." In 2009, it advocated for "... a process for using a risk-informed design approach to produce a design that is optimally and sufficiently safe." As a rationale for the latter advocacy, it stated that "... the ASAP applauds switching to a performance-based approach because it emphasizes early risk identification to guide designs, thus enabling creative design approaches that might be more efficient, safer, or both." For purposes of this preface, it is worth mentioning three areas where the handbook emphasizes a more holistic type of thinking. First, the handbook takes the position that it is important to not just focus on risk on an individual basis but to consider measures of aggregate safety risk and to ensure wherever possible that there be quantitative measures for evaluating how effective the controls are in reducing these aggregate risks. The term aggregate risk, when used in this handbook, refers to the accumulation of risks from individual scenarios that lead to a shortfall in safety performance at a high level: e.g., an excessively high probability of loss of crew, loss of mission, planetary contamination, etc. Without aggregated quantitative measures such as these, it is not reasonable to expect that safety has been optimized with respect to other technical and programmatic objectives. At the same time, it is fully recognized that not all sources of risk are amenable to precise quantitative analysis and that the use of qualitative approaches and bounding estimates may be appropriate for those risk sources. Second, the handbook stresses the necessity of developing confidence that the controls derived for the purpose of achieving system safety not only handle risks that have been identified and properly characterized but also provide a general, more holistic means for protecting against unidentified or uncharacterized risks. For example, while it is not possible to be assured that all credible causes of risk have been identified, there are defenses that can provide protection against broad categories of risks and thereby increase the chances that individual causes are contained. Third, the handbook strives at all times to treat uncertainties as an integral aspect of risk and as a part of making decisions. The term "uncertainty" here does not refer to an actuarial type of data analysis, but rather to a characterization of our state of knowledge regarding results from logical and physical models that approximate reality. Uncertainty analysis finds how the output parameters of the models are related to plausible variations in the input parameters and in the modeling assumptions. The evaluation of unrtainties represents a method of probabilistic thinking wherein the analyst and decision makers recognize possible outcomes other than the outcome perceived to be "most likely." Without this type of analysis, it is not possible to determine the worth of an analysis product as a basis for making decisions related to safety and mission success. In line with these considerations the handbook does not take a hazard-analysis-centric approach to system safety. Hazard analysis remains a useful tool to facilitate brainstorming but does not substitute for a more holistic approach geared to a comprehensive identification and understanding of individual risk issues and their contributions to aggregate safety risks. The handbook strives to emphasize the importance of identifying the most critical scenarios that contribute to the risk of not meeting the agreed-upon safety objectives and requirements using all appropriate tools (including but not limited to hazard analysis). Thereafter, emphasis shifts to identifying the risk drivers that cause these scenarios to be critical and ensuring that there are controls directed toward preventing or mitigating the risk drivers. To address these and other areas, the handbook advocates a proactive, analytic-deliberative, risk-informed approach to system safety, enabling the integration of system safety activities with systems engineering and risk management processes. It emphasizes how one can systematically provide the necessary evidence to substantiate the claim that a system is safe to within an acceptable risk tolerance, and that safety has been achieved in a cost-effective manner. The methodology discussed in this handbook is part of a systems engineering process and is intended to be integral to the system safety practices being conducted by the NASA safety and mission assurance and systems engineering organizations. The handbook posits that to conclude that a system is adequately safe, it is necessary to consider a set of safety claims that derive from the safety objectives of the organization. The safety claims are developed from a hierarchy of safety objectives and are therefore hierarchical themselves. Assurance that all the claims are true within acceptable risk tolerance limits implies that all of the safety objectives have been satisfied, and therefore that the system is safe. The acceptable risk tolerance limits are provided by the authority who must make the decision whether or not to proceed to the next step in the life cycle. These tolerances are therefore referred to as the decision maker's risk tolerances. In general, the safety claims address two fundamental facets of safety: 1) whether required safety thresholds or goals have been achieved, and 2) whether the safety risk is as low as possible within reasonable impacts on cost, schedule, and performance. The latter facet includes consideration of controls that are collective in nature (i.e., apply generically to broad categories of risks) and thereby provide protection against unidentified or uncharacterized risks.

Dezfuli, Homayoon↗

The Future of Integrated Performance Modeling in the Crew Health and Performance – Probabilistic Risk Assessment Project

The NASA engineering community utilizes event-driven and fault-tree probabilistic techniques to classify risks in the space environment by taking advantage of the inherent knowledge of complex spaceflight system design and testing to quantify failure risk. In harmonizing the risk of human space flight, answering the question of ‘How do we balance health, performance and resource risks with other engineering risks on long duration space missions?’ remains a deeply challenging and largely qualitative practice. The Human Research Program’s Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) was a significant step forward in efforts to robustly quantify the risk to crew health for exploration missions. However, there remains a significant gap in the ability to comprehensively assess and characterize risk across the disparate functionalities and capabilities which comprise the Crew Health and Performance (CHP) system. The Crew Health and Performance – Probabilistic Risk Assessment (CHP-PRA) project seeks to characterize CHP risks by expanding beyond the foundation established by its PRA predecessors like IMM and MEDPRAT, that simulate medical risk metrics like loss of crew life and evacuations. One of the new risk measures in the CHP-PRA system is embodied in our Performance Risk Model (PRisM). PRisM provides a novel way of assessing crew performance on mission tasks, using a generalized framework which relates back to NASA-STD-3001. This approach allows PRisM to capture and integrate data from a variety of different domains into a single, unified, reproducible representation of astronaut performance. In this presentation, we discuss the motivation for the CHP-PRA work and give a high level overview of the goals of the project, outline the forward work for PRisM, and discuss collaboration opportunities for the community who might explore if their domain knowledge and data could be represented, integrated, and quantified with these tools, whose outcomes are metrics useful for supporting operational mission planning and decision making.

Lauren McIntyre↗

Chimeric Mouse Models for Space Radiation Risk Investigations

Assessment of human health risks associated with space radiation exposure is based largely on the knowledge learned from studies in which animals, mostly rodents, are exposed to high-LET radiation on the ground. It has been recognized that translation of animal results to meaningful implications for human disease can be challenging, particularly for certain risk categories such as the high-LET radiation effects in the central nervous system (CNS). Considering limitations in utilizing non-human primates and clinical studies in humans, chimeric animals can potentially bridge the knowledge gap between rodents and humans. In a chimeric animal, a specific organ or a cell type is replaced with respective human cells that are functional. A number of chimeric mouse models have been developed in the medical research community to study human diseases, and some of the models can potentially be used for NASA applications. For instance, mice engrafted with human hepatocytes, which have been used in studies of genotoxicity from carcinogen exposures, can be used for quantification of space radiation damage. A chimeric brain model, which was shown to perform superiorly in memory and cognitive tests, can also be a candidate for studying the CNS effects of radiation. It has also been reported that mice engrafted with human hematopoietic progenitor cells were exposed to X-rays and high-LET Si ions to investigate the radiation effects in the immune system. In a pilot study, we use PXB mice whose livers contain >90% human cells. These mice are exposed to gamma rays for investigations of DNA damage and transcriptomics changes in the humanized livers. Results obtained from PXB mice will be compared non-engrafted control animals from the same background strain that are exposed to identical conditions. The aim of the study is to determine whether chimeric mouse models are suitable for investigations of space radiation risks.

Honglu Wu↗

Chimeric Mouse Models for Space Radiation Risk Investigations

Assessment of human health risks associated with space radiation exposure is based largely on the knowledge learned from studies in which animals, mostly rodents, are exposed to high-LET radiation on the ground. It has been recognized that translation of animal results to meaningful implications for human disease can be challenging, particularly for certain risk categories such as the high-LET radiation effects in the central nervous system (CNS). Considering limitations in utilizing non-human primates and clinical studies in humans, chimeric animals can potentially bridge the knowledge gap between rodents and humans. In a chimeric animal, a specific organ or a cell type is replaced with respective human cells that are functional. A number of chimeric mouse models have been developed in the medical research community to study human diseases, and some of the models can potentially be used for NASA applications. For instance, mice engrafted with human hepatocytes, which have been used in studies of genotoxicity from carcinogen exposures, can be used for quantification of space radiation damage. A chimeric brain model, which was shown to perform superiorly in memory and cognitive tests, can also be a candidate for studying the CNS effects of radiation. It has also been reported that mice engrafted with human hematopoietic progenitor cells were exposed to X-rays and high-LET Si ions to investigate the radiation effects in the immune system. In a pilot study, we use PXB mice whose livers contain >90% human cells. These mice are exposed to gamma rays for investigations of DNA damage and transcriptomics changes in the humanized livers. Results obtained from PXB mice will be compared non-engrafted control animals from the same background strain that are exposed to identical conditions. The aim of the study is to determine whether chimeric mouse models are suitable for investigations of space radiation risks.

Honglu Wu↗

Exploration Medical Capability Science and Research Overview and Update

The mission of the Exploration Medical Capability (ExMC) Element is to advance medical system design and risk-informed decision making for exploration beyond Low Earth Orbit to promote human health and performance in space. To accomplish this mission, ExMC focuses on several key areas: • Investigating specific risks that are relevant for human exploration spaceflight, including in-flight medical conditions, degraded or toxic medications, and renal stones • Developing medical probabilistic risk analysis tools that are integrated with systems engineering processes to inform the medical system trade space and support the development of robust requirements • Demonstrating and defining requirements for a prototype clinical decision support system • Developing and demonstrating novel medical technologies that will improve future medical capabilities in space This presentation will focus on selected scientific and technical conceptual drivers for the Element and its current and future research risks and gaps while providing an overview of the Element’s progress in 2021 and areas of focus for 2022.

Benjamin Easter↗

Reference Mission Version 3.0 Addendum to the Human Exploration of Mars: The Reference Mission of the NASA Mars Exploration Study Team

This Addendum to the Mars Reference Mission was developed as a companion document to NASA Special Publication 6107, “Human Exploration of Mars: The Reference Mission of the NASA Exploration Study Team.” The Addendum summarizes changes and updates to the Mars Reference Mission the Exploration Office developed since the final draft of SP 6107 was printed in early 1998. The Reference Mission is a tool used by the Exploration Team and the exploration community to compare and evaluate approaches to mission and system concepts that could be used for human exploration missions. It is intended to identify and clarify system “drivers,” or significant sources of cost, performance, risk, and schedule variation. It does not represent a final or recommended approach to human Mars missions. Several alternative scenarios, including human exploration missions to the Moon, asteroids, or other targets beyond Earth orbit as well as employing different technical approaches to solving mission and technology challenges, are currently under study by the Exploration Team. Comparing alternative approaches provides the basis for continual improvement to technology investment plans and general understanding of future human exploration missions. The Addendum represents a “snapshot” of work in progress in support of planning for future human exploration missions through May 1998. Annual publications of revisions to the Reference Mission are planned beginning in late 1998.

Mars↗

Micro-Inspector Spacecraft for Space Exploration Missions

NASA is seeking to embark on a new set of human and robotic exploration missions back to the Moon, to Mars, and destinations beyond. Key strategic technical challenges will need to be addressed to realize this new vision for space exploration, including improvements in safety and reliability to improve robustness of space operations. Under sponsorship by NASA's Exploration Systems Mission, the Jet Propulsion Laboratory (JPL), together with its partners in government (NASA Johnson Space Center) and industry (Boeing, Vacco Industries, Ashwin-Ushas Inc.) is developing an ultra-low mass (<3.0 kg) free-flying micro-inspector spacecraft in an effort to enhance safety and reduce risk in future human and exploration missions. The micro-inspector will provide remote vehicle inspections to ensure safety and reliability, or to provide monitoring of in-space assembly. The micro-inspector spacecraft represents an inherently modular system addition that can improve safety and support multiple host vehicles in multiple applications. On human missions, it may help extend the reach of human explorers, decreasing human EVA time to reduce mission cost and risk. The micro-inspector development is the continuation of an effort begun under NASA's Office of Aerospace Technology Enabling Concepts and Technology (ECT) program. The micro-inspector uses miniaturized celestial sensors; relies on a combination of solar power and batteries (allowing for unlimited operation in the sun and up to 4 hours in the shade); utilizes a low-pressure, low-leakage liquid butane propellant system for added safety; and includes multi-functional structure for high system-level integration and miniaturization. Versions of this system to be designed and developed under the H&RT program will include additional capabilities for on-board, vision-based navigation, spacecraft inspection, and collision avoidance, and will be demonstrated in a ground-based, space-related environment. These features make the micro-inspector design unique in its ability to serve crewed as well as robotic spacecraft, well beyond Earth-orbit and into arenas such as robotic missions, where human teleoperation capability is not locally available.

microspacecraft↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems - 2021 Status

Human exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress to date as well as future plans for efforts to design, select, build, test and fly Exploration ECLSS on the ISS.

Laura A Shaw↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems - 2022 Status

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems– 2022 StatusHuman exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress

Laura A Shaw↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems - 2022 Status

Human exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress to date as well as future plans for efforts to design, select, build, test and fly Exploration ECLSS on the ISS.

ECLSS↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems - 2023 Status

Human exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress to date as well as future plans for efforts to design, select, build, test and fly Exploration ECLSS on the ISS.

ECLSS↗

International Space Station (ISS) as A Testbed for Exploration Environmental Control and Life Support Systems (ECLSS)- 2023 Status

Human exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress to date as well as future plans for efforts to design, select, build, test and fly Exploration ECLSS on the ISS.

ECLSS↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems - 2024 Status

Human exploration missions beyond low earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development including hardware and ISS vehicle integration progress to date as well as future plans for efforts to design, select, build, test and fly Exploration ECLSS on the ISS.

ECLSS↗

International Space Station as a Testbed for Exploration Environmental Control and Life Support Systems – 2024 Status

Human exploration missions beyond low Earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions. This paper will provide an updated status on the testbed development, including hardware and ISS vehicle integration progress to date, as well as future plans for efforts to design, select, build, test, and fly Exploration ECLSS on the ISS.

ECLSS↗

International Space Station (ISS) as a Testbed For Exploration ECLSS – 2024 Status

Human exploration missions beyond low Earth orbit, such as NASA’s Artemis Program, present significant challenges to spacecraft system design and supportability. A particularly challenging area is the Environmental Control and Life Support System (ECLSS) that maintains a habitable and life-sustaining environment for crewmembers. NASA is utilizing the experience gained from its current and prior spaceflight programs to mature life support technologies for exploration missions to deep space. The intent is to establish a portfolio of life support system capabilities with proven performance and reliability to enable human exploration missions and reduce risk to success of those missions. As a fully operational human-occupied platform in microgravity, the International Space Station (ISS) presents a unique opportunity to act as a testbed for exploration-class ECLSS, such that these systems may be tested, proven, and refined for eventual deployment on deep space human exploration missions.

ECLSS↗

Spacecraft Parachute Recovery System Testing from a Failure Rate Perspective

Spacecraft parachute recovery systems, especially those with a parachute cluster, require testing to identify and reduce failures. This is especially important when the spacecraft in question is human-rated. Due to the recent effort to make spaceflight affordable, the importance of determining a minimum requirement for testing has increased. The number of tests required to achieve a mature design, with a relatively constant failure rate, can be estimated from a review of previous complex spacecraft recovery systems. Examination of the Apollo parachute testing and the Shuttle Solid Rocket Booster recovery chute system operation will clarify at which point in those programs the system reached maturity. This examination will also clarify the risks inherent in not performing a sufficient number of tests prior to operation with humans on-board. When looking at complex parachute systems used in spaceflight landing systems, a pattern begins to emerge regarding the need for a minimum amount of testing required to wring out the failure modes and reduce the failure rate of the parachute system to an acceptable level for human spaceflight. Not only a sufficient number of system level testing, but also the ability to update the design as failure modes are found is required to drive the failure rate of the system down to an acceptable level. In addition, sufficient data and images are necessary to identify incipient failure modes or to identify failure causes when a system failure occurs. In order to demonstrate the need for sufficient system level testing prior to an acceptable failure rate, the Apollo Earth Landing System (ELS) test program and the Shuttle Solid Rocket Booster Recovery System failure history will be examined, as well as some experiences in the Orion Capsule Parachute Assembly System will be noted.

Stewart, Christine E.↗

Evidence Report: Risk of Acute and Late Central Nervous System Effects from Radiation Exposure

Possible acute and late risks to the central nervous system (CNS) from galactic cosmic rays (GCR) and solar particle events (SPE) are concerns for human exploration of space. Acute CNS risks may include: altered cognitive function, reduced motor function, and behavioral changes, all of which may affect performance and human health. Late CNS risks may include neurological disorders such as Alzheimer's disease (AD), dementia and premature aging. Although detrimental CNS changes are observed in humans treated with high-dose radiation (e.g., gamma rays and 9 protons) for cancer and are supported by experimental evidence showing neurocognitive and behavioral effects in animal models, the significance of these results on the morbidity to astronauts has not been elucidated. There is a lack of human epidemiology data on which to base CNS risk estimates; therefore, risk projection based on scaling to human data, as done for cancer risk, is not possible for CNS risks. Research specific to the spaceflight environment using animal and cell models must be compiled to quantify the magnitude of CNS changes in order to estimate this risk and to establish validity of the current permissible exposure limits (PELs). In addition, the impact of radiation exposure in combination with individual sensitivity or other space flight factors, as well as assessment of the need for biological/pharmaceutical countermeasures, will be considered after further definition of CNS risk occurs.

Nelson, Gregory A.↗