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Enabling Innovative Research on the International Space Station to Solve the Challenges of A Human Mission to Mars: Results of the ISS4Mars International Workshops 2020–2021

During the ISS4Mars workshops in 2020–2021, personnel from the International Space Station (ISS) partner agencies convened to reflect on scenarios for how the ISS could be used and its operations possibly modified to simulate aspects of a human mission to Mars. Scientific leaders, operations experts, crewmembers, managers, and flight surgeons discussed the five hazards of human spaceflight—gravity transitions, radiation, isolation and confinement, distance from Earth, and hostile closed environments—and considered how an ISS-based analog of Mars transit could benefit assessments and mitigations of these hazards. A focused writing team then discussed the advantages and disadvantages of each approach identified by the workshop participants before developing a set of eight use cases to consider the feasibility of implementing on the ISS. The writing team also identified the prerequisites needed, including ground analog studies simulating a mission to Mars required to verify measurements and procedures, before testing could begin on the ISS. Five of the use cases were considered feasible to assess in simulations using an ISS-based analog of Mars transit if some ground rules and assumptions were met. These five use cases were Earth-independent medical operations, Earth-independent integrated operations, life support and food for a one year duration, lower-body negative pressure as a countermeasure against the effects of exposure to microgravity, and fitness levels after landing. In addition, three more extensive interventions—extended Mars surface operations, a small-volume transit analog, and artificial gravity—were deemed unfeasible for testing on the ISS. Experience gained from the five use cases executed on the ISS may help answer some of the questions in the deferred scenarios, or it may be possible to complete them on another platform (e.g. commercial space station, lunar habitat). Simulating conditions during a Mars mission on the ISS will afford higher fidelity for assessing multiple integrated hazards of human spaceflight, however, ground analogs of Mars missions can be used to ensure effective measures and experimental design before testing begins on the ISS. The strategic concepts refined as part of these workshops were brought to a multilateral forum, Mulitlateral Human Research Planel for Exploration (MHRPE), where ISS partner agencies are now discussing implementation plans to provide new opportunities to use the ISS to prepare for deep space exploration over the coming decade. In this publication we present a summary of the international strategic plans for future research that will enable operations, software, and countermeasures to be developed that will reduce the risk to humans during future crewed missions to Mars.

Human space exploration↗

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

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 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↗

Demonstration of Fluid Dynamics for Plant Growing Systems in Varied Gravity Environments Through Scaled Capillary Models

The development of reliable and bioregenerative crop growth production systems is vital for human exploration into deep space. As humans prepare for space travel beyond LEO, scientists need to find a way to provide reliable and adequate water delivery for all stages of the plant's life cycle. Past production systems struggled with this and often led to overwatering in the system. To better understand this issue, NASA's Plant Water Management (PWM) experiments were able to model fluid flow through granular substrates, specifically a clay-based material arcilite, in 0-G. The PWM study can help researchers to predict fluid flow through the systems, however their model only works for an arcilite based system and was unable to account for different stages of plant growth. For future missions, payload requirements to support crop production system will need to be limited, leading to the use of in situ resources. This project aims to validate the PWM experiments as well as incorporate various materials into the design for growth systems. To meet these objectives, a series of terrestrial experiments will be deployed to mimic all gravities. By modifying the material, fluid, and size of the test subjects, the effect of Earth's gravity can be minimized. This project will aid researchers in the design of future crop production systems for surface missions by creating a refined model that can be used at all stages of plant growth and utilize in situ resources.

Plant Biology↗

Neurovascular Responses to Simulated Deep Space Radiation in a Human Organ-on-a-Chip Model

A major health risk for human deep space exploration is central nervous system (CNS) damage by galactic cosmic ray radiation. Simulated galactic cosmic rays or their components, especially the high-linear energy transfer (LET) particles such as 56Fe ions, have been shown to cause CNS damage, neuroinflammation and cognitive dysfunction in rodent models, but their effects on human CNS remain to be investigated. CNS damage from any insult, including ionizing radiation, is partially mediated by the blood-brain barrier (BBB), which regulates interactions between CNS and the rest of the body. The main cellular regulators of BBB permeability are astrocytes, which also modulate neuroinflammation. However, there have been few studies on BBB and astrocyte functions in regulating CNS responses, especially in human tissue analogs. Therefore, we utilized a high-throughput 3D organ-on-a-chip system, seeded with human induced pluripotent stem cell-derived astrocytes and brain endothelial cells, or brain endothelial cells alone, to study human neurovascular responses to simulated deep space radiation. We investigated the permeability and morphology of vascular structures formed by endothelial cells, as well as oxidative stress and secreted cytokines and chemokine levels over 1-7 days after irradiation with 0.25 – 0.5 Gy 5-ion simplified simulated galactic cosmic rays or 0.3 – 0.8 Gy high-LET 600 MeV/n 56Fe particles, and compared the outcomes to low-LET X-ray irradiation. We observed that simulated deep space radiation caused delayed astrocyte activation in a pattern resembling CNS responses to brain injury, caused oxidative stress and the production of inflammatory cytokines, and compromised BBB integrity by damaging tight junctions, thus increasing vascular permeability. Furthermore, our results indicate that astrocytes have a dual role in regulating radiation responses: they exacerbate blood-brain barrier permeability early after irradiation, followed by switching to a more protective scar-like phenotype by reducing oxidative stress and pro-inflammatory cytokine and chemokine secretion. In a follow-up study using the same platform, we investigated the dose-rate effects of ionizing radiation, by exposing our model to chronic, low dose-rate, gamma radiation. Our model was significantly improved by adding additional cell types composing the BBB, modelling immune cell infiltration into the brain, and studying the effect of an antioxidant, to measure more complex outcomes and model more closely the effect of deep space radiation on the human BBB. In summary, our results present a human neurovascular model for space radiation studies and potential future automated payload adaptation, and suggest astrocyte regulatory mechanisms as targets for countermeasures to mitigate human neurovascular impairments during deep space exploration.

Ionizing radiation↗

Resources from Water-Rock Interactions for Future Human Exploration of Mars

One of the most exciting endeavors in modern space exploration is extended human exploration of the Moon and Mars. We have entered a new phase in the human venture where we seek to expand our "...presence deeper into space and to the Moon for sustainable long-term exploration and utilization". With this endeavor come new challenges. Among them is the requirement for In Situ Resource Utilization (ISRU) methods to supplement or replace materials transported from Earth. The energy required to leave Earth's gravity well is immense, as is well illustrated by the nearly 3000 metric ton Saturn V required to deliver a payload of less than 50 metric tons to the Moon during the Apollo era. Much of this mass is propellant. Launch vehicles from Earth into space are generally 85 to 95% propellant (oxidizer + fuel) by mass. Potential ascent vehicles from Mars would also need to be approximately 80% propellant by mass to return to Earth. ISRU of fuel reactants could exchange delivered fuel mass directly for payload mass on the order of several metric tons. Devices like MOXIE are being designed to address the oxidizer component. However, 40% of the propellant mass in an ascent vehicle is the fuel reactant, and ISRU of this component has not been addressed for Mars or the Moon. Toward addressing this need, we have begun to develop and optimize methods to generate and recover fuel components, including H2, from Lunar and Martian relevant materials as potential in situ resources for future extended human missions. Hydrogen is an ideal resource to target. Not only can H2 be used directly as part of a propellant, it can also be used as a component in other fuels, such as methane. It is useful agriculturally for fixing nitrogen and can be oxidized to produce heat and water.

Adcock, C. T.↗

Exploration Medical Capability - Advancing Medical System Design and Risk-Informed Decision Making for Deep Space Exploration

BACKGROUND: Within NASA’s Human Research Program, the Exploration Medical Capability (ExMC) Element has three primary focus areas: clinical and scientific research, systems engineering and trade space analysis, and technology development and demonstrations. These focus areas feed into the overarching goal of enabling progressively Earth-Independent Medical Operations (EIMO), a new paradigm that will be necessary for future Artemis and Mars medical and vehicle systems. This EIMO end state aligns with NASA’s Moon to Mars Objectives, which clearly outline the need for NASA deep space exploration missions to reduce their reliance upon Earth and become increasingly autonomous, in preparation for the first human Mars mission. OVERVIEW: To advance exploration medical systems and ultimately, integrated crew health and performance systems, ExMC’s portfolio includes: funding ground development & testing of novel medical capabilities; creation of new approaches for the development of medical protocols and procedures; deployment of innovative technologies into analog environments; technology demonstrations in spaceflight; and eventual transition to operations of new capabilities for deep space exploration missions. The portfolio also includes: pharmaceutical research targeting stability, pharmacokinetics, and pharmacodynamics; integrated data architectures and clinical decision support tools; and systems engineering and trade space analysis tools to assist NASA in the development of future medical system models as well as the medical system requirements that can serve as a foundation for deep space exploration missions. All of these investments are done in a collaborative and coordinated fashion with other NASA stakeholders, such as the Environmental Control and Life Support Systems – Crew Health and Performance System Capability Leadership Team and the Health and Medical Technical Authority. DISCUSSION: In this presentation, ExMC will provide an overview of our work from across our portfolio, all of which will inform future EIMO efforts at NASA. ExMC’s research and development investments are targeted to reduce the human system risks associated with deep space exploration to the Moon and Mars.

Kris Lehnhardt↗

Deep Space Radiation Affects Neurovascular Functions in Human Organ-on-a-Chip Models

A major health risk for human deep space exploration is central nervous system (CNS) damage by galactic cosmic ray radiation. Simulated galactic cosmic rays or their components, especially the high- linear energy transfer (LET) particles such as 56 Fe ions, cause CNS damage, neuroinflammation and cognitive dysfunction in rodent models, but their effects on human CNS remain to be investigated. CNS damage from any insult, including ionizing radiation, is partially mediated by the blood-brain barrier (BBB), which regulates the interactions between CNS and the rest of the body. The main cellular regulators of BBB permeability are astrocytes, which also modulate neuronal health and neuroinflammation. However, there have been few studies on BBB and astrocyte functions in regulating CNS responses, especially in human tissue/organ analogs. Therefore, we utilized a high-throughput human 3D organ-on-a-chip system, seeded with induced pluripotent stem cell-derived endothelial cells, astrocytes and neurons, to study human neurovascular responses to simulated deep space radiation. We investigated BBB permeability, oxidative stress, cellular and tissue damage, and secreted factors over the time period of 24 hours-1 week after irradiation with 0.25-0.5 Gy 5-ion simplified simulated galactic cosmic rays and 0.3-0.8 Gy high-LET 600MeV/n 56 Fe particles, and compared the outcomes to low-LET irradiation with 0.1-1 Gy doses of X-rays and gamma rays. Both high and low-LET radiation increased neurovascular permeability, caused oxidative stress, damaged endothelial cells and tight junctions, and altered expression of inflammatory cytokines. Ionizing radiation- induced neurovascular permeability and oxidative stress peaked at 3 days after irradiation and were further exacerbated by the presence of astrocytes. Furthermore, in response to particle irradiation, astrocytes stimulated interleukin-1 signaling by inhibiting the expression of interleukin-1 receptor antagonist. Thus, we also evaluated interleukin-1 receptor antagonist as a potential countermeasure against particle radiation. Ultimately, our results may help develop countermeasures to mitigate human CNS damage in deep space exploration.

Sonali D Verma↗

Exploration Mission Particulate Matter Filtration Technology Performance Testing in a Simulated Spacecraft Cabin Ventilation System

Human deep space exploration missions will require advances in long-life, low maintenance airborne particulate matter filtration technology. As one of the National Aeronautics and Space Administrations (NASA) developments in this area, a prototype of a new regenerable, multi-stage particulate matter filtration technology was tested in an International Space Station (ISS) module simulation facility. As previously reported, the key features of the filter system include inertial and media filtration with regeneration and in-place media replacement techniques. The testing facility can simulate aspects of the cabin environment aboard the ISS and contains flight-like cabin ventilation system components. The filtration technology test article was installed at the inlet of the central ventilation system duct and instrumented to provide performance data under nominal flow conditions. In-place regeneration operations were also evaluated. The real-time data included pressure drop across the filter stages, process air flow rate, ambient pressure, humidity and temperature. In addition, two video cameras positioned at the filtration technology test articles inlet and outlet were used to capture the mechanical performance of the filter media indexing operation under varying air flow rates. Recent test results are presented and future design recommendations are discussed.

particulate matter filtration↗

Human support issues and systems for the space exploration initiative: Results from Project Outreach

The analyses and evaluations of the Human Support panel are discussed. The Human Support panel is one of eight panels created by RAND to screen and analyze submissions to the Space Exploration Initiative (SEI) Outreach Program. Submissions to the Human Support panel were in the following areas: radiation protection; microgravity; life support systems; medical care; and human factors (behavior and performance).

Aroesty, J.↗

Outcomes of a Mini Technical Interchange Meeting Concerning the Risk of Cardiovascular Disease from Exposure to Space Radiation

The NASA Human Research Program’s (HRP) Space Radiation Element (SRE) funds research to characterize and mitigate adverse health outcomes from exposure to space radiation to enable deep space exploration and sustained human presence in space. Damage to the cardiovascular system has been observed after exposure to clinically relevant doses of ionizing radiation. However, an association between lower radiation doses and cardiovascular disease (CVD) remains controversial, and questions pertaining to dose thresholds, radiation quality and dose-rate effects, and gaps in characterizing the mechanisms and major pathways of CVD remain. To solicit new ideas for characterizing and mitigating this risk, the SRE is organizing a series of miniature technical interchange meeting (Tiny-TIM) that provide a venue for HRP-funded investigators and thought leaders to present ongoing work and engage in open discussion on relevant topics. The initial Tiny-TIM: Upping the Ante on Characterizing and Mitigating Cardiovascular Disease Risk from Space Radiation Exposure, held at the NASA HRP Investigators’ Workshop (IWS) earlier this year, consisted of two 90-minute sessions; the first focused on current knowledge of CVD risk from space radiation exposure, and the second focused on innovative ideas, and newer approaches and techniques to accelerate research. The second session was followed by an open, spirited discussion amongst peers on the current issues impeding the characterization of CVD risk. SRE leadership facilitated the discussion using a set of pressing questions and gaps in knowledge that need to be addressed by the scientific community. This poster presents the outcomes of the Tiny-TIM, along with proposed future workshops and the SRE’s other initiatives.

Janapriya Saha↗

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↗

An Integrated Exploration Strategy

This document presents in viewgraph form the opportunities, challenges, core capabilities and technologies involved in human deep space exploration.

Conley, Michael↗

Surgical Capabilities for Exploration and Colonization Space Flight - An Exploration Symposium

Surgical capabilities in human space flight, whether on a space-based platform in low Earth orbit or on a long duration planetary exploration mission, will be challenging to conduct for a variety of reasons, some of which will be ameliorated by training, technology, and pre-flight planning. Nevertheless, inherent risks and challenges remain. Early space missions did not have any surgical capability. It was not until NASA's Skylab mission that serious consideration was given to this fundamental medical care capability. Over the past 30 years, subject matter experts have been brought together for discussion on the myriad of challenges and opportunities in this endeavor. The last such meeting was held in 2005 at the NASA Johnson Space Center. As we continue to move forward with human space flight activities for the International Space Station and beyond, the capabilities of information technology, robotics, sensors and imaging have rapidly changed since the last gathering of expertise. In December 2015, through sponsorship of the National Space Biomedical Research Institute (NSBRI), a diverse group of individuals from government, academia, and industry representing three countries gathered at the NSBRI Space 4 Biomedicine facility in Houston, TX. This two day symposia included comprehensive sessions that addressed the challenges that we all face in developing, deploying, and utilizing surgical care capabilities in all human space missions, regardless of mission duration or profile. The symposium benefited from the knowledge and experience of three seasoned NASA physician astronauts, Drs. Jay Buckey, Thomas Marshburn, and Lee Morin. At the end of the first day, the assembled group heard from the crew members about their experiences and their ideas. It is clear that the discussion of surgical capabilities is part of the larger discussion of consideration of advanced healthcare, including critical care, on exploration space missions. This report represents the culmination of the symposium, capturing knowledge, experience, conceptual dialogue, and a narrative that can be used in supporting the development of future programs and potential policy. Each of the presentations that were provided by the guest speakers is included in the appendices. Those presentations that are not included were due to sensitivity of the material or at the request of the speaker. In addition, each speaker was offered an opportunity to provide comments in a 'lightning round' format. All of these comments and speaker abstracts also appear in the appendices. At the conclusion of the second day, a discussion was held that reviewed the priorities that perhaps add value to decision makers. These are also summarized. This report will serve as the final product of this symposium. Additional material may be produced for the peer-reviewed literature.

Doarn, Charles R.↗

Human Challenges in Exploration Missions

This viewgraph presents an overview using pictures some of the history of human exploration of the new frontiers of Earth and then examines some of the challenges to human exploration of space. Particular attention is given to the environmental factors and to the social and human factors that effect humans in space environments.

Lloyd, Charles W.↗