Evidence map›Paper›PMID 35458519›Full record

ArticleViruses2022

Dermatitis during Spaceflight Associated with HSV-1 Reactivation.

Satish K Mehta, Moriah L Szpara, Bridgette V Rooney, Douglass M Diak, Mackenzie M Shipley, Daniel W Renner, Stephanie S Krieger, Mayra A Nelman-Gonzalez, Sara R Zwart, Scott M Smith and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Satish K MehtaJES Tech, Human Health and Performance Directorate, Houston, TX 77058, USA.ORCID 0000-0003-4198-3261
Moriah L SzparaCenter for Infectious Disease Dynamics, Departments of Biology, Biochemistry and Molecular Biology, Huck Institute for the Life Sciences, Pennsylvania State University, University Park, PA 16802, USA.ORCID 0000-0001-9859-1678
Bridgette V RooneyGeoControl Systems, Human Health and Performance Directorate, Houston, TX 77054, USA.ORCID 0000-0002-5609-5526
Douglass M DiakAegis Aerospace, Human Health and Performance Directorate, Houston, TX 77058, USA.
Mackenzie M ShipleyCenter for Infectious Disease Dynamics, Departments of Biology, Biochemistry and Molecular Biology, Huck Institute for the Life Sciences, Pennsylvania State University, University Park, PA 16802, USA.
Daniel W RennerCenter for Infectious Disease Dynamics, Departments of Biology, Biochemistry and Molecular Biology, Huck Institute for the Life Sciences, Pennsylvania State University, University Park, PA 16802, USA.
Stephanie S KriegerKBR, Human Health and Performance Directorate, Houston, TX 77058, USA.
Mayra A Nelman-GonzalezKBR, Human Health and Performance Directorate, Houston, TX 77058, USA.
Sara R ZwartUniversity of Texas Medical Branch, Preventive Medicine and Population Health, Galveston, TX 77555, USA.
Scott M SmithNational Aeronautics and Space Administration (NASA) Johnson Space Center, Human Health and Performance Directorate, Houston, TX 77058, USA.
Brian E CrucianNational Aeronautics and Space Administration (NASA) Johnson Space Center, Human Health and Performance Directorate, Houston, TX 77058, USA.
Pennsylvania State University · USKBR (United States) · USNational Aeronautics and Space Administration · USGeoControl Systems (United States) · USJES Tech (United States) · USThe University of Texas Medical Branch at Galveston · US

Funding

Forward genetic prediction and testing of virulence loci in herpes simplex virus 1R01AI132692 · NIAID · PENNSYLVANIA STATE UNIVERSITY, THE · PI SZPARA, MORIAH · 2018 to 2022
$2.3M
NIAID NIH HHS R01 AI132692
6 · The paper itself

Abstract

Human alpha herpesviruses herpes simplex virus (HSV-1) and varicella zoster virus (VZV) establish latency in various cranial nerve ganglia and often reactivate in response to stress-associated immune system dysregulation. Reactivation of Epstein Barr virus (EBV), VZV, HSV-1, and cytomegalovirus (CMV) is typically asymptomatic during spaceflight, though live/infectious virus has been recovered and the shedding rate increases with mission duration. The risk of clinical disease, therefore, may increase for astronauts assigned to extended missions (>180 days). Here, we report, for the first time, a case of HSV-1 skin rash (dermatitis) occurring during long-duration spaceflight. The astronaut reported persistent dermatitis during flight, which was treated onboard with oral antihistamines and topical/oral steroids. No HSV-1 DNA was detected in 6-month pre-mission saliva samples, but on flight day 82, a saliva and rash swab both yielded 4.8 copies/ng DNA and 5.3 × 104 copies/ng DNA, respectively. Post-mission saliva samples continued to have a high infectious HSV-1 load (1.67 × 107 copies/ng DNA). HSV-1 from both rash and saliva samples had 99.9% genotype homology. Additional physiological monitoring, including stress biomarkers (cortisol, dehydroepiandrosterone (DHEA), and salivary amylase), immune markers (adaptive regulatory and inflammatory plasma cytokines), and biochemical profile markers, including vitamin/mineral status and bone metabolism, are also presented for this case. These data highlight an atypical presentation of HSV-1 during spaceflight and underscore the importance of viral screening during clinical evaluations of in-flight dermatitis to determine viral etiology and guide treatment.

Indexed as

DermatitisEpstein-Barr Virus InfectionsExanthemaHerpes SimplexHerpesviridae InfectionsHerpesvirus 1, HumanSpace FlightVirusesViruses, UnclassifiedBiomarkersDNA, ViralHerpesvirus 3, HumanHerpesvirus 4, HumanHumansVirus ActivationBiomarkersDNA, Viraldermatitisherpesimmune depressionspaceflightstressviral reactivation

Identifiers

PMID35458519
PMCPMC9028032
OpenAlexW4224007874

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.