Evidence map›Paper›PMID 39557881›Full record

ReviewNPJ microgravity2024

Challenges for the human immune system after leaving Earth.

Shannon Marchal, Alexander Choukér, Jürgen Bereiter-Hahn, Armin Kraus, Daniela Grimm, Marcus Krüger

Abstract readReview
In one paragraph

Review in NPJ microgravity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Surgery for interplanetary space missions.The British journal of surgery · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Resistance and Aerobic Preconditioning Delays Unloading-Induced Multisystemic Physiological Changes: The NEBULA Project.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  11. Review
  12. Review
  13. Global research trends on the human exposome: a bibliometric analysis (2005-2024).Environmental science and pollution research international · 2025
    Review
  14. Frontiers in nutrition · 2025
    Article
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

6 authors.

Shannon MarchalDepartment of Microgravity and Translational Regenerative Medicine, Otto-von-Guericke University, Universitätsplatz 2, Magdeburg, Germany.
Alexander ChoukérLaboratory of Translational Research "Stress and Immunity", Department of Anesthesiology, LMU University Hospital, LMU Munich, Marchioninistr. 15, Munich, Germany.
Jürgen Bereiter-HahnInstitute for Cell Biology and Neurosciences, Goethe University Frankfurt, Frankfurt am Main, Germany.
Armin KrausClinic for Plastic, Aesthetic and Hand Surgery, University Hospital Magdeburg, Magdeburg, Germany.
Daniela GrimmDepartment of Microgravity and Translational Regenerative Medicine, Otto-von-Guericke University, Universitätsplatz 2, Magdeburg, Germany.
Marcus KrügerDepartment of Microgravity and Translational Regenerative Medicine, Otto-von-Guericke University, Universitätsplatz 2, Magdeburg, Germany. marcus.krueger@med.ovgu.de.ORCID http://orcid.org/0000-0003-1120-0246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

From the start of life on Earth, several immune defense mechanisms have evolved to guarantee cellular integrity, homeostasis, and host survival. All these sophisticated balances as shaped by and towards the environmental needs have occurred over hundreds of millions of years. Human spaceflight involves various health hazards, such as higher levels of radiation, altered gravity, isolation and confinement, living in tight quarters, and stress associated with being away from home. A growing body of evidence points towards immunological changes in astronauts, including heightened pro-inflammatory responses, reactivation of latent viruses, and cell-mediated alterations, reflecting a dysbalanced state in astronauts. Simultaneously, enhanced pathogenicity, virulence, and drug resistance properties of microorganisms tip the scale out of favor for prolonged stay in space. As we have learned from the past, we see potential for the human immune system, forged and maintained throughout evolutionary history, to adapt to the space exposome. It is unlikely that this will happen in the short time frames set for current space exploration missions. Instead, major risks to astronaut health need to be addressed first, before humans can safely evolve into the space environment.

Identifiers

PMID39557881
PMCPMC11574097

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.