Evidence map›Paper›PMID 40603301›Full record

ArticleNPJ microgravity2025

Impact of peripheral skin cooling on neuroendocrine leukocytic and hematological reactions during Hypergravity.

Michael Nordine, Niklas Kagelmann, Jan Kloka, Hanns-Christian Gunga, Viktor Heinz, Niklas Pilz, Oliver Opatz, Tomas L Bothe

Abstract read
In one paragraph

Article in NPJ microgravity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael NordineDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Goethe University Frankfurt, University Hospital Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt, Germany. nordine@med.uni-frankfurt.de.ORCID http://orcid.org/0000-0002-5510-0776
Niklas KagelmannInstitute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.
Jan KlokaDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Goethe University Frankfurt, University Hospital Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt, Germany.
Hanns-Christian GungaInstitute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-0145-179X
Viktor HeinzInstitute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0002-5363-793X
Niklas PilzInstitute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.
Oliver Opatz *Institute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-4746-9343
Tomas L Bothe *Institute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité -Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimal neuroendocrine responses are essential during hypergravity (+Gz) exposure. Peripheral skin cooling (PSC) may enhance neuroendocrine function, potentially improving +Gz resiliency and influencing leukocyte and hematologic factors. This study investigated whether PSC augments the cumulative +Gz stress index (CGSI) and shifts it toward noradrenergic dependency. Eighteen men underwent a graded +Gz profile in a crossover design, with PSC applied using Arctic Sun cooling pads. Neuroendocrine and blood profiles were assessed pre- and post-+Gz. CGSI did not differ between groups, but serum osmolality increased only in PSC (p = 0.03). In PSC, CGSI correlated with norepinephrine (p < 0.01, r = 0.71) and other markers, suggesting enhanced norepinephrine responsiveness despite similar serum levels. This response may be cardio-protective for space missions and ICU patients. Additionally, baseline serum metanephrine emerged as a potential marker for +Gz resilience, with PSC showing potential leukocytic and hematologic involvement in CGSI.

Identifiers

PMID40603301
PMCPMC12223314

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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.