Evidence map›Paper›PMID 41266377›Full record

ReviewNPJ microgravity2025

Integrative focus on the space exposome-integrome: physiological challenges and practical limits of countermeasures beyond low Earth orbit.

Damian M Bailey, Dieter Blottner, Hanns-Christian Gunga, Stefan Schneider, Virginia Wotring, Sarah Baatout, Marco Durante, Rik H G Olde Engberink, Nandu Goswami, Martina Heer and 10 more

Abstract readReview
In one paragraph

Review in NPJ microgravity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. The physiology of survival: Space.Experimental physiology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Life on Mars? The physiological perspective.Experimental physiology · 2026
    Article
  8. Article
  9. 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

20 authors.

Damian M BaileyNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Glamorgan, UK. damian.bailey@southwales.ac.uk.
Dieter BlottnerInstitute of Integrative Neuroanatomy, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Hanns-Christian GungaDepartment of Physiology, Center of Space Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Stefan SchneiderInstitute of Movement and Neurosciences, Center for Health and Integrative Physiology in Space (CHIPS), German Sport University Cologne, Cologne, Germany.
Virginia WotringInternational Space University, Strasbourg, France.
Sarah BaatoutInstitute of Nuclear Medical Applications, Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium.
Marco DuranteBiophysics Department, GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany.
Rik H G Olde EngberinkDepartment of Internal Medicine, Section of Nephrology, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.
Nandu GoswamiGravitational Physiology and Medicine Research Unit, Division of Physiology, Otto Löwi Research Center of Vascular Biology, Inflammation, and Immunity, Medical University of Graz, Graz, Austria.
Martina HeerIU International University of Applied Sciences, Erfurt, Germany.
Anna-Maria LiphardtDepartment of Internal Medicine 3 - Rheumatology & Immunology, Universitätsklinikum Erlangen & Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Monica MoniciASAcampus Joint Laboratory, ASA Res. Div., DSBSC-University of Florence, Florence, Italy.
Francesco PagniniDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Claudia SternGerman Aerospace Center, Institute of Aerospace Medicine, Cologne, Germany.
Jan-Bernd StukenborgNORDFERTIL Research Lab Stockholm, Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, and Karolinska University Hospital, Solna, Sweden.
Tobias WeberESA, EAC European Astronaut Centre, Spaceship and Facilities Team, Cologne, Germany.
Laurence VicoU1059, INSERM, University Jean Monnet, Mines Saint-Etienne, France.
Olivier WhiteCognition action and sensorimotor plasticity (INSERM U1093 CAPS), Université Bourgogne Europe, UFR des Sciences du sport, Dijon, France.
Angelique van OmbergenDirectorate of Human and Robotic Exploration Programmes, European Space Agency, Cologne, Germany.
Alexander ChoukérLaboratory of Translational Research "Stress and Immunity", Department of Anaesthesiology, LMU University Hospital, LMU Munich, Germany. alexander.chouker@med.uni-muenchen.de.

Funding

Agenzia Spaziale Italiana A.N. 2023-63-HH.0/A.N. 2025-14-HH.0Agenzia Spaziale Italiana DC-VUM-2020-007/DC-DSR-UVS-2022-212/A.N. 2025-14-HH.0Centre National d'Études Spatiales DAR/OAR/TSR-2023.0003353European Space Agency 4000102355European Space Agency 4000130928/20/NL/PG/pt/ESA-AO-2019-ISS-SDM, ESA-AO-2019-!SS-PPEuropean Space Agency 4000133329/20/NL/CLREuropean Space Agency CO-90-11-2801-04/PEA 4000140806European Space Agency ESA-HRE-RS-LE-0504German Aerospace Agency 2329German Federal Department of Education 50WB2029German Ministry of Economic Affairs and Climate Action (#50WB2021German Ministry of Economic Affairs and Climate Action 50WB2137German Ministry of Economic Affairs and Climate Action #50WB2214 and #50WB2020German Ministry of Economic Affairs and Climate Action (#50WB2222German Ministry of Economic Affairs and Climate Action #50WB2329Royal Society WM170007SpaceX N/A
6 · The paper itself

Abstract

Human spaceflight is advancing toward sustainable exploration through initiatives like NASA's Artemis program, aiming for a lunar outpost and eventual Mars mission. Astronauts face hazards including altered gravity, isolation, and cosmic radiation, linked to over thirty health risks. This review, reflecting ESA community expertise, outlines how understanding the space exposome-integrome interaction can improve risk stratification, guide personalized countermeasures, and address knowledge gaps essential for safe deep-space exploration.

Identifiers

PMID41266377
PMCPMC12635128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.