Evidence map›Paper›PMID 42562863›Full record

ReviewCommunications biology2026

Long-term major histocompatibility complex class I suppression in astronauts and clinical implications.

Erik LeRoy, JangKeun Kim, Helena Ruland, Nathan Schanzer, Anurag Sakharkar, Lucinda Innes, Zachary Feinstein, Daniel Zuniga Gamboa, Robert Chen, Mohith Reddy Arikatla and 4 more

Abstract readReview
In one paragraph

Review in Communications biology, 2026. 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

14 authors.

Erik LeRoy *Association of Spaceflight Professionals, Tampa, FL, USA.
JangKeun Kim *Department of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA. jak4013@med.cornell.edu.ORCID 0000-0002-8733-9925
Helena RulandDepartment of Physics, ETH Zurich, Zurich, Switzerland.ORCID 0009-0007-6634-2061
Nathan SchanzerSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Anurag SakharkarCollege of Arts and Science, University of Saskatchewan, 9 Campus Drive, Saskatoon, SK, Canada.ORCID 0000-0002-4873-1932
Lucinda InnesDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA.
Zachary FeinsteinDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA.
Daniel Zuniga GamboaMD Program, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-8633-8576
Robert ChenDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA.
Mohith Reddy ArikatlaDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-7199-4570
Kubra Can KurtDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA.
Brian E CrucianBiomedical Research and Environmental Sciences Branch, NASA Johnson Space Center, Houston, TX, USA.
Michael A SchmidtSovaris Aerospace, Boulder, CO, USA.
Christopher E MasonDepartment of Systems and Computational Biomedicine, Weill Cornell Medicine, New York, NY, USA. chm2042@med.cornell.edu.ORCID 0000-0002-1850-1642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spaceflight can disrupt astronaut immunity, including sustained downregulation of Major Histocompatibility Complex (MHC) class I genes across missions ranging from the three-day Inspiration4 flight to long-duration International Space Station stays. MHC class I downregulation is a known mechanism of immune evasion in cancer and viral infection, potentially increasing health risks during and after spaceflight. The underlying mechanisms, clinical implications and therapeutic options remain underexplored. This Perspective discusses long-term risks associated with astronaut MHC class I suppression, proposes future research directions and outlines therapeutic approaches with broader relevance to related health challenges on Earth.

Indexed as

AstronautsHistocompatibility Antigens Class ISpace FlightHumansHistocompatibility Antigens Class I

Identifiers

PMID42562863
PMCPMC13448508

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.