Evidence map›Paper›PMID 42769202›Full record

SynthesisFrontiers in physiology2026

Spaceflight-guided pharmacogenomics: a foundational analysis of pharmaceuticals and their responsive gene targets in the space environment.

Theodore M Nelson, Anurag Sakharkar, Julianna K Rose, Claire E Walter, Gresia L Cervantes-Navarro, Caleb M Schmidt, Richard Lin, Emma Alexander, Jiang Tao Zheng, Benjamin S Glicksberg and 8 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in physiology, 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

18 authors.

Theodore M NelsonDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Anurag SakharkarDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Julianna K RoseDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Claire E WalterDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Gresia L Cervantes-NavarroPolytechnic University of Guanajuato, GTO, Cortazar, Guanajuato, Mexico.
Caleb M SchmidtSovaris Aerospace, Boulder, CO, United States.
Richard LinDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Emma AlexanderDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Jiang Tao ZhengBioAstra, Inc, New York, NY, United States.
Benjamin S GlicksbergBioAstra, Inc, New York, NY, United States.
Julian C SchmidtSovaris Aerospace, Boulder, CO, United States.
Sofia M EtlinDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Eliah OverbeyDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Li Shean TohSchool of Pharmacy, University of Nottingham, Nottingham, United Kingdom.
Brinda K RanaDepartment of Psychiatry, University of California, San Diego, San Diego, CA, United States.
Hemal H PatelDepartment of Anesthesiology, University of California, San Diego, San Diego, CA, United States.
Michael A SchmidtPolytechnic University of Guanajuato, GTO, Cortazar, Guanajuato, Mexico.
Christopher E MasonDepartment of Physiology and Biophysics, Weill Cornell Medicine, Cornell University, New York, NY, United States.

Funding

BLRD VA IK6 BX005229
6 · The paper itself

Abstract

Human spaceflight alters physiology in ways that can impact drug safety and efficacy, yet progress in this area has been hampered by a lack of integrated data. Our primary objective was to establish a Findable, Accessible, Interoperable, and Reproducible (FAIR) data curation framework by developing a novel database of pharmaceuticals used in spaceflight. This resource, compiled from publicly available literature, serves as a foundation for integrated pharmacological analysis. Using this resource, we demonstrate a data-driven framework for identifying pharmacologically-relevant, spaceflight-responsive genes by intersecting our drug catalog with available space-omics datasets. By focusing on the biological mechanisms perturbed by spaceflight, this approach provides a new avenue for pinpointing the most relevant changes within drug absorption, distribution, metabolism, and excretion (ADME) pathways. While necessarily limited by available tissue types, this work provides both the justification and a definitive starting point for spaceflight-guided pharmacogenomics. Ultimately, this establishes a foundational methodology to ensure the health and safety of future astronauts on long-duration missions to the Moon, Mars, and beyond.

Indexed as

ADMEFAIR datapharmaceuticalspharmacogenomicsspaceflighttranscriptomics

Identifiers

PMID42769202
PMCPMC13590397

What OpenQuestion holds

Textmetadata
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.