Dynamic cerebral autoregulation after confinement in an isolated environment for 14 days.

BACKGROUND: To develop human space exploration, it is necessary to study the effects of an isolated and confined environment, as well as a microgravity environment, on cerebral circulation. However, no studies on cerebral circulation in an isolated and confined environment have been reported. Therefore, we investigated the effects of a 14-day period of confinement in an isolated environment on dynamic cerebral autoregulation. METHODS: We participated in an isolation and confinement experiment conducted by the Japan Aerospace Exploration Agency in 2016. Eight healthy males were isolated and confined in a facility for 14 days. Data were collected on the days immediately before and after confinement. Arterial blood pressure waveforms were obtained using a finger blood pressure monitor, and cerebral blood flow velocity waveforms in the middle cerebral artery were obtained using transcranial Doppler ultrasonography for 6 min during quiet rest in a supine position. Dynamic cerebral autoregulation was evaluated by transfer function analysis between spontaneous variability of beat-to-beat mean arterial blood pressure and mean cerebral blood flow velocity. RESULTS: Transfer function gain in the low- and high-frequency ranges increased significantly (0.54 ± 0.07 to 0.69 ± 0.09 cm/s/mmHg and 0.80 ± 0.05 to 0.92 ± 0.09 cm/s/mmHg, respectively) after the confinement. CONCLUSION: The increases observed in transfer function gain may be interpreted as indicating less suppressive capability against transmission from arterial blood pressure oscillation to cerebral blood flow velocity fluctuation. These results suggest that confinement in an isolated environment for 14 days may impair dynamic cerebral autoregulation. TRIAL REGISTRATION: UMIN000020703 , Registered 2016/01/22.

Evaluation of psychological stress in confined environments using salivary, skin, and facial image parameters.

Detecting the influence of psychological stress is particularly important in prolonged space missions. In this study, we determined potential markers of psychological stress in a confined environment. We examined 23 Japanese subjects staying for 2 weeks in a confined facility at Tsukuba Space Center, measuring salivary, skin, and facial image parameters. Saliva was collected at four points in a single day to detect diurnal variation. Increases in salivary cortisol were detected after waking up on the 4th and 11th days, and at 15:30 on the 1st and in the second half of the stay. Transepidermal water loss (TEWL) and sebum content of the skin were higher compared with outside the facility on the 4th and 1st days respectively. Increased IL-1ß in the stripped stratum corneum was observed on the 14th day, and 7 days after leaving. Differences in facial expression symmetry at the time of facial expression changes were observed on 11th and 14th days. Thus, we detected a transition of psychological stress using salivary cortisol profiles and skin physiological parameters. The results also suggested that IL-1ß in the stripped stratum corneum and facial expression symmetry are possible novel markers for conveniently detecting psychological stress.

Antipruritic effects of the probiotic strain LKM512 in adults with atopic dermatitis.

BACKGROUND: Evidence suggests that intestinal microbiota play an important role in the pathogenesis of atopic dermatitis (AD) through induction of immunosuppression and immune tolerance; however, the exact underlying mechanism is unclear. Few studies to date have examined the effects of probiotics on adult-type AD. OBJECTIVE: To examine the effects of the probiotic Bifidobacterium animalis subsp lactis LKM512 on adult-type AD and the expression of metabolites that are known to be influenced by gut microbiota in fecal samples. METHODS: Forty-four patients were randomly assigned to receive LKM512 or a placebo and underwent medical examinations. Fecal microbiota were analyzed with real-time polymerase chain reaction. Metabolomic analysis was conducted to search for antipruritic metabolites produced by intestinal bacteria using feces derived from 3 patients whose itch scores had improved using capillary electrophoresis with time-of-flight mass spectrometry. Antipruritic effects of kynurenic acid were observed using AD-induced NC/Nga mice. RESULTS: LKM512 administration alleviated itch in AD patients compared with controls and improved the dermatology-specific quality-of-life scores when compared with the controls. Administration of LKM512 also increased the expression of the antipruritic and antinociceptive metabolite kynurenic acid (KYNA) in patients whose itch score had improved after LKM512 treatment. In mouse experiments, scratching behavior counts tended to be decreased by KYNA injection when compared with no treatment. CONCLUSION: LKM512 administration may exert antipruritic effects by increasing KYNA production. LKM512 could therefore be a potentially effective therapeutic candidate for the reduction of pruritus. TRIAL REGISTRATION: umin.ac.jp/ctr Identifier: UMIN000005695.

An isolation and confinement facility for the selection of astronaut candidates.

BACKGROUND: In 2008, JAXA conducted its fifth astronaut candidate recruitment. The final stage involved 10 of 963 applicants undergoing the first and second examination stages based on physical checks, written tests, and interviews. The third (final) stage focused on evaluating the behavioral attitudes required for ISS crewmembers. Since it is difficult to assess these attitudes by paper testing or interview alone, JAXA has established an environment in which the assessors could observe the behavior of examinees on a continuous basis. METHODS: The 10 examinees stayed in the isolation and confinement facility for 1 wk. During their stay, several group and personal tasks were assigned along with predetermined daily schedules covering aspects of leadership, teamwork ability, productivity (performance), and so on. Subsequently, psychologists, psychiatrists, and JAXA officials/managers experienced in practical human space development evaluated them. RESULTS: During the confinement, no examinees showed any excessive character traits or psychopathologic behavior. Repeated observations led to a convergence of opinions among the experts. Three examinees ultimately passed this assessment and were assigned as new Japanese astronaut candidates. DISCUSSION: This unique assessment enabled the assessors to conduct longitudinal evaluations, evaluations based on observing detailed behavior, and easy control of test conditions and safety. Although "selection of the right stuff" may differ among each space agency, this method offers the unique advantage of allowing experts in various fields to evaluate the competencies of examinees both synthetically and longitudinally.

Group interactions in SFINCSS-99: lessons for improving behavioral support programs.

Human factors can significantly influence successful mission completion of prolonged space missions such as ISS expeditions or future Mars missions. This paper describes group dynamics and group interactions during SFINCSS-99, a very unique international long-term confinement study in a space mission analog environment. Many interpersonal or inter-group conflicts occurred, and these caused the early retirement of a Japanese subject. This paper cites examples of these conflicts, and analyzes their causes with our results. The international cooperation to extract lessons learned, which could be used to refine behavioral support programs for the ISS or similar international studies, is also introduced.

Exercise load index and changes in body weight during long-duration confinement in an isolated environment.

PURPOSE: The objectives of this project were to investigate exercise load and body weight related to long-duration confinement in a closed environment simulating ISS flight conditions, and to evaluate subjects' motivation to continue the experiment and their adaptation to isolation. METHODS: Four Russian male subjects participated in a 240-d experiment (Group I), and four subjects (three male subjects and one female subject) from Austria, Canada, Japan, and Russia participated in a 110-d experiment (Group II). Exercise load was estimated during confinement using a modified Rating of Perceived Exertion scale. Free reports were used to determine subjects' motivation. Body weight was measured before, during, and after confinement. RESULTS: Group I achieved their lowest exercise loads during their first month of isolation; problems with adaptation to the isolation environment were also reported during this first month. Group II exercise load was significantly lower in the second month due to crewmember problems; loss of motivation could be noted from their free reports. The subject with the lowest exercise load retired from the isolation experiment earlier than scheduled. Exercise load was not correlated with prior exercise habits. Significant differences in body weight was observed between group I and II and between Russian and non-Russian subjects. One subject in Group I experienced a significant increase in his body weight. CONCLUSION: Exercise load may be a good indicator for adaptation problems and motivation changes in closed environments. Immobility, lack of space, and smoking cessation in general did not induce significant body weight changes.

Physiological changes, sleep, and morning mood in an isolated environment.

BACKGROUND: Previous isolation studies have shown increased 24-h urine volumes and body weight gains in subjects. This project examined those and other physiological variables in relationship to sleep motor activity, subjective sleep quality, mood, and complaints during confinement. METHODS: Six male and two female subjects lived for 7 d in the National Space Development Agency of Japan's isolation chamber, which simulates the interior of the Japanese Experiment Module. Each 24-h period included 6 h of sleep, 3 meals, and 20 min of exercise. Each morning, subjects completed Sleep Sensation and Complaint Index questionnaires. Catecholamine and creatinine excretion, urine volume, and body weight were measured on the 2 d before and 2 d after confinement, and sleep motor activity was measured during confinement. RESULTS: Confinement produced no significant change in body weight, urine volume, or questionnaire results. In contrast, epinephrine, norepinephrine, and sleep motor activity exhibited significant differences during confinement (p < 0.05). Higher nocturnal norepinephrine excretion correlated with higher sleep motor activity. CONCLUSION: The 24-h epinephrine values were slightly higher than normal throughout the experiment, but lower than for subjects working under time-stress. High sympathetic activity (as indicated by norepinephrine) may have interfered with sleep.

Psychological changes and group dynamics during confinement in an isolated environment.

PURPOSE: Cultural and personal traits will become important as the number of short-duration spaceflights of international crews supporting the International Space Station (ISS) increases and more people begin staying aboard ISS for longer durations. This project investigated the interpersonal and personal changes of Japanese subjects during a 1-wk stay in the Japanese Experiment Module. The Giebetaen Test (GT) was used to determine if the cultural background and personality traits of the subjects become more explicit and stronger during isolation. METHODS: Six males and two females aged 22-28 yr participated in the study. They stayed 7 d in the isolation chamber at the National Space Development Agency of Japan (NASDA). The GT was chosen as an individual and group diagnostic instrument; it was administrated four times during, and one time after, isolation. RESULTS: According to the GT-self-picture, subjects exhibited a change toward negative social resonance and social withdrawal. Subgroups formed but caused no isolation or tension. The GT-foreign-pictures showed that the judgment of other subjects changed toward hedonic and permeability directions. The common interpersonal relationships of the Japanese subjects influenced the group dynamics. These relationships tend to be integrative and tend to support the network and value systems, emphasizing connectedness and minimizing differences. CONCLUSION: The cultural background became more explicit and stronger during isolation. Based on this, isolation studies with international crews and intercultural training will be necessary for international crews performing both short- and long-duration missions.