Extraterrestrial autonomic function
KeywordsSpace flight Sympathetic Orthostatic Autonomic function Mars Moon
More than 100 billion people are thought to have lived on Earth , but only 12 have set foot on another celestial body. There has been no selection pressure from alternative gravitational environments, and when we encounter such environments, our normal 1 G homeostatic mechanisms must manage as best they can. This has rarely been a problem, as alternative gravitational environments are hard to find—only around 550 people have been to space and 12 have walked on the Moon—although many industry insiders genuinely expect this to change over the next decade. With the US government strongly committing NASA to ‘boots on the Moon’ in the 2020s, the European Space Agency (ESA) publicly pursuing a ‘Moon village’ concept, and companies such as SpaceX successfully developing commercial launch systems and other infrastructure, returning to the Moon has become a realistic prospect.
Detailed physiological studies were not conducted on the Apollo moonwalkers, but the effect of microgravity on the autonomic nervous system has been studied for decades in astronauts during orbital spaceflight, mostly during short-duration Space Shuttle flights (typically up to ~ 2 weeks). Many questions remain, but it appears that 0 G generates an orthostatic stress somewhere between that of the supine and upright posture on Earth . One aspect of autonomic function that is of particular interest on Earth is the response to postural changes relative to gravity. Unlike in orbital spaceflight, where such changes of course do not exist, the unfamiliar gravitational environment on other moons or planets will naturally provoke their own version of this, which is interesting to study, not least because it could one day be relevant for astronaut explorers and eventually colonists from Earth. In work published in this issue of Clinical Autonomic Research, Dr. Beck and colleagues  have endeavoured to do this using parabolic flights to provide the relevant gravitational environments.
Parabolic flights offer useful scientific opportunities but also present several inherent challenges to conducting high-quality physiological research. The short duration of each gravity condition clearly limits what can be studied and for how long, and with continually alternating gravity phases there is always the potential for one condition (high or low G) to confound the next. Sample sizes are often small as flight opportunities are limited, and many participants are affected by motion sickness or by the effects of scopolamine (hyoscine) that is customarily administered to prevent it. Also, as for any commercial airline flight, there is a degree of hypoxia caused by the reduced cabin pressure that has its own physiological effects .
From their findings, Beck and colleagues  suggest that in some respects the haemodynamic response to active standing may not be proportional to gravitational load, but may instead be optimal under the orthostatic stress of planet Earth. The effects were modest and subject to all the limitations described above, but these preliminary findings are interesting to consider as humanity once again looks to explore other worlds. Could the simple and necessary act of standing up conceivably present difficulties? How else might autonomic function impact on physiology and performance in such unforgiving circumstances? It is remarkable that we may have answers to these questions within a decade.
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Conflict of interest
The author declares that he has no conflict of interest.