Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine

The environmental conditions to which astronauts and other military pilots are subjected represent a unique example for understanding and studying the biomechanical events that regulate the functioning of the human body. In particular, microgravity has shown a significant impact on various biologica...

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Main Authors: Giovanni Marfia, Laura Guarnaccia, Stefania Elena Navone, Antonella Ampollini, Melissa Balsamo, Francesca Benelli, Chiara Gaudino, Emanuele Garzia, Claudia Fratocchi, Claudia Di Murro, Gianfranco Kim Ligarotti, Carmelo Campanella, Angelo Landolfi, Pietro Perelli, Marco Locatelli, Giuseppe Ciniglio Appiani
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1124991/full
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author Giovanni Marfia
Giovanni Marfia
Laura Guarnaccia
Stefania Elena Navone
Antonella Ampollini
Melissa Balsamo
Francesca Benelli
Chiara Gaudino
Emanuele Garzia
Claudia Fratocchi
Claudia Di Murro
Gianfranco Kim Ligarotti
Carmelo Campanella
Angelo Landolfi
Pietro Perelli
Marco Locatelli
Marco Locatelli
Giuseppe Ciniglio Appiani
author_facet Giovanni Marfia
Giovanni Marfia
Laura Guarnaccia
Stefania Elena Navone
Antonella Ampollini
Melissa Balsamo
Francesca Benelli
Chiara Gaudino
Emanuele Garzia
Claudia Fratocchi
Claudia Di Murro
Gianfranco Kim Ligarotti
Carmelo Campanella
Angelo Landolfi
Pietro Perelli
Marco Locatelli
Marco Locatelli
Giuseppe Ciniglio Appiani
author_sort Giovanni Marfia
collection DOAJ
description The environmental conditions to which astronauts and other military pilots are subjected represent a unique example for understanding and studying the biomechanical events that regulate the functioning of the human body. In particular, microgravity has shown a significant impact on various biological systems, such as the cardiovascular system, immune system, endocrine system, and, last but not least, musculoskeletal system. Among the potential risks of flying, low back pain (LBP) has a high incidence among astronauts and military pilots, and it is often associated with intervertebral disc degeneration events. The mechanisms of degeneration determine the loss of structural and functional integrity and are accompanied by the aberrant production of pro-inflammatory mediators that exacerbate the degenerative environment, contributing to the onset of pain. In the present work, the mechanisms of disc degeneration, the conditions of microgravity, and their association have been discussed in order to identify possible molecular mechanisms underlying disc degeneration and the related clinical manifestations in order to develop a model of prevention to maintain health and performance of air- and space-travelers. The focus on microgravity also allows the development of new proofs of concept with potential therapeutic implications.
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spelling doaj.art-b48c5a1c3f3645519dbe66047cd504ae2023-03-14T05:37:57ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-03-011410.3389/fphys.2023.11249911124991Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spineGiovanni Marfia0Giovanni Marfia1Laura Guarnaccia2Stefania Elena Navone3Antonella Ampollini4Melissa Balsamo5Francesca Benelli6Chiara Gaudino7Emanuele Garzia8Claudia Fratocchi9Claudia Di Murro10Gianfranco Kim Ligarotti11Carmelo Campanella12Angelo Landolfi13Pietro Perelli14Marco Locatelli15Marco Locatelli16Giuseppe Ciniglio Appiani17Laboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyClinical Pathology Unit, Istituto di Medicina Aerospaziale “A. Mosso”, Aeronautica Militare, Milan, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Neuroradiology, Azienda Ospedaliero-Universitaria Policlinico Umberto I, Rome, ItalyIstituto di Medicina Aerospaziale “A. Mosso”, Aeronautica Militare, Milan, ItalyClinical Pathology Unit, Istituto di Medicina Aerospaziale “A. Mosso”, Aeronautica Militare, Milan, ItalyClinical Pathology Unit, Istituto di Medicina Aerospaziale “A. Mosso”, Aeronautica Militare, Milan, ItalyIstituto di Medicina Aerospaziale “A. Mosso”, Aeronautica Militare, Milan, ItalyIstituto di Medicina Aerospaziale “Aldo Di Loreto”, Aeronautica Militare, Rome, ItalyItalian Air Force Logistic Command, Rome, ItalyItalian Air Force Logistic Command, Rome, ItalyLaboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Medical-Surgical Physiopathology and Transplantation, University of Milan, Milan, ItalyItalian Air Force Logistic Command, Rome, ItalyThe environmental conditions to which astronauts and other military pilots are subjected represent a unique example for understanding and studying the biomechanical events that regulate the functioning of the human body. In particular, microgravity has shown a significant impact on various biological systems, such as the cardiovascular system, immune system, endocrine system, and, last but not least, musculoskeletal system. Among the potential risks of flying, low back pain (LBP) has a high incidence among astronauts and military pilots, and it is often associated with intervertebral disc degeneration events. The mechanisms of degeneration determine the loss of structural and functional integrity and are accompanied by the aberrant production of pro-inflammatory mediators that exacerbate the degenerative environment, contributing to the onset of pain. In the present work, the mechanisms of disc degeneration, the conditions of microgravity, and their association have been discussed in order to identify possible molecular mechanisms underlying disc degeneration and the related clinical manifestations in order to develop a model of prevention to maintain health and performance of air- and space-travelers. The focus on microgravity also allows the development of new proofs of concept with potential therapeutic implications.https://www.frontiersin.org/articles/10.3389/fphys.2023.1124991/fullmicrogravityintervertebral discdisc degenerationlow back painspace
spellingShingle Giovanni Marfia
Giovanni Marfia
Laura Guarnaccia
Stefania Elena Navone
Antonella Ampollini
Melissa Balsamo
Francesca Benelli
Chiara Gaudino
Emanuele Garzia
Claudia Fratocchi
Claudia Di Murro
Gianfranco Kim Ligarotti
Carmelo Campanella
Angelo Landolfi
Pietro Perelli
Marco Locatelli
Marco Locatelli
Giuseppe Ciniglio Appiani
Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
Frontiers in Physiology
microgravity
intervertebral disc
disc degeneration
low back pain
space
title Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
title_full Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
title_fullStr Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
title_full_unstemmed Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
title_short Microgravity and the intervertebral disc: The impact of space conditions on the biomechanics of the spine
title_sort microgravity and the intervertebral disc the impact of space conditions on the biomechanics of the spine
topic microgravity
intervertebral disc
disc degeneration
low back pain
space
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1124991/full
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