Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures

Weightlessness and physical inactivity have deleterious cardiovascular effects. The space environment and its ground-based models offer conditions to study the cardiovascular effects of physical inactivity in the absence of other vascular risk factors, particularly at the macro- and microcirculatory...

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Main Authors: Nastassia Navasiolava, Ming Yuan, Ronan Murphy, Adrien Robin, Mickael Coupé, Linjie Wang, Asmaa Alameddine, Guillemette Gauquelin-Koch, Claude Gharib, Yinghui Li, Marc-Antoine Custaud
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.00952/full
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author Nastassia Navasiolava
Ming Yuan
Ronan Murphy
Adrien Robin
Adrien Robin
Mickael Coupé
Linjie Wang
Asmaa Alameddine
Guillemette Gauquelin-Koch
Claude Gharib
Yinghui Li
Marc-Antoine Custaud
Marc-Antoine Custaud
author_facet Nastassia Navasiolava
Ming Yuan
Ronan Murphy
Adrien Robin
Adrien Robin
Mickael Coupé
Linjie Wang
Asmaa Alameddine
Guillemette Gauquelin-Koch
Claude Gharib
Yinghui Li
Marc-Antoine Custaud
Marc-Antoine Custaud
author_sort Nastassia Navasiolava
collection DOAJ
description Weightlessness and physical inactivity have deleterious cardiovascular effects. The space environment and its ground-based models offer conditions to study the cardiovascular effects of physical inactivity in the absence of other vascular risk factors, particularly at the macro- and microcirculatory levels. However, the mechanisms involved in vascular dysfunction and remodeling are not sufficiently studied in the context of weightlessness and its analogs including models of physical inactivity. Here, we summarize vascular and microvascular changes induced by space flight and observed in models of microgravity and physical inactivity and review the effects of prophylactic strategies (i.e., countermeasures) on vascular and microvascular function. We discuss physical (e.g., exercise, vibration, lower body negative pressure, and artificial gravity) and nutritional/pharmacological (e.g., caloric restriction, resveratrol, and other vegetal extracts) countermeasures. Currently, exercise countermeasure appears to be the most effective to protect vascular function. Although pharmacological countermeasures are not currently considered to fight vascular changes due to microgravity, nutritional countermeasures are very promising. Dietary supplements/natural health products, especially plant extracts, should be extensively studied. The best prophylactic strategy is likely a combination of countermeasures that are effective not only at the cardiovascular level but also for the organism as a whole, but this strategy remains to be determined.
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spelling doaj.art-ced29d13ba3f4a13923cb86da3a529442022-12-22T00:22:54ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-08-011110.3389/fphys.2020.00952538805Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and CountermeasuresNastassia Navasiolava0Ming Yuan1Ronan Murphy2Adrien Robin3Adrien Robin4Mickael Coupé5Linjie Wang6Asmaa Alameddine7Guillemette Gauquelin-Koch8Claude Gharib9Yinghui Li10Marc-Antoine Custaud11Marc-Antoine Custaud12Clinical Research Center, CHU d’Angers, Angers, FranceState Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, ChinaSchool of Health and Human Performance, Faculty of Science & Health, Dublin City University, Dublin, IrelandClinical Research Center, CHU d’Angers, Angers, FranceMitovasc, UMR INSERM 1083-CNRS 6015, Université d’Angers, Angers, FranceMitovasc, UMR INSERM 1083-CNRS 6015, Université d’Angers, Angers, FranceState Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, ChinaMitovasc, UMR INSERM 1083-CNRS 6015, Université d’Angers, Angers, FranceCentre National d’Études Spatiales (CNES), Paris, FranceInstitut NeuroMyoGène, Faculté de Médecine Lyon-Est, Université de Lyon, Lyon, FranceState Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, ChinaClinical Research Center, CHU d’Angers, Angers, FranceMitovasc, UMR INSERM 1083-CNRS 6015, Université d’Angers, Angers, FranceWeightlessness and physical inactivity have deleterious cardiovascular effects. The space environment and its ground-based models offer conditions to study the cardiovascular effects of physical inactivity in the absence of other vascular risk factors, particularly at the macro- and microcirculatory levels. However, the mechanisms involved in vascular dysfunction and remodeling are not sufficiently studied in the context of weightlessness and its analogs including models of physical inactivity. Here, we summarize vascular and microvascular changes induced by space flight and observed in models of microgravity and physical inactivity and review the effects of prophylactic strategies (i.e., countermeasures) on vascular and microvascular function. We discuss physical (e.g., exercise, vibration, lower body negative pressure, and artificial gravity) and nutritional/pharmacological (e.g., caloric restriction, resveratrol, and other vegetal extracts) countermeasures. Currently, exercise countermeasure appears to be the most effective to protect vascular function. Although pharmacological countermeasures are not currently considered to fight vascular changes due to microgravity, nutritional countermeasures are very promising. Dietary supplements/natural health products, especially plant extracts, should be extensively studied. The best prophylactic strategy is likely a combination of countermeasures that are effective not only at the cardiovascular level but also for the organism as a whole, but this strategy remains to be determined.https://www.frontiersin.org/article/10.3389/fphys.2020.00952/fullvascular deconditioningendotheliumvascular remodelingvascular riskpreventionshear stress
spellingShingle Nastassia Navasiolava
Ming Yuan
Ronan Murphy
Adrien Robin
Adrien Robin
Mickael Coupé
Linjie Wang
Asmaa Alameddine
Guillemette Gauquelin-Koch
Claude Gharib
Yinghui Li
Marc-Antoine Custaud
Marc-Antoine Custaud
Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
Frontiers in Physiology
vascular deconditioning
endothelium
vascular remodeling
vascular risk
prevention
shear stress
title Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
title_full Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
title_fullStr Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
title_full_unstemmed Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
title_short Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
title_sort vascular and microvascular dysfunction induced by microgravity and its analogs in humans mechanisms and countermeasures
topic vascular deconditioning
endothelium
vascular remodeling
vascular risk
prevention
shear stress
url https://www.frontiersin.org/article/10.3389/fphys.2020.00952/full
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