Rare diseases and space health: optimizing synergies from scientific questions to care

Abstract Knowledge transfer among research disciplines can lead to substantial research progress. At first glance, astronaut health and rare diseases may be seen as having little common ground for such an exchange. However, deleterious health conditions linked to human space exploration may well be...

Full description

Bibliographic Details
Main Authors: Maria Puscas, Gabrielle Martineau, Gurjot Bhella, Penelope E. Bonnen, Phil Carr, Robyn Lim, John Mitchell, Matthew Osmond, Emmanuel Urquieta, Jaime Flamenbaum, Giuseppe Iaria, Yann Joly, Étienne Richer, Joan Saary, David Saint-Jacques, Nicole Buckley, Etienne Low-Decarie
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:npj Microgravity
Online Access:https://doi.org/10.1038/s41526-022-00224-5
_version_ 1797641517520650240
author Maria Puscas
Gabrielle Martineau
Gurjot Bhella
Penelope E. Bonnen
Phil Carr
Robyn Lim
John Mitchell
Matthew Osmond
Emmanuel Urquieta
Jaime Flamenbaum
Giuseppe Iaria
Yann Joly
Étienne Richer
Joan Saary
David Saint-Jacques
Nicole Buckley
Etienne Low-Decarie
author_facet Maria Puscas
Gabrielle Martineau
Gurjot Bhella
Penelope E. Bonnen
Phil Carr
Robyn Lim
John Mitchell
Matthew Osmond
Emmanuel Urquieta
Jaime Flamenbaum
Giuseppe Iaria
Yann Joly
Étienne Richer
Joan Saary
David Saint-Jacques
Nicole Buckley
Etienne Low-Decarie
author_sort Maria Puscas
collection DOAJ
description Abstract Knowledge transfer among research disciplines can lead to substantial research progress. At first glance, astronaut health and rare diseases may be seen as having little common ground for such an exchange. However, deleterious health conditions linked to human space exploration may well be considered as a narrow sub-category of rare diseases. Here, we compare and contrast research and healthcare in the contexts of rare diseases and space health and identify common barriers and avenues of improvement. The prevalent genetic basis of most rare disorders contrasts sharply with the occupational considerations required to sustain human health in space. Nevertheless small sample sizes and large knowledge gaps in natural history are examples of the parallel challenges for research and clinical care in the context of both rare diseases and space health. The two areas also face the simultaneous challenges of evidence scarcity and the pressure to deliver therapeutic solutions, mandating expeditious translation of research knowledge into clinical care. Sharing best practices between these fields, including increasing participant involvement in all stages of research and ethical sharing of standardized data, has the potential to contribute to humankind’s efforts to explore ever further into space while caring for people on Earth in a more inclusive fashion.
first_indexed 2024-03-11T13:46:48Z
format Article
id doaj.art-e82f3f5397a040718c9935e6d01afcb9
institution Directory Open Access Journal
issn 2373-8065
language English
last_indexed 2024-03-11T13:46:48Z
publishDate 2022-12-01
publisher Nature Portfolio
record_format Article
series npj Microgravity
spelling doaj.art-e82f3f5397a040718c9935e6d01afcb92023-11-02T10:20:22ZengNature Portfolionpj Microgravity2373-80652022-12-018111010.1038/s41526-022-00224-5Rare diseases and space health: optimizing synergies from scientific questions to careMaria Puscas0Gabrielle Martineau1Gurjot Bhella2Penelope E. Bonnen3Phil Carr4Robyn Lim5John Mitchell6Matthew Osmond7Emmanuel Urquieta8Jaime Flamenbaum9Giuseppe Iaria10Yann Joly11Étienne Richer12Joan Saary13David Saint-Jacques14Nicole Buckley15Etienne Low-Decarie16Astronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaAstronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaAstronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaMolecular and Human Genetics, Baylor College of MedicineThe Strategic Review Group Inc.Legislative and Regulatory Modernization, Health CanadaPediatric Endocrinology and Biochemical Genetics, Montreal Children’s Hospital-McGill University, Human Genetics and Pediatrics, McGill UniversityChildren’s Hospital of Eastern Ontario Research Institute, University of OttawaTranslational Research Institute for Space Health (TRISH) and Department of Emergency Medicine and Center for Space Medicine, Baylor College of MedicineCanadian Institutes of Health Research Ethics OfficeDepartment of Psychology, Hotchkiss Brain Institute, and Alberta Children’s Hospital Research Institute, University of CalgaryCentre of Genomics and Policy, Faculty of Medicine, Human Genetics, McGill UniversityCanadian Institutes of Health Research Institute of GeneticsDepartment of Medicine, Division of Occupational Medicine, University of TorontoAstronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaAstronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaAstronauts, Life Sciences and Space Medicine Canadian Space Agency, Government of CanadaAbstract Knowledge transfer among research disciplines can lead to substantial research progress. At first glance, astronaut health and rare diseases may be seen as having little common ground for such an exchange. However, deleterious health conditions linked to human space exploration may well be considered as a narrow sub-category of rare diseases. Here, we compare and contrast research and healthcare in the contexts of rare diseases and space health and identify common barriers and avenues of improvement. The prevalent genetic basis of most rare disorders contrasts sharply with the occupational considerations required to sustain human health in space. Nevertheless small sample sizes and large knowledge gaps in natural history are examples of the parallel challenges for research and clinical care in the context of both rare diseases and space health. The two areas also face the simultaneous challenges of evidence scarcity and the pressure to deliver therapeutic solutions, mandating expeditious translation of research knowledge into clinical care. Sharing best practices between these fields, including increasing participant involvement in all stages of research and ethical sharing of standardized data, has the potential to contribute to humankind’s efforts to explore ever further into space while caring for people on Earth in a more inclusive fashion.https://doi.org/10.1038/s41526-022-00224-5
spellingShingle Maria Puscas
Gabrielle Martineau
Gurjot Bhella
Penelope E. Bonnen
Phil Carr
Robyn Lim
John Mitchell
Matthew Osmond
Emmanuel Urquieta
Jaime Flamenbaum
Giuseppe Iaria
Yann Joly
Étienne Richer
Joan Saary
David Saint-Jacques
Nicole Buckley
Etienne Low-Decarie
Rare diseases and space health: optimizing synergies from scientific questions to care
npj Microgravity
title Rare diseases and space health: optimizing synergies from scientific questions to care
title_full Rare diseases and space health: optimizing synergies from scientific questions to care
title_fullStr Rare diseases and space health: optimizing synergies from scientific questions to care
title_full_unstemmed Rare diseases and space health: optimizing synergies from scientific questions to care
title_short Rare diseases and space health: optimizing synergies from scientific questions to care
title_sort rare diseases and space health optimizing synergies from scientific questions to care
url https://doi.org/10.1038/s41526-022-00224-5
work_keys_str_mv AT mariapuscas rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT gabriellemartineau rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT gurjotbhella rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT penelopeebonnen rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT philcarr rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT robynlim rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT johnmitchell rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT matthewosmond rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT emmanuelurquieta rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT jaimeflamenbaum rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT giuseppeiaria rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT yannjoly rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT etiennericher rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT joansaary rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT davidsaintjacques rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT nicolebuckley rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare
AT etiennelowdecarie rarediseasesandspacehealthoptimizingsynergiesfromscientificquestionstocare