Skip to main content
Top
Published in: BMC Hematology 1/2017

Open Access 01-12-2017 | Research article

Alterations in hematologic indices during long-duration spaceflight

Authors: Hawley Kunz, Heather Quiriarte, Richard J. Simpson, Robert Ploutz-Snyder, Kathleen McMonigal, Clarence Sams, Brian Crucian

Published in: BMC Hematology | Issue 1/2017

Login to get access

Abstract

Background

Although a state of anemia is perceived to be associated with spaceflight, to date a peripheral blood hematologic assessment of red blood cell (RBC) indices has not been performed during long-duration space missions.

Methods

This investigation collected whole blood samples from astronauts participating in up to 6-months orbital spaceflight, and returned those samples (ambient storage) to Earth for analysis. As samples were always collected near undock of a returning vehicle, the delay from collection to analysis never exceeded 48 h. As a subset of a larger immunologic investigation, a complete blood count was performed. A parallel stability study of the effect of a 48 h delay on these parameters assisted interpretation of the in-flight data.

Results

We report that the RBC and hemoglobin were significantly elevated during flight, both parameters deemed stable through the delay of sample return. Although the stability data showed hematocrit to be mildly elevated at +48 h, there was an in-flight increase in hematocrit that was ~3-fold higher in magnitude than the anticipated increase due to the delay in processing.

Conclusions

While susceptible to the possible influence of dehydration or plasma volume alterations, these results suggest astronauts do not develop persistent anemia during spaceflight.
Literature
1.
go back to reference Williams D, Kuipers A, Mukai C, Thirsk R. Acclimation during space flight: effects on human physiology. Can Med Assoc J. 2009;180(13):1317–23.CrossRef Williams D, Kuipers A, Mukai C, Thirsk R. Acclimation during space flight: effects on human physiology. Can Med Assoc J. 2009;180(13):1317–23.CrossRef
2.
go back to reference Alfrey CP, Udden MM, Leach-Huntoon C, Driscoll T, Pickett MH. Control of red blood cell mass in spaceflight. J Appl Physiol. 1996;81(1):98–104.PubMed Alfrey CP, Udden MM, Leach-Huntoon C, Driscoll T, Pickett MH. Control of red blood cell mass in spaceflight. J Appl Physiol. 1996;81(1):98–104.PubMed
3.
4.
go back to reference Udden MM, Driscoll TB, Pickett MH, Leach-Huntoon CS, Alfrey CP. Decreased production of red blood cells in human subjects exposed to microgravity. J Lab Clin Med. 1995;125(4):442–9.PubMed Udden MM, Driscoll TB, Pickett MH, Leach-Huntoon CS, Alfrey CP. Decreased production of red blood cells in human subjects exposed to microgravity. J Lab Clin Med. 1995;125(4):442–9.PubMed
5.
6.
go back to reference De Santo NG, Cirillo M, Kirsch KA, Correale G, Drummer C, Frassl W, Perna AF, Di Stazio E, Bellini L, Gunga HC. Anemia and erythropoietin in space flights. Semin Nephrol. 2005;25(6):379–87.CrossRefPubMed De Santo NG, Cirillo M, Kirsch KA, Correale G, Drummer C, Frassl W, Perna AF, Di Stazio E, Bellini L, Gunga HC. Anemia and erythropoietin in space flights. Semin Nephrol. 2005;25(6):379–87.CrossRefPubMed
7.
go back to reference Kimzey SL. Hematology and immunology studies. In: Johnston RS, Dietlein LF, editors. Biomedical results from Skylab. Washington, D.C.: NASA; 1977. p. 249–82. Kimzey SL. Hematology and immunology studies. In: Johnston RS, Dietlein LF, editors. Biomedical results from Skylab. Washington, D.C.: NASA; 1977. p. 249–82.
8.
go back to reference Crucian BE, Stowe RP, Mehta SK, Quiriarte H, Pierson DL, Sams CF. Alterations in adaptive immunity persist during long-duration spaceflight. Npj. Microgravity. 2015;2015:1. Crucian BE, Stowe RP, Mehta SK, Quiriarte H, Pierson DL, Sams CF. Alterations in adaptive immunity persist during long-duration spaceflight. Npj. Microgravity. 2015;2015:1.
9.
go back to reference Lacher DA, Barletta J, Hughes JP. Biological variation of hematology tests based on the 1999–2002 National Health and nutrition examination survey, In: National Health Statistics Reports: Centers for Disease Control and Prevention, vol. 2012. p. 54. Lacher DA, Barletta J, Hughes JP. Biological variation of hematology tests based on the 1999–2002 National Health and nutrition examination survey, In: National Health Statistics Reports: Centers for Disease Control and Prevention, vol. 2012. p. 54.
11.
go back to reference Leach CS, Johnson PC. Influence of spaceflight on erythrokinetics in man. Science. 1984;225(4658):216–8.CrossRefPubMed Leach CS, Johnson PC. Influence of spaceflight on erythrokinetics in man. Science. 1984;225(4658):216–8.CrossRefPubMed
12.
go back to reference Risso A, Ciana A, Achilli C, Antonutto G, Minetti G. Neocytolysis: none, one or many? A reappraisal and future perspectives Front Physiol. 2014;5:54.PubMed Risso A, Ciana A, Achilli C, Antonutto G, Minetti G. Neocytolysis: none, one or many? A reappraisal and future perspectives Front Physiol. 2014;5:54.PubMed
13.
go back to reference Leach CS. Biochemical and hematologic changes after short-term space flight. Microgravity Q. 1992;2(2):69–75.PubMed Leach CS. Biochemical and hematologic changes after short-term space flight. Microgravity Q. 1992;2(2):69–75.PubMed
14.
go back to reference Alfrey CP. The influence of space flight on erythrokinetics in man, Space life sciences missions 1 and 2. Experiment E261 final report. Washington, D.C.: NASA; 1995. Alfrey CP. The influence of space flight on erythrokinetics in man, Space life sciences missions 1 and 2. Experiment E261 final report. Washington, D.C.: NASA; 1995.
15.
go back to reference Alfrey CP, Udden MM, Huntoon CL, Driscoll T. Destruction of newly released red blood cells in space flight. Med Sci Sports Exerc. 1996;28(10 Suppl):S42–4.CrossRefPubMed Alfrey CP, Udden MM, Huntoon CL, Driscoll T. Destruction of newly released red blood cells in space flight. Med Sci Sports Exerc. 1996;28(10 Suppl):S42–4.CrossRefPubMed
16.
go back to reference Davis TA, Wiesmann W, Kidwell W, Cannon T, Kerns L, Serke C, Delaplaine T, Pranger A, Lee KP. Effect of spaceflight on human stem cell hematopoiesis: suppression of erythropoiesis and myelopoiesis. J Leukoc Biol. 1996;60(1):69–76.PubMed Davis TA, Wiesmann W, Kidwell W, Cannon T, Kerns L, Serke C, Delaplaine T, Pranger A, Lee KP. Effect of spaceflight on human stem cell hematopoiesis: suppression of erythropoiesis and myelopoiesis. J Leukoc Biol. 1996;60(1):69–76.PubMed
17.
go back to reference Kalandarova MP. Changes in hematologic indicators in personnel testing during 370-day anti-orthostatic hypokinesia. Kosm Biol Aviak Med. 1991;25(3):15–8. Kalandarova MP. Changes in hematologic indicators in personnel testing during 370-day anti-orthostatic hypokinesia. Kosm Biol Aviak Med. 1991;25(3):15–8.
18.
go back to reference Crucian BE, Zwart SR, Mehta S, Uchakin P, Quiriarte HD, Pierson D, Sams CF, Smith SM. Plasma cytokine concentrations indicate that in vivo hormonal regulation of immunity is altered during long-duration spaceflight. J Interf Cytokine Res. 2014;34(10):778–86.CrossRef Crucian BE, Zwart SR, Mehta S, Uchakin P, Quiriarte HD, Pierson D, Sams CF, Smith SM. Plasma cytokine concentrations indicate that in vivo hormonal regulation of immunity is altered during long-duration spaceflight. J Interf Cytokine Res. 2014;34(10):778–86.CrossRef
19.
go back to reference Feng X, Scheinberg P, Samsel L, Rios O, Chen J, McCoy JP Jr, Ghanima W, Bussel JB, Young NS. Decreased plasma cytokines are associated with low platelet counts in aplastic anemia and immune thrombocytopenic purpura. J Thromb Haemost. 2012;10(8):1616–23.CrossRefPubMedPubMedCentral Feng X, Scheinberg P, Samsel L, Rios O, Chen J, McCoy JP Jr, Ghanima W, Bussel JB, Young NS. Decreased plasma cytokines are associated with low platelet counts in aplastic anemia and immune thrombocytopenic purpura. J Thromb Haemost. 2012;10(8):1616–23.CrossRefPubMedPubMedCentral
20.
21.
go back to reference Meck JV, Reyes CJ, Perez SA, Goldberger AL, Ziegler MG. Marked exacerbation of orthostatic intolerance after long- vs. short-duration spaceflight in veteran astronauts. Psychosom Med. 2001;63(6):865–73.CrossRefPubMed Meck JV, Reyes CJ, Perez SA, Goldberger AL, Ziegler MG. Marked exacerbation of orthostatic intolerance after long- vs. short-duration spaceflight in veteran astronauts. Psychosom Med. 2001;63(6):865–73.CrossRefPubMed
22.
go back to reference Alfrey CP, Rice L, Udden MM, Driscoll TB. Neocytolysis: physiological down-regulator of red-cell mass. Lancet. 1997;349(9062):1389–90.CrossRefPubMed Alfrey CP, Rice L, Udden MM, Driscoll TB. Neocytolysis: physiological down-regulator of red-cell mass. Lancet. 1997;349(9062):1389–90.CrossRefPubMed
23.
go back to reference Zini G. International Council for Standardization in H. Stability of complete blood count parameters with storage: toward defined specifications for different diagnostic applications. Int J Lab Hematol. 2014;36(2):111–3.CrossRefPubMed Zini G. International Council for Standardization in H. Stability of complete blood count parameters with storage: toward defined specifications for different diagnostic applications. Int J Lab Hematol. 2014;36(2):111–3.CrossRefPubMed
Metadata
Title
Alterations in hematologic indices during long-duration spaceflight
Authors
Hawley Kunz
Heather Quiriarte
Richard J. Simpson
Robert Ploutz-Snyder
Kathleen McMonigal
Clarence Sams
Brian Crucian
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Hematology / Issue 1/2017
Electronic ISSN: 2052-1839
DOI
https://doi.org/10.1186/s12878-017-0083-y

Other articles of this Issue 1/2017

BMC Hematology 1/2017 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.