Cited by 455Spaceflight effects on biologyEffects of Radiation ExposureRadiation Therapy and Dosimetry

The DOI matches its Crossref record; 70 of the 70 references it cites were found in a registry or an index; none of the 93 sources its claims cite is checked for support yet.

Space Radiation: The Number One Risk to Astronaut Health beyond Low Earth Orbit

Open access

Abstract

Projecting a vision for space radiobiological research necessitates understanding the nature of the space radiation environment and how radiation risks influence mission planning, timelines and operational decisions. Exposure to space radiation increases the risks of astronauts developing cancer, experiencing central nervous system (CNS) decrements, exhibiting degenerative tissue effects or developing acute radiation syndrome. One or more of these deleterious health effects could develop during future multi-year space exploration missions beyond low Earth orbit (LEO). Shielding is an effective countermeasure against solar particle events (SPEs), but is ineffective in protecting crew members from the biological impacts of fast moving, highly-charged galactic cosmic radiation (GCR) nuclei. Astronauts traveling on a protracted voyage to Mars may be exposed to SPE radiation events, overlaid on a more predictable flux of GCR. Therefore, ground-based research studies employing model organisms seeking to accurately mimic the biological effects of the space radiation environment must concatenate exposures to both proton and heavy ion sources. New techniques in genomics, proteomics, metabolomics and other “omics” areas should also be intelligently employed and correlated with phenotypic observations. This approach will more precisely elucidate the effects of space radiation on human physiology and aid in developing personalized radiological countermeasures for astronauts.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that space radiation is the number one health risk for astronauts beyond low Earth orbit, driven by galactic cosmic radiation (GCR) and solar particle events (SPEs). It summarizes NASA’s four radiation risk areas—carcinogenesis, degenerative tissue effects, CNS decrements, and acute radiation syndrome—and calls for combined proton/heavy-ion exposures and integrated omics in ground-based research.

Key findings

  • Space radiation beyond LEO combines GCR and SPEs; GCR is approximately 87% protons, 12% alpha particles, and 1%–2% HZE nuclei with charges from Z = 3 to about Z = 28. SPEs can produce fluences in excess of 10^9 protons/cm², with dose rates from zero to 100 mGy/h inside a space vehicle and zero to 500 mGy/h during EVA.
  • NASA identifies four primary biomedical risks: carcinogenesis, degenerative tissue effects, CNS decrements, and acute radiation syndrome. ISS mission doses were typically greater than 70 mSv; career effective dose limits vary by age and sex, e.g., 520 mSv for a 25-year-old male astronaut and 370 mSv for a 25-year-old female astronaut.
  • CNS studies report that 20 cGy of 1 GeV/u 56Fe particles impairs learning and memory in rodents, proton radiation causes neurocognitive deficits at doses as low as 25 cGy, and ferret emesis/retching occurs at doses as low as 50 cGy. SPE-like radiation suppressed immune system function at doses as low as 1.0 Gy in a mini-pig model.
  • Shielding is effective against SPEs but ineffective against the biological impacts of fast-moving GCR HZE nuclei; the paper recommends concatenating proton and heavy-ion exposures in low-dose regimens and using omics techniques correlated with phenotypic observations.

Methods

  • Narrative review synthesizing the space radiation environment, NCRP and National Research Council reports, NASA evidence reports, astronaut cytogenetic data, and animal studies including rodent, ferret, and mini-pig models.
  • No systematic search strategy, inclusion criteria, or meta-analysis is described; the text presents no primary data collection or formal statistical analysis methods.

Limitations

  • Stated: morbidity risk and unique toxicity profiles remain poorly understood, and uncertainties in dose toxicity plus complex SPE/GCR spectra limit dose projections.
  • Stated: animal models have limitations for translating results to humans, and mono-energetic acute heavy-ion or proton exposures do not accurately model low-dose-rate space radiation effects.
  • Stated/evident: no studies conclusively demonstrate increased cancer mortality versus the U.S. population, due to low LEO doses, variable time intervals, small sample size, individual variability, and insufficient statistical power; as a narrative review, it also provides no new experimental data or systematic synthesis.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3390/life4030491

Cites

70 of 70 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Figure 1 The interplanetary space environment showing the toxic combination of galactic cosmic radiation (GCR) and (largely) proton radiation due to solar particle events (SPEs). Figure courtesy of NASA/JPL-Caltech.
Figure 1 The interplanetary space environment showing the toxic combination of galactic cosmic radiation (GCR) and (largely) proton radiation due to solar particle events (SPEs). Figure courtesy of NASA/JPL-Caltech.CC BY · PubMed Central
Figure 2 Relative abundance of GCR nuclei from hydrogen (Z = 1) to iron (Z = 26) [1].
Figure 2 Relative abundance of GCR nuclei from hydrogen (Z = 1) to iron (Z = 26) [1].CC BY · PubMed Central
Figure 3 Energetic SPEs affecting low Earth orbit (LEO) space missions since 1991 are plotted as a function of the solar cycle. Shown here are events (red circles) that have been measured since 1991 to 2013 and include Solar Cycle 22 (partially), 23 and 24 (partially). Energetic solar events contain a higher fluence of >100 MeV protons that can penetrate typical spacecraft shielding and significantly impact the health of astronauts.
Figure 3 Energetic SPEs affecting low Earth orbit (LEO) space missions since 1991 are plotted as a function of the solar cycle. Shown here are events (red circles) that have been measured since 1991 to 2013 and include Solar Cycle 22 (partially), 23 and 24 (partially). Energetic solar events contain a higher fluence of >100 MeV protons that can penetrate typical spacecraft shielding and significantly impact the health of astronauts.CC BY · PubMed Central
Figure 4 Select health effects due to space radiation exposures.
Figure 4 Select health effects due to space radiation exposures.CC BY · PubMed Central
Figure 5 Examples of two complex aberrations involving three or more chromosomes observed post-mission in astronauts. Chromosomes were hybridized with painting probes for chromosome 1 (red), chromosome 2 (green) and chromosome 4 (yellow). All other chromosomes were counterstained with DAPI (blue). Adapted from Cucinotta et al. [29] and republished with permission from Radiation Research.
Figure 5 Examples of two complex aberrations involving three or more chromosomes observed post-mission in astronauts. Chromosomes were hybridized with painting probes for chromosome 1 (red), chromosome 2 (green) and chromosome 4 (yellow). All other chromosomes were counterstained with DAPI (blue). Adapted from Cucinotta et al. [29] and republished with permission from Radiation Research.CC BY · PubMed Central
Figure 6 Acute radiation outcomes: (a) Blood cell counts (lymphocytes) following exposure to SPE-like gamma and proton radiation in a mouse model. Graph adapted from Romero-Weaver et al. [69]. (b) WBC counts in a mini-pig model following exposure to SPE-like electron and proton radiation. The WBC counts did not return to normal levels at the 30-day time point, with proton radiation exposure having the more detrimental effect. Graph adapted from Ann Kennedy [70] and reproduced with permission from Life Sciences in Space Research.
Figure 6 Acute radiation outcomes: (a) Blood cell counts (lymphocytes) following exposure to SPE-like gamma and proton radiation in a mouse model. Graph adapted from Romero-Weaver et al. [69]. (b) WBC counts in a mini-pig model following exposure to SPE-like electron and proton radiation. The WBC counts did not return to normal levels at the 30-day time point, with proton radiation exposure having the more detrimental effect. Graph adapted from Ann Kennedy [70] and reproduced with permission from Life Sciences in Space Research.CC BY · PubMed Central

Verification

Claims the paper makes

53 Not checked yet · 31 Own interpretation · 10 No basis given · 1 Own result

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Show all 48 claims

  • It may state two separate claims as one. 24
  • Probably not a substantial claim. 26
47 of 47
  • The paper relies on this without support.

    The biological effects of space radiation observed in animal models can be extrapolated to human astronauts.

    “These research data demonstrate that important changes to the CNS can be expected to occur at mission-relevant dose and dose rate levels.”
  • The paper relies on this without support.

    Ground-based research studies employing model organisms can accurately mimic the biological effects of the space radiation environment if they concatenate exposures to both proton and heavy ion sources.

    “ground-based research studies employing model organisms seeking to accurately mimic the biological effects of the space radiation environment must concatenate exposures to both proton and heavy ion sources.”
  • The paper relies on this without support.

    Astronauts performing EVAs have compromised shielding that can leave them vulnerable to the effects of unpredictable SPEs.

    “Astronauts performing EVAs have compromised shielding that can leave them vulnerable to the effects of unpredictable SPEs.”
  • The paper relies on this without support.

    Fatigue has been observed in radiotherapy patients receiving therapeutic radiation doses as low as 2 Gy.

    “it has been observed in radiotherapy patients receiving therapeutic radiation doses as low as 2 Gy.”
  • The paper relies on this without support.

    Individual differences in responses to radiation exist at all levels of biological organization (molecular, cellular and tissue).

    “Previous radiobiology research has shown individual differences in responses to radiation at all levels (i.e., molecular, cellular and tissue) of biological organization.”
  • The paper relies on this without support.

    Only limited testing has occurred to study the efficacy of medical countermeasures and pharmaceuticals when radiation exposure is a concomitant and aggravating factor.

    “only limited testing has occurred to study the efficacy of these measures and pharmaceuticals when radiation exposure is a concomitant and aggravating factor.”
  • The paper relies on this without support.

    Space radiation exposures at the dose rates expected for a mission to Mars may not induce significant acute or sub-acute biological responses.

    “This is tempered by evidence that space radiation exposures at the dose rates expected for a mission to Mars may not induce significant acute or sub-acute biological responses.”
  • The paper relies on this without support.

    Some commonly-used animal models do not accurately reflect the pathologies and pathologic response (outcomes and endpoints) seen in humans.

    “Some commonly-used animal models do not accurately reflect the pathologies and pathologic response (i.e., outcomes and endpoints) seen in humans”
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Citations

Cites

Show all 69 references

Research works printed but not linked: 5

  1. Committee on the Evaluation of Radiation Shielding for Space Exploration, Aeronautics and Space Engineering Board, Division on Engineering and Physical Sciences, and National Research Council (2008). Managing Space Radiation Risk in the New Era of Space Exploration, National Academies Press.
  2. National Research Council (1973). Hze-Particle Effects in Manned Spaceflight, The National Academies Press.
  3. National Research Council (1996). Radiation Hazards to Crews of Interplanetary Missions:Biological Issues and Research Strategies, The National Academies Press.
  4. Davis, C.M., Roma, P.G., Brady, J.V., and Hienz, R.D. (2011, January 11–15). Neurobehavioral effects of space radiation on choice impulsivity. Proceedings of the 18th Biannual Meeting of the International Academy of Astronautics’ Humans in Space Symposium, Houston, TX, USA.
  5. Hienz, R.D., Davis, C.M., Weed, M.R., Guida, P.M., Gooden, V.L., Brady, J.V., and Roma, P.G. (2011, January 11–15). Neurobehavioral effects of space radiation on psychomotor vigilance and reaction time tests. Proceedings of the 18th Biannual Meeting of the International Academy of Astronautics’ Humans in Space Symposium, Houston, TX, USA.

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Metadata

Authors
Chancellor, J., Scott, G., & Sutton, J.
Affiliations
National Space Biomedical Research Institute (US)
Corresponding author
Sutton, Jeffrey
Venue
Life
Publisher
MDPI AG
Published
2014-09-11
Volume
4
Issue
3
Pages
491-510
ISSN
2075-1729 (ISSN-L)
OpenAlex
W2017290871
Cited by
455
References
69
Citations by year
2026: 42 · 2025: 64 · 2024: 65 · 2023: 37 · 2022: 49 · 2021: 64 · 2020: 36 · 2019: 25 · 2018: 34 · 2017: 20 · 2016: 14 · 2015: 5
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Life (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Civil War Book Review (submittedVersion, cc-by)
  • Civil War Book Review (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Space Biomedical Research Institute (NCC 9-58)
  • Baylor College of Medicine (Friedkin Chair for Research in Sensory System Integration and Space Medicine)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Spaceflight effects on biology
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
  • Physical Sciences › Physics and Astronomy › Radiation › Radiation Therapy and Dosimetry
Keywords
space radiation, astronaut health, galactic cosmic rays, solar energetic particle events, radiation-induced cancer, radiation sickness, radiation shielding, Mars missions, model organisms, omics, long-duration spaceflight

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