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Medical & Pharmacology

Encyclopedia
Updated Feb 12, 2024

Introduction

Johnson Space Center (JSC) provides specialized primary medical care for astronauts and biomedical engineering support for all human spaceflight mission operations including protocols, contingency plans, crew health standards, and training. With a comprehensive range of services, including clinical and space occupational medicine, behavioral health, and medical and behavioral selection and certification for flight, JSC plays a vital role in ensuring astronaut well-being. With expertise in space medicine, spaceflight epidemiology and surveillance, and spaceflight pharmacy, JSC teams monitor, assess and provide protection solutions for current and former astronauts.

JSC’s expertise extends to exploration medical systems, offering a unique blend of knowledge in particle/helio-physics, space radiation science, big data analysis, and information technology, enabling the integrated testing of medical human-system interfaces and human performance. JSC specialists support the development of advanced medical systems for commercial and military applications, including new capabilities for commercial crew flights, novel space mission endeavors, terrestrial populations in extreme environments, and ocean vessel operations. Medical informatics, hardware development, biostatistics, clinical risk modeling, and telemedicine showcase JSC’s unparalleled capabilities, reflecting its commitment to advancing medical science and technology for space exploration. This wealth of knowledge and experience positions JSC as a world leader in human spaceflight, and we invite our partners to leverage our capabilities to advance their own spaceflight endeavors. 

Operational Space Medicine

Space Medicine Operations

Overview | JSC provides specialized primary medical care for astronauts and expert medical and biomedical engineering support for all human spaceflight mission operations. JSC space medicine performs medical and behavioral selection and certification for flight, as well as surveillance care for former astronauts supported by the JSC spaceflight pharmacy and the wealth of data held by its spaceflight epidemiology group. 

Details |

  • Clinical and Space Occupational Medicine
  • Behavioral Health and Performance 
  • Medical and Behavioral astronaut Selection and Certification for Flight 
  • Hyper and Hypobaric Medicine
  • Biomedical Engineering/biomedical Flight controllers 
  • Space Medicine Subject Matter Expertise
  • Astronaut Strength, Conditioning, and Rehabilitation 
  • Missions Operations and Product Development for Medical Operations 
  • Space Radiation Analysis 
  • Spaceflight Epidemiology and Surveillance
  • Spaceflight Pharmacy 
  • Eye Exam & Vision Testing

Read more: https://www.nasa.gov/directorates/esdmd/hhp/biomedical-flight-controllers/
https://www.nasa.gov/directorates/esdmd/hhp/flight-surgeons/

Baseline Data Collection Facility 

Overview | The Baseline Data Collection Facility (BDCF) provides space for International Space Station (ISS) International Partner investigators to set up and execute pre- and post-flight data collection and testing locally at Johnson Space Center. All investigation hardware is provided by the investigation teams. 

Details |

  • The Baseline Data Collection Facility (BDCF)
  • Biologic samples refrigerator 
  • Blood draw station 
  • Building is access controlled 
  • JSC network access 
  • Floor space available for data collection activities 

Environmental Chemistry Laboratory 

Overview | The Environmental Chemistry Laboratory (ECL) has extensive experience analyzing environmental samples from crewed spacecraft and interpreting the results to ensure compliance with applicable standards. The ECL has the expertise to develop custom analytical methods to deal with complex sample matrices (wastewaters, preserved urines, urine brines) and to overcome the inherent challenges associated with spacecraft environmental monitoring (limited sample volumes, non-ideal storage conditions, etc.). The lab also works to identify and evaluate new environmental monitoring hardware, establishes monitoring requirements for new crewed spaceflight programs, and provides operational support for on-orbit monitoring and environmental control systems. 

Details |

  • Comprehensive analysis of air, water, and wastewater samples
  • Interpretation of environmental data
  • Development of custom analytical methods to overcome challenges created by complex matrices, limited sample volume, and unique/non-standard analyses 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/toxicology-and-environmental-chemistry/

Exploration-Class Medical Capabilities 

Overview | Our unique exploration medical systems expertise and capabilities complement our space medical standards knowledge to optimize crew health, fitness and well-being, as well as technologies, for integrated testing of medical human-system interfaces and human performance resulting in system concepts and mission operations. Extreme Environment Medical Capabilities including expertise, skills, and knowledge are available to support development of advanced medical systems and operations for both commercial and military applications. 

Details |

  • Development of new medical capabilities for commercial crew flights
  • Novel space mission endeavors such as an orbiting commercial platform
  • Terrestrial populations working and living in extreme or austere environments 
  • Ocean vessel and facility operations to optimize human health and performance in dangerous environments 

Applied Injury Biomechanics

Overview | The NASA Applied Injury Biomechanics (AIB) team primarily focuses on keeping astronauts safe during dynamic phases of spaceflight and extravehicular activities (EVAs). Dynamic phases include launch, ascent, abort, on-orbit maneuvers, re-entry, descent, and landing. Lunar and other planetary missions also would require that safety measures be taken during descending to and ascending from a planetary surface. The AIB team has helped develop standards for vehicle designers that limit the loads and accelerations that crew members can be exposed to throughout a mission. Because time in space causes changes to astronauts’ bodies, the standards account for this by reducing exposure limits at the end of a mission. AIB also conducts research on potential injury risks during suited operations, including EVAs and training. This work involves developing models and instrumentation techniques to characterize and monitor human movement and forces in the suit to understand injury risks and study potential mitigations.

Details |

  • Performs applied injury biomechanics assessments related to launch, landing, and suited operations
  • Performs physical acceleration testing 
  • Develops advanced modeling tools tailored for occupant protection in the context of the various vehicles and suits 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/anthropometry-and-biomechanics/

Flight Research Laboratories

Bone and Mineral Laboratory 

Overview | Bone and Mineral Laboratory (BML) personnel support ground-based and flight research to characterize the effects of real or simulated spaceflight on the musculoskeletal system and to evaluate the efficacy of countermeasures. 

Details |

  • Performs dual-energy X-ray absorptiometry (DXA) bone scans on astronauts in support of medical requirements including pre- and post-flight scans on ISS astronauts
  • Scans performed every 3 years on all members of the Astronaut Corps 
  • DXA scans are performed on a triennial basis for all retired astronauts, if feasible, as part of the Lifetime Surveillance of Astronaut Health
  • Provides guidance in the development of astronaut medical standards and in the physiologic interpretation of data on bone and muscle loss 
  • Supports musculoskeletal evaluations for both on-site research studies and collaborative studies with extramural institutions 
  • Oversee specific protocols for data collection by quantitative computed tomography for the analysis of volumetric bone density in both cortical and trabecular bone compartments
  • Performs DXA scans providing assessment of percent lean mass and body fat 
  • Oversees data collection by magnetic resonance imaging for analysis of muscle mass and volume and bone microarchitecture
  • Evaluates skeletal health and countermeasures efficacy as informed by clinical policymakers in the bone and mineral field 
  • Tailor imaging protocols for specific clinical and research needs 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/bone-and-mineral-evaluation-and-analysis/

Cardiovascular and Vision Laboratory 

Overview | Members of the Cardiovascular and Vision Laboratory (CVL) at NASA Johnson Space Center conduct spaceflight and ground-based spaceflight analog research to understand characterize the cardiovascular and ocular changes that occur during spaceflight, investigate the mechanisms of these adaptations, and develop countermeasures when necessary. The CVL includes 5 PhD scientists, 5 biomedical engineers, 3 ultrasound sonographers, 2 research scientists, 1 research nurse, 1 project manager, and 1 study coordinator. The broad expertise in spaceflight physiology including spaceflight associated neuro-ocular syndrome (SANS) has been implemented through participation in all research associated the strict head-down tilt bed rest model as a spaceflight analog of SANS since it was established in 2017. In addition, the CVL has a long history in conducting research into cardiovascular adaptations during spaceflight and development of necessary countermeasures to keep crew healthy. Current areas of focus include countermeasures against orthostatic intolerance including fluid loading and gradient compression garments, along with characterization of the risk of venous thrombus during spaceflight. The CVL also has extensive experience implementing human physiological assessments during parabolic flight. Laboratory personnel also routinely supporting medical testing of astronauts for the Space Medicine Clinic and testing that assists in the selection of new astronaut candidates, conducting ocular medical testing and imaging. Finally, members of the CVL have developed and implemented procedures for real-time remote guidance of astronauts using multiple medical devices such as ultrasound, optical coherence tomography imaging, electroretinography, and pneumotonometry.

Details |

  • Develop and evaluate countermeasures, including fluid loading, compression garments, veno-occlusive thigh cuff, and lower body negative pressure (LBNP)
  • Comprehensive ultrasound and echocardiography imaging capabilities for cardiac, vascular, and ocular targets in space and on Earth
  • Acquisition and analysis of ocular variables including optical coherence tomography (OCT) images to assess ocular structure; OCT angiography to assess ocular vasculature; intraocular pressure; retinal function via dynamic vessel analysis; ocular function via Humphrey Visual Fields and electroretinography
  • Test assessments of cardiovascular and spaceflight associated neuro-ocular syndrome physiological outcomes
  • Evaluation of cardiovascular and spaceflight associated neuro-ocular syndrome related hardware or software for spaceflight
  • Develop, test and validate operational countermeasures for supporting cardiovascular function
  • Develop and implement real-time remote guidance procedures for various medical devices
  • Develop prototype flight hardware and microgravity compatible protocols

Read more: https://www.nasa.gov/directorates/esdmd/hhp/cardiovascular-and-vision/

Neuroscience Laboratory 

Overview | The Neuroscience Laboratory investigates the effects of spaceflight on the human nervous system, with particular emphasis on sensorimotor function involving changes in posture and gait function, eye-head coordination, spatial disorientation, space motion sickness, and vestibular-autonomic function. The central focus of the laboratory is both to characterize the risks to performance of critical operational tasks and the development of countermeasures to mitigate the space flight-related changes in nervous system function associated with g-state transitions. The laboratory supports ground-based research on a variety of platforms and in-flight investigations, including crew health monitoring, risk mitigation operational activities and countermeasures evaluation and validation research. 

Details |

  • Provide recommendations for concept of operations and countermeasures for mitigating risks associated with spatial disorientation, motion sickness, and capsule egress
  • Support sensorimotor research using space-flight analogs and inflight experiments across a variety of space vehicle platforms
  • Applied task assessments in the field (i.e. at landing sites) 
  • Conduct training for astronauts and mission support personnel to anticipate impacts of deconditioning during and/or following G-transitions 
  • Conduct crew health monitoring related to neurological function and recovery, including specialized testing of neurovestibular function 
  • Develop sensorimotor training tools and rehabilitation for clinical use during recovery 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/neuroscience/

Immunology and Virology Laboratory 

Overview | The Immunology and Virology Laboratory is responsible for investigating the effects of spaceflight on various aspects of human physiology. 

Details |

The Immunology and Virology Laboratory’s Primary Areas of Research 

  • Investigating the adverse effects of spaceflight on the human immune system
  • Monitoring the reactivation of latent herpesviruses as a biomarker for immune suppression
  • Using terrestrial ground analogs and modeled microgravity cell culture technology to determine the mechanistic causes for reduced immune cell function during spaceflight 

Lab Expert Provisioning 

  • Perform flow cytometry, MagPix array (immune and protein arrays), polymerase chain reaction, analysis, electron, confocal and fluorescent microscopy, cell culture (2D and 3D bioreactor), cell infection models, host-pathogen interactions, molecular analysis 
  • Develop prototype flight hardware and microgravity compatible protocols 
  • Evaluate and develop biomedical countermeasures 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/immunology-and-virology/

Microbiology Laboratory 

Overview | Microbiology Laboratory personnel at the Johnson Space Center are concerned with microbiological issues associated with crew health and the integrity of the spacecraft and its systems. The laboratory is comprised of an integrated team of environmental microbiologists, industrial microbiologists, molecular microbiologists, medical technologists, mycologists, and biosafety professionals, who advance spaceflight operations, basic and applied research, and technology development. 

Details | The Microbiology Laboratory is a biosafety level 2 facility accredited by The American Industrial Hygiene Association and the National Environmental Laboratory Accreditation Program. 

  • Classical bacteriology and mycology, advanced molecular sequencing techniques, and host-pathogen interaction studies 
  • Collect microbial analysis of environmental samples (air, water and surface) and spaceflight food 
  • Develop microbial contamination standards and requirements 
  • Perform custom microbial testing
  • Develop prototype flight hardware and microgravity compatible protocols for molecular sequencing (i.e., MinION) 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/microbiology/

Bioanalytical Core Laboratory 

Overview | The Bioanalytical Core Laboratory (BCL) is a multi-function facility dedicated to supplement and augment research capabilities at NASA Johnson Space Center. This collaborative space utilizes mobile and fixed laboratory casework and a wide range of instrumentation to remain flexible and adaptive to the needs of scientists and a diverse group of research partners. In addition, dedicated spaces are devoted to specific functions such as specialized microscopy, tissue culture, flight hardware development, mass spectroscopy, and more. The BCL boasts a wide range of instrumentation which is available to scientists, collaborators, and other external researchers. 

Details |

  • Available to assist with equipment training, experimental design, and troubleshooting
  • Provide training and use of specialized microscopic, bioanalytical, and laboratory equipment 
  • Provide a skilled senior scientist to assist with analysis and experiment development as needed 
  • Provide general biology and molecular bench space 
  • Provide access to Biosafety Level 2 tissue culture workroom 
  • Perform conventional 2-D cell culture and 3-D tissue engineering in a variety of bioreactors
  • Provide Biomedical Basics training to crew, teaching mammalian tissue culture, microscopy, and techniques to support biological payloads on the International Space Station (ISS) 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/bioanalytical-core-laboratory/

Pharmacology

Pharmacotherapeutics Laboratory 

Overview | Pharmacotherapeutics Laboratory’s capabilities include access to expertise in pharmaceutical, toxicology, regulatory sciences and research, investigational and clinical pharmacy consultation, dosage form design, delivery, and performance, and pharmaceutical stability analyses and assessments. The Pharmacotherapeutics Laboratory also offers access to a variety of analytical workspace and state-of-the-art equipment options including environmentally controlled drug storage chambers, liquid chromatography systems (HPLC, UPLC), Mass Spectrometers, Friability and Hardness Testers, and a variety of other laboratory supplies and bench-top equipment. 

Details |

  • Provide clinical pharmacy services
  • Provide therapeutic drug monitoring 
  • Provide regulatory and compliance oversight 
  • Provide clinical trial protocol development, execution, and oversight
  • Perform pharmaceutical dosage form design and storage 
  • Perform pharmaceutical stability assessment and design 

Read more: https://www.nasa.gov/directorates/esdmd/hhp/pharmacotherapeutics/

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Nanofluidic Implant Communication Experiment (NICE) (Faraday-NICE) aims to develop an implantable drug delivery system that allows for remote control and modulation of the release of therapeutics over weeks to months. In this investigation, fully assembled implantable devices are tested for remote communication capabilities from Earth to the International Space Station (ISS). This investigation aims to verify that 100% of the communications between controller and implant is achieved and maintained on station. Implants are immersed in saline solution, a surrogate of physiological conditions, then placed and sealed in 15 ml containers. The tubes are mounted within the ProxOpS Faraday experimental box. Image Credit: Houston Methodist Research Institute
An emergency medical technician cares for an astronaut with simulated injuries during a joint emergency escape and triage exercise led by NASA, along with Boeing and United Launch Alliance, at Space Launch Complex 41 at Cape Canaveral Air Force Station in Florida on July 24, 2019. The simulation is part of a series in preparation for upcoming crew flights to the International Space Station as part of NASA’s Commercial Crew Program. NASA astronauts Josh Cassada, currently in training for the second flight with crew aboard Boeing’s CST-100 Starliner spacecraft, and Eric Boe, along with astronaut candidate Jasmin Moghbeli, served as the flight crew. The astronauts practiced emergency egress from the nearly 200-foot-tall crew access tower at the launch pad. They also rehearsed escape from the launch complex in an armored vehicle, and decontamination and triage at a nearby helipad.
iss062e115956 (3/28/2020) — A view of the Space Tango CubleLab for the the Microgravity Exposure on Medicinal Plant Seeds investigation aboard the International Space Station (ISS). The Microgravity Exposure on Medicinal Plant Seeds evaluates microgravity’s effects on Cannibis sativa (Victoria) seeds. The cannabinoid content of plants grown from seeds exposed to microgravity conditions aboard the International Space Station (ISS) are compared to plants grown from seeds maintained on the ground.
iss062e115402 (March 26, 2020) — NASA astronaut and Expedition 62 Flight Engineer Andrew Morgan services the Bio-Fabrication Facility (BFF), a 3D bioprinter that seeks to demonstrate manufacturing human organs in space to help patients on Earth. The BFF may even lead to future crews printing their own food and medicines on missions farther away from Earth.
ISS047e038968 (04/05/2016) — ESA (European Space Agency) astronaut Tim Peake operates the Muscle Atrophy Research and Exercise System (MARES) equipment inside the Columbus module. MARES is an ESA system that will be used for research on musculoskeletal, biomechanical, and neuromuscular human physiology to better understand the effects of microgravity on the muscular system.