The NASA Twins Study was conducted. Astronaut Scott Kelly is selected for the mission with his identical twin, Mark Kelly, on earth as control group. Scott spent 340 days in space for the experiment. The result demonstrated several long-lasting changes, including those related to alterations in DNA and cognition.[3][4]
The goal aboard the orbiting laboratory was to understand better how the human body reacts and adapts to the harsh environment of space.[9] Data from the mission was used to improve assessments of crew performance and health. They worked to develop and validate better countermeasures against the risks associated with future missions around the Moon, asteroids and ultimately Mars.[12]
Selection
In November 2012, NASA, the Russian Federal Space Agency (Roscosmos), and their international partners selected two veteran spacefarers for a one-year mission aboard the ISS in 2015. Astronaut Scott Kelly was selected as the identical twin of Mark Kelly. The mission included collecting scientific data important to future human exploration of the Solar System. Kelly and Korniyenko already had an indirect connection: Kelly was a backup crew for the station's Expedition 23/24, where Korniyenko served as a flight engineer.[13]
NASA Twin Study
Experiment
Identical twinsMark Kelly and Scott Kelly were studied for changes in the health of a body in space compared to a body on earth. A variety of mechanisms in the human body were analyzed, notably telomere length, body mass, eye and bone deformation, and immune response. Ten research teams are assembled to conduct an integrated research on the change on physiological, molecular and cognitive level after exposing to long-duration spaceflight.
The study also required the astronauts to keep a journal, and investigated the psychological effects of living in a confined space for an extended length of time. Kornienko said of his experiences on Expedition 23/24: "The thing you miss there most of all is the Earth itself, I missed smells. I missed trees, I even dreamt of them. I even hallucinated. I thought I smelled a real fire and something being barbecued on it! I ended up putting pictures of trees on the walls to cheer up. You do miss the Earth there."[14] Scott stated that he missed feeling changes in the weather while on the ISS.[15]
Results
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On 12 April 2019, NASA reported medical results, from the NASA Twins study, which demonstrated several surprising changes, including those related to alterations in DNA and cognition, when one twin was compared with the other.[3][4]
The study found:"significant changes in multiple data types were observed in association with the spaceflight period; the majority of these eventually returned to a preflight state within the time period of the study. These included changes in telomere length, gene regulation measured in both epigenetic and transcriptional data, gut microbiome composition, body weight, carotid artery dimensions, subfoveal choroidal thickness and peripapillary total retinal thickness, and serum metabolites. In addition, some factors were significantly affected by the stress of returning to Earth, including inflammation cytokines and immune response gene networks, as well as cognitive performance. For a few measures, persistent changes were observed even after 6 months on Earth, including some genes’ expression levels, increased DNA damage from chromosomal inversions, increased numbers of short telomeres, and attenuated cognitive function."[16]
Telomeres lengthened
During spaceflight, the length of telomeres increased by 14.5%. During spaceflight, the increase is observed from flight day 14 to flight day 334. The effect is rapidly reversed after returning earth and ultimately fall back to near preflight level after 6 months (190 days).[4] The other effects of spaceflight, such as reduced body mass and increased serum folate level, are associated with telomeres elongation .
Telomere length is associated with aging and lifespan. Shorter telomeres are related to early deaths, vice versa.[17] However, the exact effect of spaceflight to lifespan is currently not known.
T-cell production with vaccination
The study found no significant changes in T cell production after the first vaccination of the study.
The International Space Station developed exercise equipment, including treadmills and resistance devices to limit muscle atrophy in a low gravity environment. Weightlessness causes body fluids in astronauts to accumulate in the upper half of the body, leading to facial edema and unwelcome side effects. One problem may be the low gravity affecting the body in unforeseen ways and it can be hard to detect the cause and effect of gravity on the body. Space seems to cause trouble for a number of body parts including bone, sometimes the eyes, and a classic problem is space sickness.[citation needed]
^Garrett-Bakelman, Francine E.; Darshi, Manjula; Green, Stefan J.; Gur, Ruben C.; Lin, Ling; Macias, Brandon R.; McKenna, Miles J.; Meydan, Cem; Mishra, Tejaswini; Nasrini, Jad; Piening, Brian D.; Rizzardi, Lindsay F.; Sharma, Kumar; Siamwala, Jamila H.; Taylor, Lynn; Vitaterna, Martha Hotz; Afkarian, Maryam; Afshinnekoo, Ebrahim; Ahadi, Sara; Ambati, Aditya; Arya, Maneesh; Bezdan, Daniela; Callahan, Colin M.; Chen, Songjie; Choi, Augustine M. K.; Chlipala, George E.; Contrepois, Kévin; Covington, Marisa; Crucian, Brian E.; De Vivo, Immaculata; Dinges, David F.; Ebert, Douglas J.; Feinberg, Jason I.; Gandara, Jorge A.; George, Kerry A.; Goutsias, John; Grills, George S.; Hargens, Alan R.; Heer, Martina; Hillary, Ryan P.; Hoofnagle, Andrew N.; Hook, Vivian Y. H.; Jenkinson, Garrett; Jiang, Peng; Keshavarzian, Ali; Laurie, Steven S.; Lee-McMullen, Brittany; Lumpkins, Sarah B.; MacKay, Matthew; Maienschein-Cline, Mark G.; Melnick, Ari M.; Moore, Tyler M.; Nakahira, Kiichi; Patel, Hemal H.; Pietrzyk, Robert; Rao, Varsha; Saito, Rintaro; Salins, Denis N.; Schilling, Jan M.; Sears, Dorothy D.; Sheridan, Caroline K.; Stenger, Michael B.; Tryggvadottir, Rakel; Urban, Alexander E.; Vaisar, Tomas; Van Espen, Benjamin; Zhang, Jing; Ziegler, Michael G.; Zwart, Sara R.; Charles, John B.; Kundrot, Craig E.; Scott, Graham B. I.; Bailey, Susan M.; Basner, Mathias; Feinberg, Andrew P.; Lee, Stuart M. C.; Mason, Christopher E.; Mignot, Emmanuel; Rana, Brinda K.; Smith, Scott M.; Snyder, Michael P.; Turek, Fred W. (2019-04-12). "The NASA Twins Study: A multidimensional analysis of a year-long human spaceflight". Science. 364 (6436). American Association for the Advancement of Science (AAAS): 127. Bibcode:2019Sci...364.8650G. doi:10.1126/science.aau8650. ISSN0036-8075. PMC7580864. PMID30975860.