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TO G OR NOT TO G: THAT IS THE QUESTION VINCENT J. CAIOZZO, PH.D. 1,2 and Kenneth M. Baldwin, PH.D. 2 1 Departments of Orthopaedics and 2 Physiology and Biophysics School of Medicine University of California Irvine, CA

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  • TO G OR NOT TO G: THAT IS THE QUESTION

    VINCENT J. CAIOZZO, PH.D.1,2

    and

    Kenneth M. Baldwin, PH.D.2

    1Departments of Orthopaedics

    and2Physiology and Biophysics

    School of MedicineUniversity of California

    Irvine, CA

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Accomplishments of the US Space Program havebeen …

    Out of this world

    https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiMko7qzenZAhVCh1QKHZWVDgwQjRwIBg&url=http%3A%2F%2Faerospacelegacyfoundation.com%2Fgemini-program%2F&psig=AOvVaw02Ll-SuXplNX9XDXh57OXu&ust=1521041061228691

  • TO G OR NOT TO G: THAT IS THE QUESTION

    https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiQv_CE0OnZAhXIzFQKHf4MCtoQjRwIBg&url=https%3A%2F%2Fwww.space.com%2F18162-space-shuttle-atlantis.html&psig=AOvVaw3dx-vu8PX6BGVBIr31b9i5&ust=1521041607854525https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjzqIGj0OnZAhWhs1QKHX2vCiMQjRwIBg&url=https%3A%2F%2Fwww.theverge.com%2F2018%2F1%2F24%2F16930154%2Fnasa-international-space-station-president-trump-budget-request-2025&psig=AOvVaw0VKOVWJ5DmAB7BtwkwmTd4&ust=1521041756248859

  • TO G OR NOT TO G: THAT IS THE QUESTION

    SO MANY GREAT IMAGES OF SPACE EXPLORATION

    But there is one singularimage that best capturesthe achievement of the space program…

    Man’s desire to explore

    50 years ago comeJuly 20, 2019

    https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwiMscLW0unZAhUqllQKHQLcCDoQjRwIBg&url=https%3A%2F%2Fmilnersblog.com%2Ftag%2Ffamily-of-neil-armstrong-quote%2F&psig=AOvVaw0AYwD382ozbISShlG9rmh-&ust=1521042402135505

  • TO G OR NOT TO G: THAT IS THE QUESTION

    THE JOURNEY FROM EARTH TO MARS WILL BE EQUALLYHISTORICAL

    “We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard.”

    But the challenges will be profoundly greater!

    https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwietaH56-zZAhVH9WMKHaYRBFAQjRwIBg&url=https%3A%2F%2Fsolarsystem.nasa.gov%2Fplanets%2Fmars%2Foverview%2F&psig=AOvVaw1f4QSwkh279OWapZ8rVxqB&ust=1521152220631939

  • TO G OR NOT TO G: THAT IS THE QUESTION

    “Men wanted for hazardousjourney. Small wages, bitter cold, long months of complete darkness, constant danger, safe return doubtful. Honour and recognition in case of success.”

    Sir Ernest Henry Shackleton

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Exploration even within the solar system poses unique and formidable challenges never experienced during human evolution!

    space radiation vacuum and cold of space staggering distances and

    time the absence of gravity

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Profound PhysiologicalDeconditioning/Alterations

    o Vestibular Systemo Cardiovascular Systemo Skeletal Systemo Muscleo Intracranial Hypertension

  • SPACE FITNESS: NEWTON’S FOURTH LAW

    Three Laws of Motion

    First Law – Uniform motionSecond Law – F = MAThird Law – Action-reaction

    So what is the Fourth Law?

    It is the law of physiologicalplasticity and is analogousto the Third Law.

    Look at a couple of exampleswith direct relevance tospace flight

  • Adams, Caiozzo, and Baldwin 2003

  • Adams, Caiozzo, and Baldwin 2003

  • LeBlanc et al. 1996-2 -1.5 -1 -0.5 0

    NeckSpine

    Arm

    PelvisTroch

    Leg

    ∆ BMD per month (%)

    Bone Loss on MIR

    Post Menopausal Bone Loss per month

    SPACE FITNESS: NEWTON’S FOURTH LAW

  • Lang et al. 2004-1.4 -1.2 -1 -0.8 -0.6 -0.4 -0.2 0BMD Loss per month

    ISS (n = 14)

    MIR (n = 18)

    Lumbar Spine

    Femoral Neck

    Calcaneus

    -1.4 -1.0 -0.6 -0.2 0

    SPACE FITNESS: NEWTON’S FOURTH LAW

    Bone Loss on MIR

  • ESA astronaut Jean-Pierre Haigneré returning to Earth after a six month stay on board the Russian space station Mir. (Kazakhstan, August 1999).

  • Hamlet – Scene I“To be, or not to be: that is the question”

    How does that apply to the topic of this presentation?

    “To G, or not to G: that is the question”

    TO G OR NOT TO G: THAT IS THE QUESTION

    http://www.google.com/url?sa=i&source=images&cd=&cad=rja&docid=WmObhZF6pc30UM&tbnid=2Dk06tr82bzukM:&ved=0CAgQjRwwAA&url=http%3A%2F%2Fgreatewhitenorth.blogspot.com%2F2013%2F01%2Fscrutinizing-shakespeare.html&ei=uxs9UpGEAcWSqwGi5IGACw&psig=AFQjCNF1sYZzDBDhqr1X2LeqfWNiOLYMfg&ust=1379822907117758

  • WHY SHOULD WE BE INTERESTED IN THIS TOPIC?

    The Space Cycle Unique Attributes

    oLoad skeletal muscleoLoad boneoProvide gravitational challenge

    to cardiovascular systemoVestibular challengeoMay be effective in mitigating

    intracranial hypertension

    TO G OR NOT TO G: THAT IS THE QUESTION

  • STRATEGIES FOR LOADING MUSCLE AND BONE:HYPERGRAVITY RESISTANCE TRAINING

    TO G OR NOT TO G: THAT IS THE QUESTION

  • TO G OR NOT TO G: THAT IS THE QUESTION

    STRATEGIES FOR LOADING MUSCLE AND BONE:HYPERGRAVITY RESISTANCE TRAINING

  • STRATEGIES FOR LOADING MUSCLE AND BONE:HYPERGRAVITY RESISTANCE TRAINING

    TO G OR NOT TO G: THAT IS THE QUESTION

  • STRATEGIES FOR LOADING MUSCLE AND BONE:HYPERGRAVITY RESISTANCE TRAINING

    TO G OR NOT TO G: THAT IS THE QUESTION

  • Hypergravity Resistance Training Hypotheses

    AG can be used to create hypergravity-loading conditions that result in muscle adaptations similar to those seen when performing resistance training in a normal 1 G environment.

    TO G OR NOT TO G: THAT IS THE QUESTION

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Proof-of-Principle Study Design

  • MOLECULAR MARKERS OF HYPERTROPHY/ATROPHY

    TYPES AND AMOUNTS OF PROTEIN

    CELLULAR FUNCTION

    MUSCLE FUNCTION

    ORGANISM

    TORQUE-VELOCITY RELATIONSHIP

    MRI IMAGING MUSCLE FIBER AREA

    MHC PROTEIN ISOFORMS Actin mRNA

    MHC mRNA isoforms IGF-1 mRNA, MGF mRNA, p70s6k

    10 RM SQUAT

    TO G OR NOT TO G: THAT IS THE QUESTION

    Molecules-to-Function Paradigm:A Play on Structure-Function Relationships

    Actin mRNA

    MHC mRNA isoforms

    IGF-1 mRNA, MGF mRNA, p70s6k

    MRI IMAGING

    MUSCLE FIBER AREA

    MHC PROTEIN ISOFORMS

    TORQUE-VELOCITY

    RELATIONSHIP

    10 RM SQUAT

    MOLECULAR MARKERS OF

    HYPERTROPHY/ATROPHY

    ORGANISM

    MUSCLE FUNCTION

    CELLULAR FUNCTION

    TYPES AND AMOUNTS OF PROTEIN

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Muscle Strength

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Protein Synthesis – Total RNA

    Note that both groups had significantincreases in total RNA.

    Also, note that the increases for bothGroups were very similar.

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Protein Synthesis – Translational Control

    RT1 RT2 HGRT2HGRT1

    pre post pre post pre postpre post

    0 4 24 0 4 24 0 4 24 0 4 24 0 4 24 0 4 240 4 0 4 24

    pp85S6Kpp85S6Kpp70S6K

    RT1 RT2 HGRT2HGRT1

    pre post pre post pre postpre postpre post pre post pre postpre post

    0 4 24 0 4 24 0 4 24 0 4 24 0 4 24 0 4 240 4 0 4 240 4 24 0 4 24 0 4 24 0 4 240 4 24 0 4 24 0 4 24 0 4 24 0 4 24 0 4 240 4 0 4 24

    pp85S6Kpp85S6Kpp70S6Kpp85S6Kpp85S6Kpp70S6K

    -4 0 4 8 12 16 20 240

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    Hours post bout

    pp85

    in S

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  • TO G OR NOT TO G: THAT IS THE QUESTION

    Molecular Marker of Muscle Hypertrophy

    Note similarity in acute responses.

    Note that both typesof resistance trainingprograms producedsimilar chronic elevation.

  • TO G OR NOT TO G: THAT IS THE QUESTION

    Molecular Marker of Extracellular Matrix Remodeling

    Note similarity in acute responses.

    Note that both typesof resistance trainingprograms producedsimilar chronic elevation.

  • Where Do We Go From Here?

    TO G OR NOT TO G: THAT IS THE QUESTION

    So in taking Mother Earth to Mars,can we forget about taking Earth’sgravitational environment?

    We need to answer thisfundamental question!

    Consider that Earth’s gravitationalfield was probably one of the most important evolutionarypressures!

    .

  • Where Do We Go From Here?

    TO G OR NOT TO G: THAT IS THE QUESTION

    Artificial gravity has the potential tomimic Earth’s gravitational fieldand load every element of thehuman body, which is not possible with other countermeasure devices.

    Simply stated, artificial gravitycan provide Earth-likechallenges to muscle, skeletal, cardiovascular, and vestibularsystems during a single sessionsomething that no other countermeasurecan achieve.

  • Where Do We Go From Here?

    TO G OR NOT TO G: THAT IS THE QUESTION

    Need a sustained gravitational biology program that addresses thisfundamental question if we are toensure the health and safetyof our astronauts.

    Data clearly demonstrate that hypergravity resistance training produces adaptations very similarto 1g squat resistance training.

    Good initial set of data that shouldstimulate additional studies onthe effectiveness of artificial gravity.

  • FUNDING

    National Aeronautical Space Administration (NASA)Hypergravity Resistance Training: Countermeasure to Microgravity

    MA00403 2004-2008

    National Institutes of HealthU.C. Irvine General Clinical Research Center

    GCRC MO1RR00827-S1 2000-2005

    TO G OR NOT TO G: THAT IS THE QUESTION

  • RESEARCH TEAM

    Vincent J. Caiozzo, PH.D.Kenneth M. Baldwin, Ph.D.

    Greg Adams, Ph.D.Fadia Haddad, Ph.D.

    Jim Hicks, Ph.D.Jim Earthman, Ph.D.

    Dan Cooper, M.D.Art Kreitenberg, M.D.Alan Hargens, Ph.D.

    Peter Cavanagh, Ph.D.

    ACADEMIC UNITS

    UniversitiesUniversity of California, Irvine

    University of California, San DiegoUniversity of Washington

    DepartmentsOrthopaedics

    Physiology and BiophysicsEcology and Evolutionary Biology

    PediatricsChemical Engineering & Materials Science

    Biomedical Engineering

    TO G OR NOT TO G: THAT IS THE QUESTION

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