[Genome Stability of Bacillus velezensis after Two-Year Exposure in Open Space].

Spore-forming bacteria have a unique resistance to negative environmental conditions, including aggressive space factors, and are an excellent model for studying adaptation mechanisms and survival strategies at the molecular level. The study analyzed the genome of Bacillus velezensis, which remained viable after a 2-year exposure in outer space on the outer surface of the ISS as part of the Test space experiment. A comparative analysis of the draft genomes of the exhibit strain and the ground control did not reveal significant changes; the average nucleotide identity was 99.98%, which indicates the ability of microorganisms to maintain genome stability in space conditions, due to both increased stress resistance of bacterial spores and efficient operation of the system of repair of accumulated changes. The study of a single nucleotide polymorphism in the genome of B. velezensis revealed nine point substitutions, three of which are in intergenic regions, six in protein-coding genes, three of them are missense mutations, two nucleotide deletions leading to a shift in the reading frame, and one synonymous substitution. The profiles of the housekeeping genes were determined during MLST typing and it was found that the allelic profiles obtained for B. velezensis T15.2 and 924 strains do not correspond to any of the previously described sequence types. The presented results indicate the ability of B. velezensis bacteria to maintain the viability of spores and the integrity of the genome for a long time under extreme conditions of outer space, which is important for the problem of planetary protection, as well as the potential possibility of performing biotechnological processes based on B. velezensis during space exploration.

Simulated Microgravity Changes the Number of Mechanically Gated and Mechanosensitive Ion Channels Genes Transcripts in Rat Ventricular Cardiomyocytes.

The mechanoelectrical feedback in the heart is based on the work of mechanically gated (MGCs) and mechanosensitive (MSCs) channels. Since microgravity alters the heart's morphological and physiological properties, we hypothesized that the expression of both MGCs and MSCs would be affected. We employed RNA transcriptome sequencing to investigate changes in the gene transcript levels of MGCs and MSCs in isolated rat ventricular cardiomyocytes under control conditions and in a simulated microgravity environment. For the first time, our findings demonstrated that simulated microgravity induces alterations in the gene transcript levels of specific MGCs, such as TRPM7, TRPV2, TRPP1, TRPP2, Piezo1, TMEM63A, TMEM36B, and known MSCs, including K2P2.1, K2P3.1, Kir6.1, Kir6.2, NaV1.5, CaV1.2, KV7.1. However, other voltage-gated channels and channels lacking a voltage sensor remained unaffected. These findings suggest that the altered expression of MGCs and MSCs could lead to changes in the net currents across the membrane, ultimately impacting the heart's function.

Relationship of collagen as the component of the extracellular matrix with the mechanisms of autonomic regulation of the cardiovascular system under simulated conditions of long-term isolation.

The study of proteins - potential markers, associated signal transduction pathways, and their targets - provides a new understanding of the fundamental mechanisms occurring at the level of regulatory processes in the cardiovascular system (CVS), especially in space flight, as well as in model experiments that reproduce its individual effects on the human body. The article presents the results of studies in an experiment with 120-day isolation within the framework of the SIRIUS project in which 6 volunteers aged 28 to 44 years (three men and three women) participated. SIRIUS (Scientific International Research in Unique Terrestrial Station) is the international research project, which studies the issues of biomedical and psychological support of long-term manned space flights. The possible involvement of collagen different types, an extracellular matrix protein, in the mechanisms of autonomic regulation of the CVS was studied. Using chromatic mass spectrometry in urine samples and analysis of heart rate variability, we have established that the extracellular matrix collagen, which is present, in particular, in the structure of the blood vessel wall, are markers associated with the modulating effect of the autonomic nervous system on the regulatory mechanisms of blood circulation. We hypothesized that these proteins may be a biomarker of the autonomic balance in the regulatory mechanisms of the circulatory system. In addition, these proteins can also be markers of the aging process, which increases the risks of developing autonomic dysfunction of the cardiovascular system (dominance of sympathicotonia) and changes in the quality of the tissue of the heart muscle and blood vessels, provoking the development of prenosological conditions and diseases of the cardiovascular system.

Evaluation of the Efficiency of Oxygen-Helium Therapy for Patients with Covid-19-Associated Pneumonia.

This article summarizes the experience of managing patients with COVID-19-associated pneumonia treated in one of the intensive care units of a multidisciplinary hospital with and without a heated oxygen-helium mixture. It has been shown that the use of a heated oxygen-helium mixture in the complex therapy of pneumonia caused by SARS-CoV-2 is effective. A comparative analysis of the clinical manifestations of the disease and the results of laboratory tests in the main and control groups of patients confirm with a high degree of reliability the improvement of blood oxygenation, the normalization of the acid-base balance and the positive dynamics of the main parameters, which ultimately increases the efficacy and reduces the time of treatment.

[Remote monitoring of population health and performance reserves]. / Distantsionnyi monitoring rezervov zdorov'ya i rabotosposobnosti naseleniya.

The deterioration of the demographic situation and the public health problem in Russia in the late twentieth and early twenty-first centuries has assumed menacing proportions. In this regard, the need to improve the health care system, the formation of a culture of health, and the responsibility of citizens for the preservation of health and high performance has become apparent. OBJECTIVE: Design and development of a system for remote monitoring and improvement of health reserves and performance of an individual and the whole population based on the prenosological examination, the numerical assessment of body systems reserves, and implementation of adequate individual health improvement programs. MATERIAL AND METHODS: Targeted population survey 2000-2020 with measurement of 18 morphofunctional indices allowed to form a database (760 thousand subjects) and develop the Health Navigator technology with the numerical assessment of health and performance reserves of individuals of different ages. This technology formed the basis for the design of the system of remote monitoring and improvement of population health reserves with results processing, storage, and analysis on local and remote servers. RESULTS AND DISCUSSION: Monitoring of health and performance reserves of the population was developed as a browser-based telemedicine technology consisting of a number of sequential actions (operations) performed by healthcare providers and patients: 1) targeted examination of the patient; 2) computer processing of the results using a software and information complex; 3) presentation to the patient and discussion of a formalized «Health Reserve Profile¼ and a draft personal wellness program; 4) implementation of 100-150 days health improvement program based on the means of natural therapy. CONCLUSION: Appraisal of the remote monitoring system in several country regions confirmed its efficiency and the considerable interest of specialists and the population in its use. The developed system allows to accelerate and standardize the work of health care providers, establish continuous cooperation with patients, increasing their health culture and protection from early diseases.

Space Medicine: Scientific Foundations, Achievements, and Challenges.

This article, based on a report presented at the Scientific Session of the Russian Academy of Sciences, highlights the history of the formation of space medicine, its theoretical foundations, and the role of scientists of the Academy of Sciences in the preparation and implementation of the first manned flight into space. The achievements of domestic specialists in space physiology, biology, and medicine promoting the development of manned cosmonautics are considered. Examples are given of the implementation of the results of space research, as well as instruments and devices for medical support of space crews, into practical health care. The problems of medical support of future interplanetary flights and the ways of their solution are analyzed.

Influence of a 1000 Times Weakened Magnetic Field on Embryogenesis and Ontogenesis of the Japanese Quail in Several Generations.

The paper presents experimental data on the influence of a 1000-fold weakening of the Earth's magnetic field on the embryonic and postembryonic development of the Japanese quail in three generations. It has been shown that the weakening of the earth's magnetic field by a factor of 1000 affects the formation of blood vessels in Japanese quail embryos, in particular, causing a decrease in angiogenesis in seven-day-old embryos of both the first generation (F1) and the next two ones (F2 and F3). Pathological and anatomical studies of embryos of different ages in three generations have revealed various pathologies associated with vascular system disorders, as well as disorders in the development of the beak and eyes. In the ontogenesis of F3 quails, there is a decrease in the hatchability of chicks.

The Biological Threat: The Threat of Planetary Quarantine Failure as a Result of Outer Space Exploration by Humans.

The paper presents the results of experiments with spore-forming bacteria and microscopic fungi performed in the framework of the Russian Research Program outside the International Space Station. It has been found that microorganisms not only survive in this extreme environment, but also retain reproductive ability. Moreover, most microorganisms exhibit an increase in biochemical activity and resistance to antimicrobial agents, specifically antibiotics. These findings are of obvious interest to the developers of both planetary quarantine methods and biomedical safety systems for manned space exploration missions. In addition, they demonstrate the necessity of experiments on the exposure of bio-objects to simulated environmental factors beyond Earth's magnetosphere.

[MODERN INSTRUMENTS FOR EAR, NOSE AND THROAT RENDERING AND EVALUATION IN RESEARCHES ON RUSSIAN SEGMENT OF THE INTERNATIONAL SPACE STATION].

The paper reports the results of testing some diagnostic video systems enabling digital rendering of TNT teeth and jaws. The authors substantiate the criteria of choosing and integration of imaging systems in future on Russian segment of the International space station kit LOR developed for examination and download of high-quality images of cosmonauts' TNT, parodentium and teeth.

[The BION-M1 project: overview and first results].

Biosatellite BION-M1 was launched on April 19 and landed on May 19, 2013. The mission program was largely a continuation of the earlier flown 11 BION projects, FOTON-M2 and FOTON-M3. The biosatellite was inhabited by a great variety of living organisms used for experiments and studies in gravitational physiology, gravitational biology, biotechnology, astrobiology and radiation biology, dosimetry and spectrometry. This was the first time in the history of national biology and physiology when male mice C57bl/6 were chosen for a long-term space experiment focused upon molecular biology investigations. Unfortunately, because of technical failures during the flight a part of the animals were lost. However, the major objectives were attained through reconsideration of biomaterial division among investigators and completion of virtually the total scope of investigations.

[Conception of health: space-earth].

In article the new approach to an estimation of a health state of cosmonauts, sportsmen, pilots, drivers, operators, persons of dangerous trades is considered. It has been created and developed in Institute of biomedical problems of the Russian Academy of Sciences under the direction of academician A.I. Grigoriev. Results of works of last decade, by the Program of Presidium of the Russian Academy of Sciences carried out at support of "Fundamental sciences--are submited to medicine". The new system for an estimation of a functional states of an organism at stressful influences in submitted. The methodology of remote studying of influence of ecological factors on health which has begun a new scientific--practical direction--to telemedical ecology is created. In conclusion of the article it is discussed questions of the further introduction of new concept of health and technologies prenosological diagnostics in practice of public health services.

[Dynamics of systemic and local physiological indices while changing intensity of physical load].

It is well known that metabolic, cardiovascular and respiratory indices during exercise of moderate intensity are linearly related to exercise power. After the load reaches the definite level this relationship changes for nonlinear. Different methods of evaluating the intensity of load at which this transition takes place are discussed. The methods for investigation of transient process dynamics in energy supply of muscle contractions with changing intensity of contractions is described. The dependence of dynamic characteristics of physiological indices from fitness level and in its turn from age and level of physical activity is discussed.

[New technologies for evaluation of health status of apparently healthy people].

The article considers the questions of development of new technologies for evaluation of health of apparently healthy people based on experience of long-term researches of cosmonauts' performed at Russian Academy of Sciences Institute of Biomedical Problems under the direction of academician A. I. Grigoriev. In 2007 in monograph "Concept of Health and Space Medicine" the principle of health estimation in apparently healthy people working in conditions of chronic stress was described. These approaches were realized the same year to produce a new hard and software "Ecosan-2007". In the following 2008 the device has been tested for inspection of bus drivers and pilots of civil aircraft and since 2009 it has been used in the international project "Mars-500". All these developments and researches were supported by the Fundamental Sciences-to-Medicine Program maintained by the Presidium of the Russian Academy of Sciences under guidance of academician A. I. Grigoriev. In the project 'Mars-500" in the "artificial confinement", simulating the interplanetary ship, 6 members of the international "Martian crew" were medically and psycho physiologically surveyed. Among set of various devices the "Ecosan-2007" was also used. With application of the same device, not less that 125 volunteers were examined, who lived usual life in natural and socially-industrial conditions. The investigation was simultaneously conducted in 12 various regions of the world. These long-term medico-ecological researches allowed to receive important experimental substantiations for preclinical approach to state of health estimation. In the frame of these researches the methodology of remote monitoring of adverse ecological factor effects on health initiated telemedical ecology, a new applied discipline. The article concludes with discussion of the issues of health conception and new preclinical diagnostic technologies adapting by the public health services.

[Optimization of training: development of a new partial load mode of strength training].

Hypertrophic effect of strength training is known to originate from mechanical and metabolic stimuli. During exercise with restricted blood supply ofworking muscles, that is under conditions of intensified metabolic shifts, training effect may be achieved with much lower external loads (20% of one repetition maximum (1 RM)). The aim of the study was to compare the effects of 8 wks high-intensity (80-85% MVC) strength training and low-intensity (50% 1 RM) training without relaxation. The high-intensity strength training leads to somewhat higher increments in strength and size of trained muscles than training without relaxation. During high-intensity training an increase of area occupied by type II fibers at muscle cross section prevails while during training without relaxation - an increase of area occupied by type I fibers takes place. An exercise session without relaxation leads to a more pronounced increase in secretion of growth hormone, IGF-1 and cortisol. Expression of gene regulating myogenesis (Myostatin) is changed in different ways after high-intensity strength exercise session and after exercise session without relaxation. Low-intensity strength training (50% 1 RM) without relaxation is an effective way for inducing increases of strength and size of trained muscles. This low intensive type of training may be used in restorative medicine, sports and physical culture.

[Biosafety in the study of samples of extraterrestrial origin by an example of preparation for the "Phobos-Grunt" mission].

The necessity of microbial studying the soil from Phobos and terrestrial biological objects, which were for a long time in deep space and may represent a biological hazard has been shown. Developed medical and technical requirements for laboratories comply with Russian regulations and recommendations of international instruments for the ensuring of biosafety on the basis of process (continuous) biorisk management.

[The problem of estimation of the organism adaptable opportunities under stressful influences].

The human organism testing in conditions of modern scientific and technical progress constant stressful influences (industrial, social, psycho-emotional) was carried out for continuous adaptation to the environment: changing of the level of functioning of separate systems and a corresponding tension of regulatory mechanisms occurred. In the article, theoretical bases and methodology of studying the adaptable capacities of the organism are considered. The prenosological diagnostics was used for studying functional conditions on the verge of norm and pathology. The heart rate variability analysis was used based on mathematical model of functional conditions. Concrete technologies and results of evaluation of the adaptation capacities of the organism in space and aviation medicine are presented as well as in applied physiology.

[Telemedicine technologies at the spacecrew landing site].

The article describes the telemedicine complex (TM) for real-time medical informatics communication and interaction between medical personnel at the spacecrew landing site and in the mission control center. Scenarios of TM complex employment for crew examination after Standard landing, in bad weather or for providing care to cosmonauts with unsteady or unsatisfactory health state after ballistic landing are outlined. Basic requirements to the TM-assisted express diagnostics of returned spacecrew are defined.