J Appl Physiol 89: 1224–1231, 2000. highlighted topics Physiology of a Microgravity Environment Invited Review: Gravitational biology of the neuromotor systems: a perspective to the next era V. REGGIE EDGERTON1,2,3 AND ROLAND R. ROY1 Brain Research Institute, 2Department of Physiological Science and 3Department of Neurobiology, University of California, Los Angeles, California 90095 1 Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 Edgerton, V. Reggie, and Roland R. Roy. Invited Review: Gravitational biology of the neuromotor systems: a perspective to the next era. J Appl Physiol 89: 1224–1231, 2000.—Earth’s gravity has had a significant impact on the designs of the neuromotor systems that have evolved. Early indications are that gravity also plays a key role in the ontogenesis of some of these design features. The purpose of the present review is not to assess and interpret a body of knowledge in the usual sense of a review but to look ahead, given some of the general concepts that have evolved and observations made to date, which can guide our future approach to gravitational biology. We are now approaching an era in gravitational biology during which well-controlled experiments can be conducted for sustained periods in a microgravity environment. Thus it is now possible to study in greater detail the role of gravity in phylogenesis and ontogenesis. Experiments can range from those conducted on the simplest levels of organization of the components that comprise the neuromotor system to those conducted on the whole organism. Generally, the impact of Earth’s gravitational environment on living systems becomes more complex as the level of integration of the biological phenomenon of interest increases. Studies of the effects of gravitational vectors on neuromotor systems have and should continue to provide unique insight into these mechanisms that control and maintain neural control systems designed to function in Earth’s gravitational environment. A number of examples are given of how a gravitational biology perspective can lead to a clearer understanding of neuromotor disorders. Furthermore, the technologies developed for spaceflight studies have contributed and should continue to contribute to studies of motor dysfunctions, such as spinal cord injury and stroke. Disorders associated with energy support and delivery systems and how these functions are altered by sedentary life styles at 1 G and by space travel in a microgravity environment are also discussed. space biology; ontogenesis; phylogenesis; motor control WITH MINIMAL ACCESS TO MICROGRAVITY, considerable insight has been gained about how gravitational environments can affect biological systems (e.g., Refs. 9, 10, 13, 15, 16, 21, 38, and 51). During the previous four decades, numerous observations have directed which gravitational biology questions should, and now can, be Address for reprint requests and other correspondence: V. R. Edgerton, Univ. of California, Los Angeles, Dept. of Physiological Science, 1804 Life Sciences, 621 Charles E. Young Drive South, Los Angeles, CA 90095–1527 (E-mail: [email protected]). 1224 studied carefully. The purpose of this “review” is to give a perspective on future opportunities to explore the role of Earth’s gravitational environment in shaping biological systems, given the history of access and opportunities for scientists to study these issues to date. Can we use our past experiences effectively to look to the future? Although the opportunities for studying basic gravitational biology questions within the next decade will continue to be limited to lower orbits of Earth and to those models of simulated microgravity that we can generate on Earth, we should 8750-7587/00 $5.00 Copyright © 2000 the American Physiological Society http://www.jap.org INVITED REVIEW WHAT ARE THE GRAVITY-SENSING MECHANISMS AND HOW ARE THESE SENSING MECHANISMS USED TO CONTROL BASIC PHYSIOLOGICAL SYSTEMS? Are there neural receptors that have evolved that specifically detect gravity-related events? Perhaps there are no gravity receptors per se. Gravity is detected via many types of sensory receptors that project a sense of acceleration and/or gravitational loading (14, 28, 32, 43–45). In many cases, it seems likely that this sensation of a gravitational force or load is derived from multiple receptors. The presence of different combinations and types of input from different combinations of receptors enables motor control systems to accommodate and to readily respond to gravitational forces. We propose that ensembles of multiple modes and sources of sensory information generate the per- ceptions associated with gravitational forces, i.e., loading on the body. We also suggest that many of these ensembles are “perceived” and responded to by neurons located in the spinal cord, which can, in turn, execute fine and detailed adjustments in posture and locomotion. There are many examples of the highly integrated sensorimotor responses that accommodate gravitational forces, many of which are “automatic” (14, 17, 19, 20). In a sense, this means that the solution to many of the details of basic motor responses that sustain upright posture and locomotion have been resolved in the process of “natural selection” of neural networks designed to function in a 1-G environment. The extent to which gravitational vectors have shaped these biological systems can be quantitatively assessed at levels ranging from gene selection to the behavior of an organism, given a permanence to microgravity accessibility and that some clever animal models can lend themselves to this type of experimentation. The magnitude and kind of impact that gravitational forces have on a biological system are dependent, in part, on the level of physiological integration of the phenomenon being studied. There is little reason to believe that there would be a direct effect of gravity on the myosin molecule, but there are clear effects of gravity on the myosin molecule, presumably because of its effects on the whole organism and its neuromotor and endocrine systems (16, 48, 47). For example, the direct mechanical effect of gravity on eye position is minimal. However, the neural control of eye position is highly sensitive to the removal of gravitational loads on the whole body (12, 13). The disruption of eye control after exposure to microgravity is not surprising, given that the neural control of the eyes evolved in a 1-G environment and the coordination of the eyes must be synchronized with the sensory and motor commands of the whole body. The eyes cannot be controlled effectively independently of head and body position, and the neural control of the head and body position must be and is highly dependent on gravity. This high level of interdependence of control among all motor systems has evolved with a neural control system designed to function with the gravitational force vectors on Earth’s surface. HOW HAS GRAVITY BEEN ACCOMMODATED IN THE EVOLUTION OF THE PHYSIOLOGY AND ANATOMY OF MOTOR SYSTEMS? Our ability to understand how Earth’s gravitational environment has shaped the evolution of neuromotor systems can give us a clearer understanding of the fundamental mechanisms of the control of movement. The ventral-dorsal asymmetry of the neural, muscular, and skeletal systems and the orientation of this asymmetry with respect to Earth’s gravitational vectors are evident throughout the animal kingdom. This gravityassociated asymmetry is evident in the biochemistry as well as the anatomy and physiology of these systems. Axonal guidance mechanisms have had to take into account these gravitational vectors. How has gravity Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 consider the next phase of exploration as being preparatory for interplanetary exploration. Access only to lower-Earth orbit at this stage in our understanding of the role of gravity in shaping the biology of animals, however, should not limit the fundamental questions that can be addressed. In this brief review, we will present some questions related to neuromotor systems that we consider to be among the highest priority in gravitational biology during this early transitional stage to a more permanent presence in space. We consider this transitional stage, when more complete and sustained experiments can be performed, as a new era in gravitational biology. Although there have been numerous scientists for many centuries that have conducted experiments in gravitational biology, it has been only within the last 40 years that we have been able to study the responses of neuromotor systems to relatively short periods of low gravitational forces. There have been a few exceptions, however, with the most notable being the presence of humans for as long as 14 mo on the Mir space station. These experiments during the era of the Russian space stations have provided clear evidence of the capability of humans to perform in a microgravity environment for prolonged periods (22, 33–35, 40, 41). The almost continuous presence of humans in microgravity using biosatellites and space stations since the 1970s has provided the confidence and the basic scientific groundwork related to the tolerance of the human body to the space environment for a new generation of experiments. To date, several hundred humans have traveled in the space environment. Despite this access and test of tolerance of humans in space, however, these spacecrafts have limited experimentation to only a few species. Although a wide range of plant and animal species have been exposed to microgravity, almost all of these exposures have been for periods of less than 3 wk. In addition, in all spacecrafts, there have been limited opportunities to perform well-controlled experiments. Basically, our experiences in space to date have whetted our scientific appetite for studying gravitational biology and determining its importance in understanding the fundamentals of biological systems on Earth. 1225 1226 INVITED REVIEW clearly designed to function in a 1-G environment. Thus one means of understanding how these control mechanisms function can be to define how the gravitational environment has affected their evolution, their ontogenetic development, and the routine accommodations of daily function when the acceleration vectors are changing continuously. TO WHAT EXTENT IS THE ONTOGENESIS OF THE NEUROMOTOR SYSTEMS DEPENDENT ON A 1-G ENVIRONMENT? Studying the control of homeobox genes in the fruit fly in response to various gravitational environments could provide considerable insight into the role that gravity plays in shaping the neuromotor systems during ontogenesis and in the adult (11). Studying the role of gravitational forces on gene expression during development would seem to have many advantages, given the extensive amount of information available on the genome of the fruit fly. Experiments could be performed on the space station on fruit flies to determine levels and patterns of imposed gravitational forces during development and the consequential changes in gene expression over a large number of generations, thus providing opportunities for observing the selection of specific phenotypes. Many studies in the biological literature address the issue of whether there are critical periods for exposure to a given type of sensory input for normal development to occur. Is there a critical period for the neuromotor system, or some component of the system, to be exposed to gravitational loading as has been suggested (42, 50)? If this is the case, what are the physiological and biochemical mechanisms by which gravitational factors influence a particular gene and which gene is involved and in which cell, tissue, or organ? In the upcoming era during which sustained presence in space will be likely, facilities that can accommodate a variety of animals, including humans, would be invaluable for studying the effects of gravitational factors on development. Centrifuges, which can generate a range of gravitational forces for weeks or even months, combined with the ability to control breeding cycles allow us to define critical periods for a given level of gravity. Understanding the role of gravitational factors during ontogenesis and phylogenesis will help us to understand how to design solutions to accommodate the detrimental effects of a range of neural degenerative diseases on posture and locomotion. TO WHAT EXTENT ARE THE PROBLEMS OF MANY DEGENERATIVE DISEASES, ASSOCIATED WITH THE SEDENTARY NATURE OF MOST OF OUR POPULATION, A PRODUCT OF THE DESIGN OF OUR SYSTEMS TO ACCOMMODATE A 1-G ENVIRONMENT? At 0 G, it seems apparent that the metabolic demands associated with neuromuscular work are less than those for which the neuromotor systems were designed. It is obvious that many disease processes are likely to emerge as a result of malfunctions of the Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 biased the evolution of these directional cues? How does the ontogenetic development of the neural control of the motor systems depend on Earth’s gravitational vector? The morphology and physiology of all motor systems have evolved such that the repertoire of movement paradigms enabled survival by accommodating gravity. For examples, the neuromotor systems of birds are designed to accommodate flight, whereas those of amphibians are designed to accommodate both terrestrial and aquatic environments (26). Gravity has played a fundamental role in defining the biological properties of the organism in large part based on the physical properties of the environment. This was clearly illustrated when Japanese quails attempted to fly without Earth’s gravitational forces in the Mir space station but were unable to control their direction of flight. Among the many animal species on Earth, there are numerous examples of the asymmetry within the muscular system with respect to the direction and level of forces that must be accommodated to maintain mobility and for adequate escape and reproductive movement repertoires. It also is important to understand how the energysupporting systems are designed to sustain motor performance in a 1-G environment compared with a microgravity environment (7, 8). The intricate regulation and integration of the neural control of the muscles that perform the work must also be effective so that adequate metabolic substrates and oxygen are distributed to the most active muscle fibers, which rely primarily on oxidative metabolism. Blood distribution must be controlled with respect to gravity during motor and postural tasks. Muscle fibers that are recruited most often and that work directly against gravitational forces must have a high capacity for sustaining oxidative phosphorylation so that high-energy phosphates can be generated. The type and availability of substrates must be matched with the organism’s physiology, which, in turn, must be compatible with the organism’s behavior. Therefore, neural control of the distribution of blood in varying gravitational environments must be correlated with neural control of skeletal muscles. A classic example of this coordination is the orthostatic response to standing from a supine position. It is well documented that, even after short periods of microgravity or bed rest, a sudden rise to an upright position can result in an episode of orthostatic intolerance, i.e., fainting (10, 51). This could be viewed as a functional deficiency following spaceflight. However, one can argue that this response helps to maintain adequate blood flow to the head by assuring that the person does not remain in an upright position when there is a critical cardiovascular challenge that limits blood flow to the brain. In this case, neural mechanisms of the cardiovascular system take complete control of the motor systems by rapidly inhibiting those skeletal muscles that maintain an individual in an upright position. There are numerous examples of these kinds of highly integrated control mechanisms that are INVITED REVIEW USING MICROGRAVITY AS A TEST BED FOR DEVELOPING TECHNOLOGIES NEEDED TO STUDY INTEGRATED PHYSIOLOGICAL SYSTEMS History has told us repeatedly that incremental advances in technology lead the way to incremental advances in biology. As devices are developed that enable us to assess smaller and smaller components of a biological system, to manage more massive amounts of data within acceptable time periods, and to measure many physiological properties without interfering with the basic physiology of the system, our understanding of basic biological processes will continue to improve. There are likely to be many examples, as has occurred in the past, of technological developments that could considerably improve the kind of experiments that could be performed in laboratories on Earth (18). There is little question that technologies developed to perform sound, thorough, and comprehensive experiments in space will also have considerable use in similar studies performed on Earth. For example, satellite technology gives us the ability to continuously track the location of animals during migration and can help us understand how to manage our biological resources. A biological device implanted in muscles and tendons was developed for recording electrical and mechanical events for months (46). This device was developed by a joint effort among National Aeronautics and Space Administration (NASA), the Russian Space Agency, and private industry. Presently, it is being used to develop clinical strategies to improve the recovery of locomotion following spinal cord injury. There are many examples of such spin-offs from the spaceflight programs; the general public and the scientific community are unaware of many of these. However, these developments, which are designed to study the responses of the physiology of normal systems to gravity, provide a test bed for technologies for studying normal and diseased systems on Earth. There are some obvious areas of technical development that could benefit from gravitational biology and also have immediate effects on clinical science. To conduct many of the experiments that are likely to be selected for the space station, techniques for handling extremely large and complex sets of data will be needed. These larger than usual data sets are a reflection of the integrative nature of many of the experiments. To perform the highly integrative experiments, the ability to measure multiple physiological responses is required, often at a high rate of data sampling. Also, many of the experiments are likely to require that multiple physiological measurements be recorded when subjects are largely unencumbered, i.e., not attached to large recording devices or otherwise restricted in their normal functions. Some of these recording devices, such as telemetered signal recorders, are being developed or are at least on the “drawing board” for future spaceflight experiments. Although, theoretically, there is the technical capability of recording complex databases under some restricted conditions, this capability has not developed adequately so that reliable experiments can be performed in space with a reasonable probability of success. Further development is needed in miniaturizing sensors and recording devices, in transmitting the data via telemetry, and in storing massive amounts of data on the miniaturized devices. In addition, it will be important to develop data analysis techniques that will enable investigators to select and easily retrieve those segments of the data that will be most informative. One of the most challenging problems is how to record from organisms in vivo without interrupting the normal function of the tissues, organ systems, or organisms. In addition, devices, in many cases, for this purpose need to be durable for prolonged periods, sometimes for at least months, and during activities that can be rather robust mechanically. At the same time, the advantage of these sensing and transmitting devices being placed subcutaneously and without transcutaneous connectivity between implants and recording devices will greatly improve the likelihood of success of the experiment from all perspectives. For example, electromyographic activity could be recorded from multiple muscle groups in multiple limbs while the subject performs a motor task. In animal experi- Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 support systems essential for maintaining homeostasis, e.g., the cardiovascular and metabolic support systems. These systems were designed by evolutionary processes to accommodate organisms within a range of neuromuscular activities, many of which are atypical of those occurring in our highly developed and physically inactive societies. The human genome evolved in a 1-G environment, which imposes a remarkably predictable amount of muscular work and includes a strategy to replace the amount and kind of substrates used in the cells that do the work. We seem to have failed to recognize the importance that the 1-G environment has had in shaping the integrative functions of the genome (4). Understanding the responses of the normal biological systems to microgravity may help considerably in developing strategies to overcome the plethora of biological disorders associated with extremely sedentary lifestyles. It will also be important to understand these adaptive strategies to microgravity in preparation for long interplanetary voyages. Almost all biological disorders in humans quickly become complicated by their subsequent effects on neuromuscular activity levels and mobility. Spaceflight provides an excellent environment to study how all physiological systems accommodate the reduced muscular demands. For example, arthritisinduced pain leads to a reduced motivation to move, which leads to reduced muscle function, which leads to disrupted metabolic priorities, which can lead to diabetic and cardiovascular dysfunction. This same chain of events can be associated with many neuromotor disorders, such as spinal cord injury and stroke. As suggested by Booth et al. (4), there seems to be a high incidence of this scenario, which is initiated by a conscious choice for a sedentary lifestyle rather than some disease process. 1227 1228 INVITED REVIEW A PERSPECTIVE OF GRAVITATIONAL BIOLOGY ISSUES IN MOTOR CONTROL SYSTEMS Microgravity can and should be used as a test bed for understanding the normal physiology of highly integrated physiological systems. There are many advantages to studying some physiological processes from the perspective of a gravitational biologist. Although the fundamental concept that all organisms on Earth evolved in a 1-G environment is self-evident, awareness of the importance of this concept remains obscure at best. In a recent review by Booth et al. (4), an insightful case was made for the fact that our society has an epidemic of diseases associated with lack of physical activity. Human biology and its genome have evolved in environments in which physical activity has been an integral component. The environment has and will continue to play a role in selecting those gene pools that characterize humans. It is generally recognized that some physical activity is necessary to maintain normal homeostatic mechanisms. Associated with this physical activity is the performance of work, much of which is performed against gravitational loads. In fact, a means of characterizing a type of physical activity is often considered to be its rate of work. In the muscular system, the intensity of the exercise is defined by the proportion of muscle fibers activated in a muscle and by the number of muscles that contribute to the exercise. A resistive exercise paradigm often involves the movement of a mass against gravity. More muscle fibers must be activated (recruited) to move a larger mass against gravity. The metabolic consequence of the work is defined largely by the evolutionary-driven design features of the neuromotor system. The types of muscle fibers and the number of muscle fibers that must be activated to accomplish the work define the metabolic impact of the work. In turn, the types and number of muscle fibers that are recruited is defined largely by how the motoneurons within the spinal cord are connected to the muscle fibers. When one begins a movement, those motor units that are most likely to be recruited are those that innervate muscle fibers that have slow myosin, a high oxidative capacity, relatively little glycogen, and high vascularity. Consequently, these fibers can perform work at a relatively continuous but slow rate for long periods without undue fatigue. In addition, these fibers can perform continuous work with relatively little disruption of the metabolic homeostatic state. In contrast, when high work rates are necessary for a short period, the nervous system is designed to recruit more motor units. The metabolic impact of recruiting more motor units is not simply linear. The muscle fibers innervated by motoneurons activated at high work loads have a relatively low capacity to generate ATP via oxidative phosphorylation. They also have a high capacity to generate ATP via glycolysis (but only for brief periods) and have a relatively low vascularity. Therefore, when these fibers are recruited, the metabolic impact is substantial because the rate of ATP utilization is much more rapid than the ability of those muscle fibers to replace ATP. As a result, a high level of acidosis can be reached very quickly when performing at 1 G. On the other hand, the ability to drive the neuromotor system to the point of severe disruption of metabolic homeostasis has an important survival function. The ability to perform powerful, and metabolically demanding, movements enables an animal to escape rapidly, but these movements are not for long periods. The highly integrative aspects of the nervous system, the muscles that perform the work, and the supportive cardiovascular and metabolic systems reflect biological features that can accommodate gravitational loads. This accommodation is evident in the motor unit and muscle fiber type composition of muscles that function principally in an antigravity mode, i.e., support the body against gravity (5). For example, a high proportion of slow-twitch muscle fibers having a high oxidative capacity as noted above is found in primary extensor muscles of almost all mammals, including humans. These muscle fibers seem to be specifically designed to maintain an upright posture throughout the day while imposing minimal metabolic stress. In contrast, muscles that perform primarily flexor functions have a relatively high proportion of fast and more fatigable fibers, reflecting the non-antigravity functions of these muscles. Let us suppose that our motor, and the necessary support, systems evolved in a microgravity environment. It seems highly unlikely that the asymmetry in the types of muscle fibers observed among muscles evolved at 1 G would exist in biological systems evolved in a microgravity environment. It is interesting to hypothesize how the neuromotor systems of terrestrial animals would evolve in a gravitational environment equivalent to that of the moon. The contrasting activation patterns of flexor and extensor muscles in response to gravitational vectors are as striking as the intricate design of the recruit- Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 ments, it also could include the recording of forces and displacements generated by and within multiple muscles as well as the kinematic events associated with the limb segments. Other types of experiments involving performance of some motor task also could require simultaneous recordings of combinations of cardiovascular and pulmonary functions. On another scale, there are remarkable advances in “nano” technology, which could provide a way of measuring intercellular and intracellular mechanical and chemical events in vivo. These types of devices, if developed for biological applications, would enable scientists to ask new questions related to biological mechanisms of control at the subcellular level. In general, many biological experiments would be greatly improved in microgravity as well as on Earth if more details about the physiological and environmental milieux were known. As noted above, there is considerable technical capability that would allow one to perform the experiments as thoroughly as needed; however, this technology may not be ready to be applied reliably in in vivo experiments performed in space. INVITED REVIEW SIGNALING PATHWAYS In a recent review, Baldwin (2) discussed research issues in muscles and the importance of identifying signaling pathways. However, in that case, the signaling is at the molecular not the systems level. Although the level and pattern of neuromuscular activity determines either directly or indirectly many of the properties of all organ systems, the details of these activity patterns have been largely undefined. To determine the mechanisms of gravity-induced adaptations, it will be imperative to determine with considerable precision the properties of the activation processes themselves. We must carefully characterize and quantify which and how often individual muscles or muscle groups are activated and at what level of intensity these muscles must be activated to perform a given type of movement in a given gravitational environment. It is remarkable that we have such a vague understanding of what the neuromuscular systems actually do during routine daily activities. Not knowing these normal baseline activity levels precludes us from making any clear conclusions regarding the role of neuromuscular activity in maintaining homeostasis in an animal in which the activity levels have been perturbed, for example, during spaceflight. Unfortunately, in almost all studies related to how biological systems respond to changes in activity-associated events, the control condition itself is poorly defined (4). For example, what are the normal and/or optimal activity patterns during the course of a day and night? Clearly, the level of activity varies widely across muscles, some being orders of magnitude higher than others (1, 31). To what extent does the pattern and amount of activity define the properties of a cell, an organ system, and an organism itself? What are the dose-response features at each of these levels of integration? It would be extremely helpful to understand these system-level neuromuscular activity patterns (loading and activation), which are essentially the initiation of all of the signaling pathways that control the expression levels of each protein. Efforts to identify those system-level signaling pathways for the induction of muscle fiber atrophy or hypertrophy must be accompanied by a similar level of detailed understanding of the molecular events in muscles as noted in recent reviews by Baldwin (2) and Carson and Wei (6). Are there unique neuromuscular activity patterns of muscle fibers of extensor compared with flexor muscles that can explain their greater sensitivity to microgravity, particularly of the extensors comprised predominantly of slow-twitch muscle fibers (16, 47, 48)? Or are these different responses to some combination of cellular events because of a difference in the sensitivity of a given gene in the muscle fibers of the extensor compared with flexor muscles? Is the response actually due to the mechanical events (loading) imposed by the activation or some combination of these factors? What roles do nerve growth factors play in shaping the responses of genes in the myonuclei of specific types of muscle fibers? To what extent does the responsiveness of a combination of genes reflect the “state dependence” relative to the normal neuromuscular activity patterns of the muscle fibers? Let us take this last question as an example. We will describe a series of experiments that demonstrate a state dependence of a complex neural pathway that can regulate the release of a growth factor from the pituitary gland. In collaboration with Dr. Richard Grindeland at NASA Ames Research Center, we have performed a series of experiments that demonstrate that the release of a growth factor from the pituitary can be regulated by afferent input from the skeletal musculature. This growth factor is identified by its growthenhancing effect on the epiphyseal growth plate of the tibial bone of hypophysectomized rats (25). We have found that short bouts of treadmill exercise in rats or in humans will induce the release of this growth factor, which we call bioassayable growth hormone or BGH (unpublished observations; Ref. 3). We also have found that stimulation of low-threshold afferents from predominantly fast-twitch skeletal muscles in rats can excite the release of BGH from the pituitary (24). In fact, it appears that these afferents are from muscle spindles that project to the spinal cord (23). Does this regulatory mechanism assume some background level Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 ment of motor units and their metabolic properties. In an animal that has no supraspinal control of the lower limbs, exertion of pressure on the bottom of the foot induces an extensor thrust sufficient to support the weight of the body at 1 G (27). To support the body against gravity, there is a predominant activation of extensors, whereas the flexors are inhibited. This response is obviously built into the neural networks within the spinal cord, and this design clearly accommodates the level and direction of gravity that has been present throughout evolution. This response reflects a highly integrated circuit of multiple sensors located throughout the muscles, tendons, and joints, with the activation of these receptors projected to specific combinations of flexor and extensor motor pools and those interneurons that control these motor pools. Many neuromotor behaviors reflect the detailed properties of neuromotor pathways that are designed with gravity dependence. The legs of a complete, lowthoracic spinal animal, when observed stepping on a treadmill belt, can respond to a disruption (“tripping”) in the forward swing by lifting the “tripped” ipsilateral leg and enhancing extensor activation contralaterally, thus enabling the animal to continue stepping uninterrupted (20, 30, 39). This type of functional capability must reflect a gravity-dependent strategy; this “automatic” response to anticipated loads would have little utility in a microgravity environment. Changes in the relative activation of flexor and extensor motor pools during normal treadmill stepping occurs in the rhesus monkey after 2 wk of spaceflight compared with preflight (29, 46, 49). These data indicate that the relative bias in the recruitment of extensor vs. flexor motor pools is shaped to some degree by the continuous effect of gravity. 1229 1230 INVITED REVIEW of neuromuscular activity to function normally and in effect define its “state dependence”? We have found that the release of BGH depends on sustaining at least an ambulatory level of neuromuscular activity. For example, the same amount of exercise that induces a robust release of BGH when the subject is in an ambulatory state will have no effect when the subject has been confined to bed or has been in a microgravity environment for more than a few days (36, 37). When normal ambulatory activity is initiated and maintained for a few days after bed rest or spaceflight, the normal exercise-induced release of BGH occurs. This is a remarkably clear example of how our physiology has a shifting dose-response curve that is affected by the level of activation and/or loading pattern. POLICY ISSUES THAT MUST BE ADDRESSED TO SUSTAIN A PRODUCTIVE RESEARCH PROGRAM IN GRAVITATIONAL BIOLOGY We express our sincere thanks to Inessa Koslovskaya from the Institute of Biomedical Problems in Moscow for insight into the function of the neuromotor systems in microgravity. We also thank all of our collaborators on these multiple projects. These studies were supported, in part, by National Institute of Neurological Disorders and Stroke Grant NS-16333; NASA Grants NAG-2–717, NAG-2–438 and NAG-9–970; the Christopher Reeves Paralysis Foundation; and the Kent Waldrep National Paralysis Foundation. REFERENCES 1. Alford EK, Roy RR, Hodgson JA, and Edgerton VR. Electromyography of rat soleus, medial gastrocnemius and tibialis anterior during hindlimb suspension. Exp Neurol 96: 635–649, 1987. 2. Baldwin KM. Research in the exercise sciences: where do we go from here? J Appl Physiol 88: 332–336, 2000. 3. Bigbee AJ, Gosselink KL, Roy RR, Grindeland RE, and Edgerton VR. 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Nervous system and sensory adaptation: neural plasticity associated with chronic neuromuscular activity. In: Physical Activity, Fitness, and Health: International Proceedings and Consensus Statement (2nd ed.), edited by Bouchard C, Shephard RJ, and Stephens T. Champaign, IL: Human Kinetics, 1994, chapt. 34, p. 511–520. 15. Edgerton VR and Roy RR. Neuromuscular adaptation to actual and simulated weightlessness. In: Advances in Space Biology and Medicine, edited by Bonting SL. Greenwich, CT: JAI, 1994, vol. 4, p. 33–67. 16. Edgerton VR and Roy RR. Neuromuscular adaptations to actual and simulated spaceflight. In: Handbook of Physiology. Environmental Physiology. Bethesda, MD: Am. Physiol. Soc., 1996, sect. 4, vol. III, chapt. 32, p. 721–763. Downloaded from http://jap.physiology.org/ by 10.220.33.4 on June 14, 2017 To be successful in this next generation of studies, sustained access to microgravity must be provided. In the near future, it appears that a facility will be available for the first time to conduct carefully designed studies using a variety of biological systems under far more controllable conditions than previously possible. Up to now, we have had to rely predominantly on launching experiments for short periods of time and on performing them in compromised conditions imposed by limitations in resources. The resource limitation has often been the availability of time for the crew members to train for and conduct experiments and the necessity of sharing equipment and facilities, which often compromises the integrity of the individual experiments. Given the limited resources for studying biological systems in space over the last four decades, it is apparent that clear scientific objectives need to be formulated and followed in the next era. Furthermore, the experiments must be supported at a level that will permit their execution with the care and thoroughness necessary to answer the questions of the highest priority by experts in the field. Only under these conditions can there be a robust and sequential experimental approach during the next era of the International Space Station. In using this international facility, there must be an effective and clear mechanism for selecting the most important experiments proposed by scientists throughout the world. This will be a very difficult, but essential, task. Given the level of funding that is likely to be available, it is unlikely that a rigorous research objective can be mounted in more than a few areas at best. Given the likelihood that there will continue to be limited funding, it will be necessary for visible progress to occur in any given area. 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