Fluid shifts are main drivers for microgravity simulation-induced immune-physiological changes: findings from the VIVALDI studies

Microgravity strongly affects human physiology during spaceflight. Biological sex has not yet been sufficiently considered as a variable for spaceflight deconditioning. The VivalDI studies investigated physiological systems affected by 5-days dry immersion (DI) in females and males, with a focus on immune changes in this report. In both sexes proportions of peripheral granulocytes and NK cells were elevated during DI and T-cell numbers were reduced. Leukocyte activation and cytokine levels were moderately affected. Females showed a higher Torque-Teno-virus shedding at the end of DI. Noradrenaline concentrations increased during the study with sex-specific patterns. Hemodynamics suggest that immunological changes were caused by DI-induced fluid shifts. Moreover, male study participants' patterns were compared to a historical data set from a 5-days head-down-tilt bed rest (HDT-BR) study. Changes in leukocyte proportions and body fluid indicators were stronger in DI versus HDT-BR. These analyses indicate that fluid shifts primarily drive intervention-related immune-physiological differences, independent of biological sex. ClinicalTrials.gov, TRN: NCT05043974 and NCT05493176.

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Publication Details

Journal
npj Microgravity
Published
2026-02-16
DOI
https://doi.org/10.1038/s41526-025-00555-z
Primary Topic
Spaceflight effects on biology
Type
article
Field-Weighted Citation Impact
0.00

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article

Fluid shifts are main drivers for microgravity simulation-induced immune-physiological changes: findings from the VIVALDI studies

Mike Tipton, Fabián Amico, Dominique Moser, Sandra Matzel et al.
npj Microgravity
Spaceflight effects on biology
article

Fluid shifts are main drivers for microgravity simulation-induced immune-physiological changes: findings from the VIVALDI studies

Mike Tipton, Fabián Amico, Dominique Moser, Sandra Matzel, Marion Hoerl, Adrien Robin, Angelique Van Ombergen, Matthias Feuerecker, Nastassia Navasiolava, Alexander Choukèr, Marie-Pierre Bareille, M.-A. Custaud, N. Navasiolava, E. Rosnet, A. Pav-Le Traon, A. Robin, P. Denise, On behalf of the Members of the VivalDI -study and Dry Immersion expert group, D. A. Green, A. Bergouignan, A. Chopard, S. Blanc, C. Laurens, Christopher Dächert, A. Choukér, Marc-Antoine Custaud, H. Normand, D. Moser, L. Vico
article en

Abstract

Microgravity strongly affects human physiology during spaceflight. Biological sex has not yet been sufficiently considered as a variable for spaceflight deconditioning. The VivalDI studies investigated physiological systems affected by 5-days dry immersion (DI) in females and males, with a focus on immune changes in this report. In both sexes proportions of peripheral granulocytes and NK cells were elevated during DI and T-cell numbers were reduced. Leukocyte activation and cytokine levels were moderately affected. Females showed a higher Torque-Teno-virus shedding at the end of DI. Noradrenaline concentrations increased during the study with sex-specific patterns. Hemodynamics suggest that immunological changes were caused by DI-induced fluid shifts. Moreover, male study participants' patterns were compared to a historical data set from a 5-days head-down-tilt bed rest (HDT-BR) study. Changes in leukocyte proportions and body fluid indicators were stronger in DI versus HDT-BR. These analyses indicate that fluid shifts primarily drive intervention-related immune-physiological differences, independent of biological sex. ClinicalTrials.gov, TRN: NCT05043974 and NCT05493176.

npj MicrogravityVol. 12(1)
Centre National de la Recherche Scientifique (FR), Université Toulouse III - Paul Sabatier (FR), Inserm (FR), King's College London (GB), Université de Montpellier (FR), Centre Hospitalier Universitaire de Toulouse (FR), Texas A&M Health Science Center (US), European Space Research and Technology Centre (NL), Université d'Angers (FR), University of Colorado Anschutz Medical Campus (US), University of Portsmouth (GB), Université de Strasbourg (FR), Ludwig-Maximilians-Universität München (DE), Université Jean Monnet (FR), University of Colorado Denver (US), Bryan College (US), Université de Reims Champagne-Ardenne (FR), Université de Caen Normandie (FR)
European Space Agency, Bundesministerium für Wirtschaft und Technologie, Centre National d’Etudes Spatiales, Deutsches Zentrum für Luft- und Raumfahrt
Openalex Percentile: Top 52%
Spaceflight effects on biology
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