Impact of peripheral skin cooling on neuroendocrine leukocytic and hematological reactions during Hypergravity

Abstract Optimal neuroendocrine responses are essential during hypergravity (+Gz) exposure. Peripheral skin cooling (PSC) may enhance neuroendocrine function, potentially improving +Gz resiliency and influencing leukocyte and hematologic factors. This study investigated whether PSC augments the cumu...

Full description

Saved in:
Bibliographic Details
Main Authors: Michael Nordine, Niklas Kagelmann, Jan Kloka, Hanns-Christian Gunga, Viktor Heinz, Niklas Pilz, Oliver Opatz, Tomas L. Bothe
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Microgravity
Online Access:https://doi.org/10.1038/s41526-025-00486-9
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Optimal neuroendocrine responses are essential during hypergravity (+Gz) exposure. Peripheral skin cooling (PSC) may enhance neuroendocrine function, potentially improving +Gz resiliency and influencing leukocyte and hematologic factors. This study investigated whether PSC augments the cumulative +Gz stress index (CGSI) and shifts it toward noradrenergic dependency. Eighteen men underwent a graded +Gz profile in a crossover design, with PSC applied using Arctic Sun cooling pads. Neuroendocrine and blood profiles were assessed pre- and post-+Gz. CGSI did not differ between groups, but serum osmolality increased only in PSC (p = 0.03). In PSC, CGSI correlated with norepinephrine (p < 0.01, r = 0.71) and other markers, suggesting enhanced norepinephrine responsiveness despite similar serum levels. This response may be cardio-protective for space missions and ICU patients. Additionally, baseline serum metanephrine emerged as a potential marker for +Gz resilience, with PSC showing potential leukocytic and hematologic involvement in CGSI.
ISSN:2373-8065