Ukrainian Antarctic Journal

No 2 (2021): Ukrainian Antarctic Journal
Articles

Immune factors and health of Antarctic explorers

D. Zabara
Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv, 04050, Ukraine
I. Kozeretska
State Institution National Antarctic Scientific Center, Ministry of Education and Science of Ukraine, Kyiv, 01601, Ukraine
I. Deineko
State Institution National Antarctic Scientific Center, Ministry of Education and Science of Ukraine, Kyiv, 01601, Ukraine
Ya. Anoshko
Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv, 04050, Ukraine
N. Shapovalenko
Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv, 04050, Ukraine
L. Stamboli
Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv, 04050, Ukraine
B. Dons’koi
Institute of Pediatrics, Obstetrics and Gynecology of the National Academy of Medical Sciences of Ukraine, Kyiv, 04050, Ukraine
Published December 31, 2021
Keywords
  • Antarctic expedition,
  • immune accentuations,
  • NK lymphocytes,
  • NK cytotoxicity,
  • prognostic factors
How to Cite
Zabara, D., Kozeretska, I., Deineko, I., Anoshko, Y., Shapovalenko, N., Stamboli, L., & Dons’koi, B. (2021). Immune factors and health of Antarctic explorers. Ukrainian Antarctic Journal, (2), 94-105. https://doi.org/10.33275/1727-7485.2.2021.680

Abstract

The immune system plays a major role in human homeostasis, yet a body’s unique individuality complicates the diagnostic forecasting of unfavourable physiological states and diseases. Studying the immunophenotypic features of winterers of the Ukrainian Antarctic Expeditions before, during, and after their assignments might shed some light on the possible place of immune accentuations in the development of certain physiological states. To determine the natural-killer (NK) cytotoxicity and the immunophenotype in 52 applicants who wanted to take part in an expedition and nine participants who had come back, we used flow cytofluorometry. Blood serum samples taken before, during, and after the expeditions were also tested for hormones, anti-infective, anti-parasitic, and autoimmune antibodies. The high absolute and relative numbers of NK lymphocytes, high NK cytotoxicity, and high expression of HLA-DR on the CD3+CD8+ lymphocytes were correlated with a person’s unfavorable health status during the expedition. In Antarctica, cortisol levels sharply increased, yet they normalized upon return. In most winterers, there were no significant health complications during the expeditions. Neither reactivated nor primary viral infections were registered, as well as clinical autoimmune ones. Upon return, the winterers had significantly lower leukocytes and lymphocytes and increased expression of activation markers (HLA-DR) on the T-cells. The found risk factors can characterize the polar researchers’ immunophenotypes yet require validation on larger samples. The expedition environment causes increased stress, entailing, however, neither clinical manifestations nor elements of immunosuppression. The polar researchers bear the consequences of the prolonged stress that inhibit leucopoiesis as late as six months after their return, which should be considered while reviewing applications for the next season.

References

  1. Arendt, J. (2012). Biological Rhythms during Residence in Polar Regions. Chronobiology International, 29(4), 379–394. https://doi.org/10.3109/07420528.2012.668997
  2. Arendt, J., & Middleton, B. (2018). Human seasonal and circadian studies in Antarctica (Halley, 75° S). General and Comparative Endocrinology, 258, 250–258. https://doi.org/10.1016/j.ygcen.2017.05.010
  3. Chernyshov, V. P., Dons’koi, B. V., Sudoma, I. O., & Goncharova, Y. O. (2014). Favorable immune phenotype predicts successful implantation and pregnancy. Immunology Letters, 162(2), 217–221. https://doi.org/10.1016/j.imlet.2014.10.022
  4. Chernyshov, V., Dons’koi, B., Sudoma, I., & Goncharova, Y. (2016). Multiple immune deviations predictive for IVF failure as possible markers for IVIG therapy. Immunology Letters, 176, 44–50. https://doi.org/10.1016/j.imlet.2015.12.010
  5. Crucian, B. E., Choukèr, A., Simpson, R. J., Mehta, S., Marshall, G., Smith, S. M., Zwart, S. R., Heer, M., Ponomarev, S., Witmire, A., Frippiat, J. P., Douglas, G. L., Lorenzi, H., Buchheim, J.-I., Makedonas, G., Ginsburg, G. S., Ott, C. M., Pierson, D. L., Krieger, S. S., … & Sams, C. (2018). Immune system dysregulation during spaceflight: potential countermeasures for deep space exploration missions. Frontiers in Immunology, 9, 1437. https://doi.org/10.3389/fimmu.2018.01437
  6. Dhabhar, F. S., Malarkey, W. B., Neri, E., & McEwen, B. S. (2013). Stress-induced redistribution of immune cells — from barracks to boulevards to battlefields: a tale of three hormones — Curt Richter Award Winner. Psychoneuroendocrinology, 37(9), 1345–1368. https://doi.org/10.1016/j.psyneuen.2012.05.008
  7. Dons’koĭ, B. V., Chernyshov, V. P., Sudoma, I. A., Honcharova, J., & Osypchuk, D. V. (2013). Qualitative analysis is preferable under average value comparison in case of bilateral parameter distribution: NK-lymphocyte CD158a expression in patients with reproductive failures. Likars’ka Sprava, (1), 86–93. (In Ukrainian)
  8. Dons`koi, B. V. (2014). Immune factors in reproductions. Immune accentuations theory and prognosis of reproductive success. Medical aspects of women’s health, 4(79). (In Ukrainian)
  9. Dons’koĭ, B. V., Chernyshov, V. P., Sirenko, V. Iu., Strelko, H. V., & Osypchuk, D. V. (2014). Effect of hypo- and hyperaccentuated NK cell activity on embryo implantation. Fiziologichnyi Zhurnal, 60(1), 56–63. https://doi.org/10.15407/fz60.01.056 (In Ukrainian)
  10. Dons`koi, B., Chernyshov, V., Sudoma I., & Goncharova, Y. (2016). Theory of immune accentuation: clinical background. Obstetrics. Gynecology. Genetics, 2(2). (In Ukrainian)
  11. Dons’koi, B. V. (2019). Numbers of natural killers lymphocytes do not determine their cytotoxicity. Biologichni studii, 13(2), 11–20. https://doi.org/10.30970/sbi.1302.599
  12. Dons’koi, B. V., Chernyshov, V. P., Osypchuk, D. V., Sudoma, I., Khazhylenko, K. G., Strelko, G. V., & Sirenko, W. J. (2020a). Natural killer frequency determines natural killer cytotoxicity directly in accentuated zones and indirectly in "moderate-to-normal frequency" segment. Central European Journal of Immunology, 45(3), 315–324. https://doi.org/10.5114/ceji.2020.101263
  13. Dons’koi, B. V., Tutchenko, T. M., Chernyshov, V. P., & Stepaniuk, K. S. (2020b). HCMV seropositivity is associated with specific proinflammatory immune phenotype in women with implantation failure. Immunology Letters, 217, 84–90. https://doi.org/10.1016/j.imlet.2019.11.008
  14. Dons’koi, B. V., Osypchuk, D. V., Chernyshov, V. P., & Khazhylenko, K. G. (2021). Expression of natural cytotoxicity receptor NKp46 on peripheral blood natural killer cells in women with a history of recurrent implantation failures. Journal of Obstetrics and Gynaecology Research, 47(3), 1009–1015. https://doi.org/10.1111/jog.14631
  15. Du, J., Wei, L., Li, G., Hua, M., Sun Y., Wang, D., Han, K., Yan, Y., Song, C., Song, R., Zhang, H., Han, J., Liu, J., & Kong, Y. (2021). Persistent high percentage of HLA-DR+CD38high CD8+ T cells associated with immune disorder and disease severity of COVID-19. Frontiers in Immunology, 12, 3455. https://doi.org/10.3389/fimmu.2021.735125
  16. Farmer, J. R., & DeLelys, M. (2019). Flow cytometry as a diagnostic tool in primary and secondary immune deficiencies. Clinics in Laboratory Medicine, 39(4), 591–607. https://doi.org/10.1016/j.cll.2019.07.007
  17. Fernández-Grandea, E., Cabrera, C. M., Gonzáleza, B., Varelad, C., & Urra, J. M. (2019). Enhanced HLA-DR expression on T-lymphocytes from patients in early stages of non-surgical sepsis. Medicina Clinica, 152(9), 346– 349. https://doi.org/10.1016/j.medcli.2018.07.007
  18. InStat version 3.0 for Windows Graph Pad Software Inc., San Diego, CA, (USA). https://www.graphpad.com/support/instat-3-updates/
  19. Jiao, G., & Wang, B. (2016). NK Cell Subtypes as regulators of autoimmune liver disease. Gastroenterology Research and Practice, 2016, 6903496. https://doi.org/10.1155/2016/6903496
  20. Kutukculer, N., Azarsiz, E., Karaca, N. E., Ulusoy, E., Koturoglu, G., & Aksu, G. (2015). A clinical and laboratory approach to the evaluation of innate immunity in pediatric CVID patients. Frontiers in Immunology, 6, 145. https://doi.org/10.3389/fimmu.2015.00145
  21. Liu, M., Liang, S., & Zhang, C. (2021). NK Cells in Autoimmune Diseases: Protective or Pathogenic? Frontiers in Immunology, 12, 624687. https://doi.org/10.3389/fimmu.2021.624687
  22. Mandal, A, & Viswanathan, C. (2015). Natural killer cells: In health and disease. Hematology / Oncology Stem Cell Therapy, 8(2), 47–55. https://doi.org/10.1016/j.hemonc.2014.11.006
  23. Mehta, S. K., Pierson, D. L., Cooley, H., Dubow, R., & Lugg, D. (2000). Epstein-Barr virus reactivation associated with diminished cell-mediated immunity in Antarctic expeditioners. Journal of Medical Virology, 61(2), 235–240.
  24. Moiseyenko, Y. V., Sukhorukov, V. I., Pyshnov, G. Yu., Mankovska, I. M., Rozova, K. V., Miroshnychenko, O. A., Kovalevska, O. E., Madjar, S-A. Y., Bubnov, R. V., Gorbach, A. O., Danylenko, K. M., & Moiseyenko, O. I. (2016). Antarctica challenges the new horizons in predictive, preventive, personalized medicine: preliminary results and attractive hypotheses for multi-disciplinary prospective studies in the Ukrainian ‘Akademik Vernadsky’ Station. EPMA Journal, 7, 11. https://doi.org/10.1186/s13167-016-0060-8
  25. Ogata, K., An, E., Shioi, Y., Nakamura, K., Luo, S., Yokose, N., Minami, S., & Dan, K. (2001). Association between natural killer cell activity and infection in immunologically normal elderly people. Clinical and Experimental Immunology, 124(3), 392–397. https://doi.org/10.1046/j.1365-2249.2001.01571.x
  26. Osypchuk, D. V., Chernyshov, V. P., Chernysheva, L. I., Kissel, N. P., Dons’koi, B. V., Matvienko, I. M., Rodionov, V. P., & Makovs’ka, Yu. U. (2016). Reduced response of natural killer lymphocytes to toll-like receptor 3 stimulation in children with recurrent infections. Fiziologichnyi Zhurnal, 62(4), 12–17. https://doi.org/10.15407/fz62.04.012 (In Ukrainian)
  27. Palinkas, L. A., Glogower, F., Dembert, M., Hansen, K., & Smullen, R. (2004). Incidence of psychiatric disorders after extended residence in Antarctica. International Journal of Circumpolar Health, 63(2), 157–168. https://doi.org/10.3402/ijch.v63i2.17702
  28. Palinkas, L. A., Reedy, K. R., Shepanek, M., Reeves, D., Case, H. S., Do, N. V., & Reed, H. L. (2010). A randomized placebo-controlled clinical trial of the effectiveness of thyroxine and triiodothyronine and short-term exposure to bright light in prevention of decrements in cognitive performance and mood during prolonged Antarctic residence. Clinical Endocrinology, 72(4), 543–550. https://doi.org/10.1111/j.1365-2265.2009.03669.x
  29. Penman, B. S., Moffett, A., Chazara, O., Gupta, S., & Parham, P. (2016). Reproduction, infection and killer-cell immunoglobulin-like receptor haplotype evolution. Immunogenetics, 68(10), 755–764. https://doi.org/10.1007/s00251-016-0935-9
  30. Reyes, D., Brinley, A., Blue, R., Gruschkus, S., Allen, A., & Parazynski, S. (2017) Clinical herpes zoster in Antarctica as a model for spaceflight. Aerospace Medicine and Human Performance, 88(8), 784–788. https://doi.org/10.3357/AMHP.4450.2017
  31. Steinach, M., Kohlberg, E., Maggioni, M. A., Mendt, S., Opatz, O., Stahn, A., Tiedemann, J., & Gung, H.-C. (2015). Changes of 25-OH-Vitamin D during Overwintering at the German Antarctic Stations Neumayer II and III. PLoS ONE, 10(12), e0144130. https://doi.org/10.1371/journal.pone.0144130
  32. Strewe, C., Moser, D., Buchheim, J.-I., Gunga, H.-C., Stahn, A., Crucian, B. E., Fiedel, B., Bauer, H., GössmannLang, P., Thieme, D., Kohlberg, E., Choukèr, A., & Feuerecker, M. (2019). Sex differences in stress and immune responses during confinement in Antarctica. Biology of Sex Differences, 10(1), 20. https://doi.org/10.1186/s13293-019-0231-0
  33. Sun, C., Sun, H.-Y., Xiao, W.-H., Zhang, C., & Tian, Z.-C. (2015). Natural killer cell dysfunction in hepatocellular carcinoma and NK cell-based immunotherapy. Acta Pharmacologica Sinica, 36(10), 1191–1199. https://doi.org/10.1038/aps.2015.41
  34. Yadav, A. P., Mishra, K. P., Ganju, L., & Singh, S. B. (2012). Wintering in Antarctica: impact on immune response of indian expeditioners. Neuroimmunomodulation, 19(6), 327–333. https://doi.org/10.1159/000339512