Space flight has been shown to have profound effects on immunological
parameters of humans, monkeys and rodents. These studies have been car
ried out by a number of different laboratories. Among the parameters a
ffected are leukocyte blastogenesis, natural killer cell activity, leu
kocyte subset distribution, cytokine production - including interferon
s and interleukins, and macrophage maturation and activity, These chan
ges start to occur only after a few days space flight, and some change
s continue throughout long-term space flight. Antibody responses have
received only very limited study, and total antibody levels have been
shown to be increased after long-term space flight. Several factors co
uld be involved in inducing these changes. These factors could include
microgravity, lack of load-bearing, stress, acceleration forces, and
radiation. The mechanism(s) for space flight-induced changes in immune
responses remain(s) to be established. Certainly, there can be direct
effects of microgravity, or other factors, on cells that play a funda
mental role in immune responses. However, it is now clear that there a
re interactions between the immune system and other physiological syst
ems that could play a major role. For example, changes occurring in ca
lcium use in the musculoskeletal system induced by microgravity or lac
k of use could have great impact on the immune system. Most of the cha
nges in immune responses have been observed using samples taken immedi
ately after return from space flight. However, there have been two rec
ent studies that have used in-flight testing. Delayed-type hypersensit
ivity responses to common recall antigens of astronauts and cosmonauts
have been shown to be decreased when tested during space flights. Add
itionally, natural killer cell and blastogenic activities are inhibite
d in samples taken from rats during space flight. Therefore, it is now
clear that events occurring during space flight itself can affect imm
une responses. The biological significance of space flight-induced cha
nges in immune parameters remains to be established; however, as durat
ion of flights increases, the potential for difficulties due to impair
ed immune responses also increases.