Brain Connectivity and Behavioral Changes in a Spaceflight Analog Environment with Elevated CO2

ABSTRACT Astronauts are exposed to microgravity and elevated CO 2 levels onboard the International Space Station. Little is known about how microgravity and elevated CO 2 combine to affect the brain and sensorimotor performance during and after spaceflight. Here we examined changes in resting-state functional connectivity (FC) and sensorimotor behavior associated with a spaceflight analog environment. Participants underwent 30 days of strict 6 ° head-down tilt bed rest with elevated ambient CO 2 (HDBR+CO 2 ). Resting-state functional magnetic resonance imaging and sensorimotor assessments were collected 13 and 7 days prior to bed rest, on days 7 and 29 of bed rest, and 0, 5, 12, and 13 days following bed rest. We assessed the time course of FC changes from before, during, to after HDBR+CO 2 . We then compared the observed connectivity changes with those of a HDBR control group, which underwent HDBR in standard ambient air. Moreover, we assessed associations between post-HDBR+CO 2 FC changes and alterations in sensorimotor performance. HDBR+CO 2 was associated with significant changes in functional connectivity between vestibular, visual, somatosensory and motor brain areas. Several of these sensory and motor regions showed post-HDBR+CO 2 FC changes that were significantly associated with alterations in sensorimotor performance. We propose that these FC changes reflect multisensory reweighting associated with adaptation to the HDBR+CO 2 microgravity analog environment. This knowledge will further improve HDBR as a model of microgravity exposure and contribute to our knowledge of brain and performance changes during and after spaceflight.