Synergistic action of gravity and temperature on the motor system within the lifespan: A “Baby Astronaut” hypothesis

Here we describe GATO (gravity, age, thermoregulation, and oxygenation) hypothesis (or a “Baby Astronaut” hypothesis) which we suggest to explain synergistic effect of these factors on the motor system. Taken separately, microgravity (in spaceflight, G ∼ 0), the early age, heat and hypoxia exert identical effect on the motor system. We posit that synergy of these factors originate from their synchronicity during intrauterine immersion (analog microgravity) of the fetus in warm hypoxic condition. We further postulate three successive motor adaptive strategies, driven lifelong by gravity as the key factor. The first by age, fetal/microgravity (FM)-strategy, induced by the intrauterine immersion of the fetus, is based on domination of fast type muscle fibers. After birth, thought to be analog for landing from orbit, newborn is subjected to combined influence of cooler ambient temperature, normoxia, and 1G Earth gravity, which cooperatively form a slower GE-strategy. Eventually, healthy ageing results in further domination of slow type muscle fibers that forms the slowest (SL)-strategy. Our hypothesis implies that specific sensory conditions may substitute for each other owing to their synergistic action on the motor system. According to GATO hypothesis heating and hypoxia may be considered as “pro-microgravity” factors, while cold and hyperoxia – as “pro-gravity” ones. As such, cold may act as a partial “surrogate” for gravity, estimated as ∼0.2 G. That may have potential to elaborate countermeasures for muscle atrophy in astronauts either on-board in long-term spaceflight or for post-flight rehabilitation. Based on GATO hypothesis, predictions on muscle remodeling caused by illumination, sound/noise, and gravidity are discussed.