Out of this World: Wound Healing on Earth and in Space

J Invest Dermatol. 2025 Aug;145(8):1879-1895. doi: 10.1016/j.jid.2024.12.024. Epub 2025 Feb 13.

Abstract

Impaired wound healing is a significant concern for humans in space, where the unique microgravity environment poses challenges to the natural healing processes of the body. Similar to chronic wounds on earth, such as diabetic foot ulcers and venous leg ulcers, wounds inflicted in space exhibit delayed or impaired healing responses. These wounds share common features, including dysregulated cellular signaling, altered cytokine profiles, and impaired tissue regeneration. Little is known about the mechanisms underlying wound healing under microgravity. In this review, we focused on exploring the parallels between wound healing in space and chronic wounds on earth as a fundamental approach for developing effective countermeasures to promote healing and mitigate associated health risks during long-space missions.

Keywords: Cellular response; Chronic wounds; Microgravity; Regenerative medicine; Space travel.

Publication types

  • Review

MeSH terms

  • Animals
  • Diabetic Foot / physiopathology
  • Earth, Planet
  • Humans
  • Space Flight*
  • Weightlessness* / adverse effects
  • Wound Healing* / physiology