“…Indeed, contributions to this syndrome may stem from concomitant hyper-exposure to several toxic factors, including the explicitly increased high energy radiation, reduced gravity or microgravity (μG), hypoxia and hyperoxia conditions observed in each and every extravehicular activity (EVA), and the inevitable inhalation of Moon and Mars dust and/or regolith attendant to prolonged planetary exploration [ 4 , 5 , 6 , 7 ]. These first two factors (radiation and μG) continue to be routinely investigated and considerable data have been accumulated in the popular and scientific literature, reflecting the impact on the OSaD coefficient via genomic, proteomic, and metabolomic responses [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. However, variances in gas content and pressures, and the induction of potentially toxic dust/regolith particles into the physiology has to date not been interrogated significantly in the research literature, especially in the context of the combinatorial threat of all these major factors impacting the physiology simultaneously.…”