Recently, the Space Omics and Medical Atlas (SOMA) was presented by Overbey et al., 1 in Nature, showcasing the samples and physiological profiles of four crew members from SpaceX's Inspiration4 (I4) mission in 2021. Meanwhile, a series of SOMA-related articles from more than 100 research groups in 25 countries have been published in Nature and its subjournals. I4 marked the first all-civilians manned space mission globally, featuring a crew composed of a billionaire, a survivor of bone cancer, an air force veteran, and an Earth scientist. The SOMA (https://soma. weill.cornell.edu) is the first biobank of space medicine, expanding the human space omics data 10-fold. It reveals the crew's physiological changes through a range of assays, including intelligent device monitoring, behavioral tests, and multiomics analysis, at various levels from molecules to cells and organs. This provides a reference for health monitoring, prevention, and clinical treatment, applicable to both deep space exploration and survival on Earth.The field of manned spaceflight saw significant growth in recent years, yet the global space medicine remains nascent. The mental health of astronauts and civilian crew members can be affected by stress, noise, and confined space. The physiological well-being of crew members can be impacted by unique factors such as microgravity and radiation exposure, which can induce the dysfunction of This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.