Hypergravity Facilities in the ESA Ground-Based Facility Program – Current Research Activities and Future Tasks

Research on Artificial Gravity (AG) created by linear acceleration or centrifugation has a long history and could significantly contribute to realize long-term human spaceflight in the future. Employing centrifuges plays a prominent role in human physiology and gravitational biology. This article gives a short review about the background of Artificial Gravity with respect to hypergravity (including partial gravity) and provides information about actual ESA ground-based facilities for research on a variety of biosystems such as cells, plants, animals or, particularly, humans.     

Simulating Parabolic Flight like <Emphasis Type="Italic">g</Emphasis>-Profiles on Ground - A Combination of Centrifuge and Clinostat

Clinostats and centrifuges are widely used to create simulated microgravity or hypergravity, respectively, in order to study the impact of gravity on biosystems. Here, we used a clinostat and a centrifuge in alternating modes of operation in order to create a simulated parabolic flight like g-profile. To our knowledge, it is the first time that both devices were run in connection. In order to test the method, we investigated the production of reactive oxygen species of immune cells (macrophages) during oxidative burst in an on-line kinetic approach, which has been extensively studied under real (parabolic flight) and simulated microgravity (clinostat) as well as under hypergravity conditions (centrifuge). Our results indicate that clinostat and centrifuge can be operated in an alternating way to simulate the repetitive changes of gravity during parabolic flight. Although the switch from one gravity level to the other could not be carried out as quickly as it takes place during actual parabolic flight due to technical and operational reasons, it can be concluded that running experiments in a clinostat aboard a centrifuge on ground are suitable for studying gravity-related phenomena.     

Ground-Based Researches on the Effects of Altered Gravity on Mice Development

This chapter reviews some consequences of the exposure to an altered gravity environment on the development of small mammals. A point is made on the possible existence of several critical periods, and their interactions, in relation with the multiple points of application of the gravity influence on developing organisms, and the need to coordinate the researches on the various structures concerned. The European effort to integrate a multidisciplinary exploration, from the genes expression to the behavioural output, in a topical team is presented, and a new French centrifuge facility for mice is described. A second part reports the preliminary results of a study on the motor performance of ageing (9 months) mice exposed to Hypergravity (2 g), in the new French centrifuge, between the 10th to 31 postnatal day, a key period for motor development in mice. This study shows for the first time that a transient exposure to an hypergravity environment during the period of motor development in the mouse produced an irreversible modification of the motor function.     

Effects of Short-Term Hypergravity Exposure are Reversible in <Emphasis Type="Italic">Triticum aestivum</Emphasis> L. Caryopses

Short-term hypergravity exposure is shown to retard seed germination, growth and photosynthesis in wheat caryopses. This study investigates the reversibility of effects of short-term hypergravity on imbibed wheat (Triticum aestivum var L.) caryopses. After hypergravity exposure (500 × g ? 2500 × g for 10 min) on a centrifuge, exposed caryopses were kept under normal gravity (1 × g) up to six days and then sown on agar. Results of the present study showed that percentage germination and growth were completely restored for DAY 6 compared to DAY 0. Restoration of germination and growth was accompanied by increased α-amylase activity. The specific activity of antioxidative enzyme viz. catalase and guaiacol peroxidase was lowered on DAY 6 compared to DAY 0 suggesting an alleviation of oxidative cellular damage against hypergravity stress. Chlorophyll pigment recovery along with chlorophyll fluorescence (PI and Fv/Fm) on DAY 6 indicates a transient rather than permanent damage of the photosynthetic apparatus. Thus, our findings demonstrate that short-term hypergravity effects are reversible in wheat caryopses. The metabolic cause of restoration of seed germination and growth upon transferring the caryopses to normal gravity is performed by a reactivation of carbohydrate- metabolizing enzymes, α-amylase and alleviation of oxidative stress damage with subsequent recovery of chlorophyll biosynthesis and photosynthetic activity.     

Comprehensive Study of the Influence of Altered Gravity on the Oxidative Burst of Mussel (<Emphasis Type="Italic">Mytilus edulis</Emphasis>) Hemocytes

Microgravity induces alterations in the functioning of immune cell; however, the underlying mechanisms have not yet been identified. In this study, hemocytes (blood cells) of the blue mussel Mytilus edulis were investigated under altered gravity conditions. The study was conducted on the ground in preparation for the BIOLAB TripleLux-B experiment, which will be performed on the International Space Station (ISS). On-line kinetic measurements of reactive oxygen species (ROS) production during the oxidative burst and thus cellular activity of isolated hemocytes were performed in a photomultiplier (PMT)-clinostat (simulated microgravity) and in the 1g operation mode of the clinostat in hypergravity on the Short-Arm Human Centrifuge (SAHC) as well as during parabolic flights. In addition to studies with isolated hemocytes, the effect of altered gravity conditions on whole animals was investigated. For this purpose, whole mussels were exposed to hypergravity (1.8 g) on a multi-sample incubator centrifuge (MuSIC) or to simulated microgravity in a submersed clinostat. After exposure for 48 h, hemocytes were taken from the mussels and ROS production was measured under 1 g conditions. The results from the parabolic flights and clinostat studies indicate that mussel hemocytes respond to altered gravity in a fast and reversible manner. Hemocytes (after cryo-conservation) exposed to simulated microgravity (μ g), as well as fresh hemocytes from clinorotated animals, showed a decrease in ROS production. Measurements during a permanent exposure of hemocytes to hypergravity (SAHC) show a decrease in ROS production. Hemocytes of mussels measured after the centrifugation of whole mussels did not show an influence to the ROS response at all. Hypergravity during parabolic flights led to a decrease but also to an increase in ROS production in isolated hemocytes, whereas the centrifugation of whole mussels did not influence the ROS response at all. This study is a good example how ground-based facility experiments can be used to prepare for an upcoming ISS experiment, in this case the TRIPLE LUX B experiment.     

Gravity and Neuronal Adaptation

Introduction: For interplanetary and orbital missions in human space flight, knowledge about the gravity-sensitivity of the central nervous system (CNS) is required. The objective of this study was to assess neurophysiological correlates in variable hetero gravity conditions in regard to their timing and shaping. Methods: In ten subjects, peripheral nerve stimulation was used to elicit H-reflexes and M-waves in the M. soleus in Lunar, Martian, Earth and hypergravity. Gravity-dependencies were described by means of reflex latency, inter-peak-interval, duration, stimulation threshold and maximal amplitudes. Experiments were executed during the CNES/ESA/DLR JEPPFs. Results: H-reflex latency, inter-peak-interval and duration decreased with increasing gravitation (P<0.05); likewise, M-wave inter-peak-interval was diminished and latency prolonged with increasing gravity (P<0.05). Stimulation threshold of H-reflexes and M-waves decreased (P<0.05) while maximal amplitudes increased with an increase in gravitation (P<0.05). Conclusion: Adaptations in neurophysiological correlates in hetero gravity are associated with a shift in timing and shaping. For the first time, our results indicate that synaptic and axonal nerve conduction velocity as well as axonal and spinal excitability are diminished with reduced gravitational forces on the Moon and Mars and gradually increased when gravitation is progressively augmented up to hypergravity. Interrelated with the adaptation in threshold we conclude that neuronal circuitries are significantly affected by gravitation. As a consequence, movement control and countermeasures may be biased in extended space missions involving transitions between different force environments.     

Effects of angular speed in responses of Paramecium tetraurelia to hypergravity

The paper shows the results of investigations carried out in a single cell organism. Paramecium tetraurelia exposed to different gravitational levels. Hypergravity resulted in a decrease in cell growth rate. The responses depend on g level and angular speed of the centrifuge; furthermore they depend also on small short fluctuations in g levels, delta g, due to the swimming of the cells inside the culture tubes. Delta g depends on angular speed and size of the holding device. The inhibitory effect of hypergravity, for the same angular speed, increases with respect of the diameter of the culture tubes.     

Differential Regulation of cGMP Signaling in Human Melanoma Cells at Altered Gravity: Simulated Microgravity Down-Regulates Cancer-Related Gene Expression and Motility

Altered gravity is known to affect cellular function by changes in gene expression and cellular signaling. The intracellular signaling molecule cyclic guanosine-3^′,5^′-monophosphate (cGMP), a product of guanylyl cyclases (GC), e.g., the nitric oxide (NO)-sensitive soluble GC (sGC) or natriuretic peptide-activated GC (GC-A/GC-B), is involved in melanocyte response to environmental stress. NO-sGC-cGMP signaling is operational in human melanocytes and non-metastatic melanoma cells, whereas up-regulated expression of GC-A/GC-B and inducible NO synthase (iNOS) are found in metastatic melanoma cells, the deadliest skin cancer. Here, we investigated the effects of altered gravity on the mRNA expression of NOS isoforms, sGC, GC-A/GC-B and multidrug resistance-associated proteins 4/5 (MRP4/MRP5) as selective cGMP exporters in human melanoma cells with different metastatic potential and pigmentation. A specific centrifuge (DLR, Cologne Germany) was used to generate hypergravity (5 g for 24 h) and a fast-rotating 2-D clinostat (60 rpm) to simulate microgravity values ≤?0.012 g for 24 h. The results demonstrate that hypergravity up-regulates the endothelial NOS-sGC-MRP4/MRP5 pathway in non-metastatic melanoma cells, but down-regulates it in simulated microgravity when compared to 1 g. Additionally, the suppression of sGC expression and activity has been suggested to correlate inversely to tumor aggressiveness. Finally, hypergravity is ineffective in highly metastatic melanoma cells, whereas simulated microgravity down-regulates predominantly the expression of the cancer-related genes iNOS and GC-A/GC-B (shown additionally on protein levels) as well as motility in comparison to 1 g. The results suggest that future studies in real microgravity can benefit from considering GC-cGMP signaling as possible factor for melanocyte transformation.     

Effect of magnetically simulated zero-gravity and enhanced gravity on the walk of the common fruitfly

Understanding the effects of gravity on biological organisms is vital to the success of future space missions. Previous studies in Earth orbit have shown that the common fruitfly (Drosophila melanogaster) walks more quickly and more frequently in microgravity, compared with its motion on Earth. However, flight preparation procedures and forces endured on launch made it difficult to implement on the Earth''s surface a control that exposed flies to the same sequence of major physical and environmental changes. To address the uncertainties concerning these behavioural anomalies, we have studied the walking paths of D. melanogaster in a pseudo-weightless environment (0g*) in our Earth-based laboratory. We used a strong magnetic field, produced by a superconducting solenoid, to induce a diamagnetic force on the flies that balanced the force of gravity. Simultaneously, two other groups of flies were exposed to a pseudo-hypergravity environment (2g*) and a normal gravity environment (1g*) within the spatially varying field. The flies had a larger mean speed in 0g* than in 1g*, and smaller in 2g*. The mean square distance travelled by the flies grew more rapidly with time in 0g* than in 1g*, and slower in 2g*. We observed no other clear effects of the magnetic field, up to 16.5 T, on the walks of the flies. We compare the effect of diamagnetically simulated weightlessness with that of weightlessness in an orbiting spacecraft, and identify the cause of the anomalous behaviour as the altered effective gravity.     

Intracellular Calcium Decreases Upon Hyper Gravity-Treatment of <Emphasis Type="Italic">Arabidopsis Thaliana</Emphasis> Cell Cultures

Cell cultures of Arabidopsis thaliana (A.t.) respond to changes in the gravitational field strength with fluctuations of the amount of cytosolic calcium (Ca²⁺). In parabolic flight experiments, where hyper- and μg phases follow each other, μg clearly increased Ca²⁺, while hyper-g caused a slight reduction. Since the latter observation had not been reported before, we studied this effect in more detail. Using a special centrifuge for heavy items (ZARM, Bremen, Germany), we determined the hyper-g-dependent intracellular Ca²⁺ level with transgenic cell lines expressing the Ca²⁺ sensor, cameleon. This sensor exhibits a shift in fluorescence from 480 to 530 nm in response to Ca²⁺ binding. The data show a drop in the intracellular Ca²⁺ concentration with a threshold gravity of around 3 g. This is above hypergravity levels achieved during parabolic flights (1.8 g). The use of mutants with different sub-cellular targets of cameleon expression (nucleus, tonoplast, plasma membrane) gave the same results, i.e. Ca²⁺ is obviously exported from several intracellular compartments.     

Real-Time Video-Microscopy of Migrating Immune Cells in Altered Gravity During Parabolic Flights

In our project we developed a technical equipment which allows to visualize migration of cells in real-time video-microscopy during altered gravity conditions of NOVESPACE Airbus A300 ZERO-G parabolic flights. For validation of the experimental device we have used fast moving human neutrophils as example, because their migration is fundamental to keep the organism under immunological surveillance. Their migration is indispensable for immune effector function, where the cells leave the blood vessels and navigate to places of infection to fulfill their main task of phagocytosis. Thereby, we have analyzed if their migration is affected during altered gravity conditions and if pharmacological modification of cytoskeletal dynamics influences neutrophil migratory activity. Whereas we detected no change in neutrophil locomotory behaviour in microgravity, we found a significant inhibitory influence of hypergravity, irrespective of the chemical stimulus used. Our results suggest that hypergravity, following a microgravity environment, could represent a hazard to the human immune system function. Thus, our cell migration assay offers an optimum experimental device for studying the migratory activity and underlying signal transduction mechanisms of neutrophils to assess the immunological fitness of humans in space to fight infection, but also for investigating the locomotion of other cell types or unicellular organisms such as ciliates.     

From hypergravity to microgravity: Choosing the suitable simulator

Cardiovascular system functions are impaired in altered gravity conditions. In particular endothelial cells play a major role being responsible for the integrity of the vascular wall. Due to obvious difficulties in performing continuous and exhaustive experiments in space, most of the available data have been obtained so far using various simulators of hypergravity and microgravity (µg) conditions. The consistency of the data resides on the reliability of the simulator, being a critical point in the development of the research. We exposed the cell cultures to 1) hypergravity (launch condition) using MidiCAR at Dutch Experiment Support Center (DESC, NL); 2) simulated µg using the Rotating Wall Vessel (RWV) and the Random Positioning Machine (RPM). We used two different cellular models: human umbilical vein endothelial cells (HUVEC) and human leukocytes (U937). Only few experiments on cells using RPM have been reported. To assess the RPM best operative parameters we considered data from experiments in space on U937 as reference standard. Differently, cultures in modelled µg using RWV have been extensively reported. Our data on HUVEC indicate that the two µg simulators provide analogous results in terms of proliferation and cytoskeletal organization. Finally, to investigate the effects of spaceflight on different human cells, we developed a spaceflight-like protocol consisting of an initial hypergravity phase (launch), followed by a µg simulation (orbital flight). Using this protocol, results show that hypergravity limits in our models the effects on proliferation induced by modelled µg.     

The Impact of Hypergravity and Vibration on Gene and Protein Expression of Thyroid Cells

Experiments in space either on orbital missions on-board the ISS, or in suborbital missions using sounding rockets, like TEXUS as well as parabolic flight campaigns are still the gold standard to achieve real microgravity conditions in the field of gravitational biology and medicine. However, during launch, and in flight, hypergravity and vibrations occur which might interfere with the effects of microgravity. It is therefore important to know these effects and discriminate them from the microgravity effects. This can be achieved by ground-based facilities like centrifuges or vibration platforms. Recently, we have conducted several experiments with different thyroid cancer cell lines. This study, as part of the ESA-CORA-GBF 2010-203 project, focused on the influence of vibration and hypergravity on benign human thyroid follicular epithelial cells (Nthy-ori 3-1 cell line). Gene and in part protein expression regulation under both conditions were analyzed for VCAN, ITGA10, ITGB1, OPN, ADAM19, ANXA1, TNFA, ABL2, ACTB, PFN2, TLN1, EZR, RDX, MSN, CTGF, PRKCA, and PRKAA1 using quantitative real-time PCR and Western Blot. We found that hypergravity and vibration affected genes and proteins involved in the extracellular matrix, the cytoskeleton, apoptosis, cell growth and signaling. Vibration always led to a down-regulation, whereas hypergravity resulted in a more heterogeneous expression pattern. Overall we conclude that both conditions can influence gene regulation and production of various genes and proteins. As a consequence, it is important to perform control experiments on hypergravity and vibration facilities in parallel to flight experiments.     

Response of Haloalkaliphilic Archaeon <Emphasis Type="Italic">Natronococcus Jeotgali</Emphasis> RR17 to Hypergravity

The survival of archaeabacteria in extreme inhabitable environments on earth that challenge organismic survival is ubiquitously known. However, the studies related to the effect of hypergravity on the growth and proliferation of archaea are unprecedented. The survival of organisms in hypergravity and rocks in addition to resistance to cosmic radiations, pressure and other extremities is imperative to study the possibilities of microbial travel between planets and endurance in hyperaccelerative forces faced during ejection of rocks from planets. The current investigation highlights the growth of an extremophilic archaeon isolated from a rocky substrate in hypergravity environment. The haloalkaliphilic archaeon, Natronococcus jeotgali RR17 was isolated from an Indian laterite rock, submerged in the Arabian sea lining Coastal Maharashtra, India. The endolithic haloarchaeon was subjected to hypergravity from 56 – 893 X gusing acceleration generated by centrifugal rotation. The cells of N. jeotgali RR17 proliferated and demonstrated good growth in hypergravity (223 X g). This is the first report on isolation of endolithic haloarchaeon N. jeotgali RR17 from an Indian laterite rock and its ability to proliferate in hypergravity. The present study demonstrates the ability of microbial life to survive and proliferate in hypergravity. Thus the inability of organismic growth in hypergravity may no longer be a limitation for astrobiology studies related to habitability of substellar objects, brown dwarfs and other planetary bodies in the universe besides planet earth.     

Influence of the gravity on the discharge of a silo

We performed a series of experiments to investigate the flow of an assembly of non-cohesive spherical grains in both high and low gravity conditions (i.e. above and under the Earth’s gravity). In high gravity conditions, we studied the flow of glass beads out of a cylindrical silo and the flow of metallic beads out of a vertical Hele-Shaw rectangular silo. Both silos were loaded in one of the gondolas of the large diameter centrifuge facility (located at ESTEC) in which an apparent gravity up to 20 times the Earth’s gravity can be established. To simulate low gravity conditions, we submitted a horizontal monolayer of metallic beads to the centrifuge force of a small rotation device (located at University of Liege). The influences of both gravity and aperture size on the mass flow were analysed in these various conditions. For the three systems (cylindrical silo, the Hele-shaw silo and the monolayer of beads), we demonstrated that (i) the square root scaling of the gravity found by Beverloo is relevant and (ii) the critical aperture size below which the flow is jammed does not significantly increase with the apparent gravity. Moreover, we studied in more details the Hele-Shaw silo in high gravity because this configuration allowed to determine local properties of the flow at the level of the aperture. We measured the velocity profiles and the packing fraction profiles for the various aperture sizes and apparent high gravities. We demonstrate the existence of a slip length for the flow at the level of the aperture. This later fact seems to result from the geometrical configuration of the silo.     

Life sciences issues affecting space exploration

The U.S. space program is undertaking a serious examination of new initiatives in human space exploration involving permanent colonies on the Moon and an outpost on Mars. Life scientists have major responsibilities to the crew, to assure their health, productivity, and safety throughout the mission and the postflight rehabilitation period; to the mission, to provide a productive working environment; and to the scientific community, to advance knowledge and understanding of human adaptation to the space environment. Critical areas essential to the support of human exploration include protection from the radiation hazards of the space environment, reduced gravity countermeasures, artificial gravity, medical care, life support systems, and behavior, performance, and human factors in an extraterrestrial environment. Developing solutions to these concerns is at the heart of the NASA Life Sciences ground-based and flight research programs. Facilities analogous to planetary outposts are being considered in Antarctica and other remote settings. Closed ecological life support systems will be tested on Earth and Space Station. For short-duration simulations and tests, the Space Shuttle and Spacelab will be used. Space Station Freedom will provide the essential scientific and technological research in areas that require long exposures to reduced gravity conditions. In preparation for Mars missions, research on the Moon will be vital. As the challenges of sustaining humans on space are resolved, advances in fundamental science, medicine and technology will follow.     

Microgravity performance of micro pulsating heat pipes

A micro pulsating heat pipe made of a thin clear Teflon tube of 1.6 mm ID was used to observe the pulsating flow inside a heat pipe under different gravity levels using parabolic flights. More vigorous pulsating flow was observed under microgravity, compared to the depressed movements under hypergravity. Two metallic micro pulsating heat pipes made of an aluminum plate with small internal channels were also tested to investigate the effect of gravity on their heat transfer characteristics. Reduced gravity experiments were performed aboard Falcon 20 aircraft flying parabolic trajectories. Under normal and hypergravity conditions, both the orientation of the pulsating heat pipe and locations of the heated and cooled sections affected the heat transfer performance. Under reduced gravity, however, the heat pipes showed better operating and heat transfer performance than that under normal and hypergravity. These experiments have for the first time confirmed that pulsating heat pipes are capable of operating under reduced gravity and thus are suitable for deployment in space applications such as satellites.     

Hypergravity of 10<Emphasis Type="Italic">g</Emphasis> Changes Plant Growth,Anatomy, Chloroplast Size,and Photosynthesis in the Moss <Emphasis Type="Italic">Physcomitrella patens</Emphasis>

The photosynthetic and anatomical responses of bryophytes to changes in gravity will provide crucial information for estimating how these plant traits evolved to adapt to changes in gravity in land plant history. We performed long-term hypergravity experiments at 10g for 4 and 8 weeks using the moss Physcomitrella patens with two centrifuges equipped with lighting systems that enable long-term plant growth under hypergravity with irradiance. The aims of this study are (1) to quantify changes in the anatomy and morphology of P. patens, and (2) to analyze the post-effects of hypergravity on photosynthesis by P. patens in relation to these changes. We measured photosynthesis by P. patens for a population of gametophores (e.g., canopy) in Petri dishes and plant culture boxes. Gametophore numbers increased by 9% for a canopy of P. patens, with 24–27% increases in chloroplast sizes (diameter and thickness) in leaf cells. In a canopy of P. patens, the area-based photosynthesis rate (A _canopy) was increased by 57% at 10g. The increase observed in A _canopy was associated with greater plant numbers and chloroplast sizes, both of which involved enhanced CO₂ diffusion from the atmosphere to chloroplasts in the canopies of P. patens. These results suggest that changes in gravity are important environmental stimuli to induce changes in plant growth and photosynthesis by P. patens, in which an alteration in chloroplast size is one of the key traits. We are now planning an ISS experiment to investigate the responses of P. patens to microgravity.     

Carotid Arterial Wall Dynamics During Gravity Changes on Partial-g Parabolic Flights

The investigation of systemic blood pressure (BP) responses under partial-g conditions is of particular importance with respect to post-space-flight orthostatic intolerance. In this study, changes in vessel diameter and wall distension of the common carotid artery (CCA) were assessed under graded gravity. Measurements were performed on 8 healthy subjects in standing position under lunar (0.16 g), Martian (0.38 g), 1.0 g and hypergravity (1.8 g) during partial-g parabolic flights. Data are reported as means ± SE estimated by linear mixed effects modeling. The CCA diameter was significantly enlarged under Martian and lunar-g (6.55 ± 0.2 and 6.54 ± 0.2 mm; p < 0.001 each) with respect to 1.0 g (6.39 ± 0.2 mm). The CCA distension showed significant enlargement under Martian-g (622 ± 91μm) with respect to 1.0 g (603 ± 82μm; p < 0.05). Furthermore, the distension was significantly lower under hyper-g with respect to 1.0 g (550 ± 88μm; p < 0.001). These results show that rapid changes of gravitational stress induce significant modifications of hemodynamic parameters reflected in the CCA vessel wall diameter and distension. The increased vessel wall diameter under partial-g is likely due to the rise in mean BP at the CCA level caused by the absence of hydrostatic pressure and may trigger the baroreflex to maintain homeostatis. We can assume that the increase in distension during the partial-g phase originates from a larger stroke volume and enhanced BP reflections. Furthermore, this study demonstrates the reliability of functional high resolution vascular ultrasound technique during parabolic flights.     

Benefits of ESA Gravity-Related Hands-on Programmes for University Students’ Careers

The Education Office of the European Space Agency (ESA) offers university students, from ESA Member and Cooperating States, the opportunity to perform investigations in physical sciences, life sciences, and technology, under different gravity conditions through three educational programmes. The “Fly Your Thesis!” (FYT) programme makes use of parabolic flights and the “Drop Your Thesis!” (DYT) programme utilizes a drop tower as microgravity carriers, while the “Spin Your Thesis!” (SYT) programme uses a large centrifuge to create hypergravity. To date, more than hundred university students had the chance to participate in the design, development, and performance of one or more experiments during dedicated campaigns. In the following paper, we examine demographics of past participants of the ESA Education Office gravity-related opportunities over the past seven years and evaluate the benefits of these educational programmes for the participants’ studies and careers. Student teams that participated in one of the programmes between 2009 and 2013 were contacted to fill in a questionnaire. The feedback from the students demonstrate significant benefits extending far beyond the primary educational objectives of these programmes.