“…Exposure of astronauts to GCR causes clustered DNA damages that are difficult to repair, which are strongly lethal, mutagenic and carcinogenic [ 58 , 59 , 60 ]. Heavy ions are high in ionization density (linear energy transfer, LET), although their abundance is low [ 61 , 62 , 63 ]. In addition to the abovementioned radiation, secondary particles produced by these primary particles through the shielding materials form a secondary radiation environment, including photons, electrons, protons and neutrons, which can also lead to biological effects such as DNA damage, gene mutation, cell transformation, and other biological effects [ 64 ].…”