1 00:00:07,349 --> 00:00:05,190 a major area of science on the 2 00:00:09,270 --> 00:00:07,359 international space station is studying 3 00:00:12,070 --> 00:00:09,280 how the space environment impacts the 4 00:00:14,950 --> 00:00:12,080 human body so we can better prepare for 5 00:00:16,790 --> 00:00:14,960 longer future deep space missions the 6 00:00:18,950 --> 00:00:16,800 launch of scott kelly and mikhail 7 00:00:20,950 --> 00:00:18,960 konienko less than three weeks from now 8 00:00:23,269 --> 00:00:20,960 on the first year-long mission to this 9 00:00:25,670 --> 00:00:23,279 station expands that research by 10 00:00:27,349 --> 00:00:25,680 studying crew members in space for a 11 00:00:29,349 --> 00:00:27,359 longer period of time 12 00:00:32,150 --> 00:00:29,359 but it does something else too taking 13 00:00:34,709 --> 00:00:32,160 advantage of the fact that kelly has an 14 00:00:35,590 --> 00:00:34,719 identical twin former astronaut mark 15 00:00:37,510 --> 00:00:35,600 kelly 16 00:00:40,549 --> 00:00:37,520 joining me this morning to discuss the 17 00:00:42,869 --> 00:00:40,559 twins study is dr craig kundra he is the 18 00:00:46,069 --> 00:00:42,879 deputy chief scientist nasa's human 19 00:00:48,709 --> 00:00:46,079 research program craig tell me how this 20 00:00:49,830 --> 00:00:48,719 idea to study twins came about well 21 00:00:50,869 --> 00:00:49,840 thanks very much for having me this 22 00:00:51,670 --> 00:00:50,879 morning 23 00:00:54,470 --> 00:00:51,680 um 24 00:00:56,950 --> 00:00:54,480 it began in november of 2012 when scott 25 00:00:59,110 --> 00:00:56,960 kelly and mikhail kornienko were named 26 00:01:00,790 --> 00:00:59,120 to the one year mission when scott kelly 27 00:01:02,630 --> 00:01:00,800 was meeting with 28 00:01:03,910 --> 00:01:02,640 scientists at nasa to discuss the 29 00:01:05,990 --> 00:01:03,920 science that would be done on the one 30 00:01:07,750 --> 00:01:06,000 year mission he asked the question if 31 00:01:10,310 --> 00:01:07,760 any of it would have to do with his twin 32 00:01:13,510 --> 00:01:10,320 brother mark retired astronaut 33 00:01:15,190 --> 00:01:13,520 our initial reaction was no uh we had 34 00:01:17,749 --> 00:01:15,200 just heard about this announcement and 35 00:01:19,109 --> 00:01:17,759 there were no twin studies in the queue 36 00:01:21,030 --> 00:01:19,119 and normally 37 00:01:22,230 --> 00:01:21,040 if we were to select a new set of 38 00:01:23,990 --> 00:01:22,240 experiments we would have probably 39 00:01:25,109 --> 00:01:24,000 wanted to start about a year earlier 40 00:01:27,270 --> 00:01:25,119 than that 41 00:01:29,910 --> 00:01:27,280 the second thought was no it's just two 42 00:01:31,429 --> 00:01:29,920 individuals and one twin pair 43 00:01:33,030 --> 00:01:31,439 and that's not our you know we usually 44 00:01:34,230 --> 00:01:33,040 want more subjects for statistical 45 00:01:36,149 --> 00:01:34,240 significance 46 00:01:38,230 --> 00:01:36,159 but then the third thought was hold it 47 00:01:40,069 --> 00:01:38,240 this is a chance in a lifetime we 48 00:01:42,310 --> 00:01:40,079 haven't really had this opportunity 49 00:01:45,109 --> 00:01:42,320 before and we don't see foresee that 50 00:01:47,350 --> 00:01:45,119 happening again anytime soon so let's 51 00:01:49,590 --> 00:01:47,360 seize the opportunity and make the best 52 00:01:51,510 --> 00:01:49,600 use of it and see what kind of 53 00:01:54,389 --> 00:01:51,520 experiments we can do 54 00:01:56,469 --> 00:01:54,399 on these two twins so how did you select 55 00:01:58,550 --> 00:01:56,479 the experiment so we put out a research 56 00:01:59,590 --> 00:01:58,560 announcement to the scientific community 57 00:02:01,830 --> 00:01:59,600 in the us 58 00:02:04,230 --> 00:02:01,840 and solicited ideas we had specific 59 00:02:07,109 --> 00:02:04,240 categories in mind and we got about 40 60 00:02:08,949 --> 00:02:07,119 proposals in response and we selected 10 61 00:02:11,110 --> 00:02:08,959 to span the gamut of things that we were 62 00:02:13,110 --> 00:02:11,120 interested in give me a sense then of 63 00:02:15,030 --> 00:02:13,120 what you're looking at i understand it's 64 00:02:17,430 --> 00:02:15,040 broken down into about four categories 65 00:02:19,510 --> 00:02:17,440 right there are four broad categories um 66 00:02:21,510 --> 00:02:19,520 so first we have the psychological 67 00:02:23,430 --> 00:02:21,520 aspect of space flight because we're 68 00:02:25,510 --> 00:02:23,440 very interested in understanding both 69 00:02:27,270 --> 00:02:25,520 how the human body and human mind 70 00:02:29,270 --> 00:02:27,280 respond to space flight so the first 71 00:02:31,110 --> 00:02:29,280 part is a study called cognition that 72 00:02:34,150 --> 00:02:31,120 will look at 73 00:02:35,430 --> 00:02:34,160 scott and mark during the 74 00:02:36,790 --> 00:02:35,440 not just the one year mission but like 75 00:02:38,869 --> 00:02:36,800 all the other experiments pre-flight and 76 00:02:40,309 --> 00:02:38,879 post-flight as well the second area is 77 00:02:41,990 --> 00:02:40,319 physiology 78 00:02:43,430 --> 00:02:42,000 uh we're looking at for example how the 79 00:02:45,670 --> 00:02:43,440 fluids shift in the body in 80 00:02:47,589 --> 00:02:45,680 weightlessness uh that could be a major 81 00:02:50,630 --> 00:02:47,599 contributor to the vision problems that 82 00:02:53,270 --> 00:02:50,640 we're seeing a rise in some astronauts a 83 00:02:55,670 --> 00:02:53,280 third area is looking at the microbiome 84 00:02:58,790 --> 00:02:55,680 these are the bacteria that live in our 85 00:03:01,190 --> 00:02:58,800 gut and we are outnumbered 10 to 1 on a 86 00:03:02,790 --> 00:03:01,200 cell count basis by bacteria in our gut 87 00:03:04,949 --> 00:03:02,800 and so we're looking at how 88 00:03:06,710 --> 00:03:04,959 that changes in scott who's got a 89 00:03:08,309 --> 00:03:06,720 special diet for a year in our 90 00:03:11,110 --> 00:03:08,319 relatively clean environment and how 91 00:03:13,430 --> 00:03:11,120 that compares to mark the fourth area is 92 00:03:15,589 --> 00:03:13,440 really brand new for nasa it's built on 93 00:03:17,430 --> 00:03:15,599 the the shoulders of the human genome 94 00:03:19,509 --> 00:03:17,440 project and the work that has resulted 95 00:03:21,030 --> 00:03:19,519 from that and that's the molecular level 96 00:03:23,270 --> 00:03:21,040 where we're looking at how genes are 97 00:03:25,750 --> 00:03:23,280 being turned on and off uh how that's 98 00:03:29,190 --> 00:03:25,760 resulting in changes in rna in the cells 99 00:03:30,949 --> 00:03:29,200 and changes in proteins and metabolites 100 00:03:33,509 --> 00:03:30,959 all resulting from the changes in the 101 00:03:35,350 --> 00:03:33,519 genes now all of those you could do on 102 00:03:37,509 --> 00:03:35,360 scott in space 103 00:03:40,949 --> 00:03:37,519 what what's the advantage of comparing 104 00:03:42,229 --> 00:03:40,959 it to whatever you find in mark on earth 105 00:03:44,229 --> 00:03:42,239 well the great thing is you know the 106 00:03:45,030 --> 00:03:44,239 classic question is you know how much of 107 00:03:52,470 --> 00:03:45,040 our 108 00:03:54,789 --> 00:03:52,480 nurture 109 00:03:57,270 --> 00:03:54,799 discussion so in this case we've got two 110 00:03:58,229 --> 00:03:57,280 genetically identical individuals 111 00:03:59,910 --> 00:03:58,239 and 112 00:04:03,030 --> 00:03:59,920 we can monitor what kind of changes 113 00:04:04,630 --> 00:04:03,040 occur in mark in an ordinary lifestyle 114 00:04:06,630 --> 00:04:04,640 and compare those to the changes that we 115 00:04:08,710 --> 00:04:06,640 see in scott in flight with essentially 116 00:04:10,390 --> 00:04:08,720 the same gene set and so when we see 117 00:04:12,710 --> 00:04:10,400 significant differences in scott that we 118 00:04:14,390 --> 00:04:12,720 don't see in mark then we're on to we 119 00:04:16,390 --> 00:04:14,400 have a good clue that there may be 120 00:04:17,670 --> 00:04:16,400 something to follow up on and then the 121 00:04:19,670 --> 00:04:17,680 environment is 122 00:04:21,030 --> 00:04:19,680 is responsible for change yeah it could 123 00:04:22,790 --> 00:04:21,040 be the weightlessness it could be 124 00:04:25,030 --> 00:04:22,800 radiation it could be 125 00:04:26,550 --> 00:04:25,040 the isolated confined nature uh there 126 00:04:28,469 --> 00:04:26,560 are several aspects of space flight 127 00:04:29,749 --> 00:04:28,479 which pose a challenge how are you going 128 00:04:32,150 --> 00:04:29,759 to gather data 129 00:04:33,990 --> 00:04:32,160 from the two subjects well on the 130 00:04:36,550 --> 00:04:34,000 molecular front 131 00:04:38,150 --> 00:04:36,560 we're collecting samples from saliva 132 00:04:41,430 --> 00:04:38,160 cheek 133 00:04:42,469 --> 00:04:41,440 urine feces and blood 134 00:04:45,350 --> 00:04:42,479 on the 135 00:04:47,030 --> 00:04:45,360 side the physiology 136 00:04:49,030 --> 00:04:47,040 we're using some instrumentation which 137 00:04:50,790 --> 00:04:49,040 we can only use on the ground like mris 138 00:04:52,230 --> 00:04:50,800 but we're also using instrumentation 139 00:04:54,070 --> 00:04:52,240 that we can use on the ground and in 140 00:04:55,990 --> 00:04:54,080 flight like ultrasound and then the 141 00:04:58,230 --> 00:04:56,000 cognition test that i mentioned earlier 142 00:05:00,710 --> 00:04:58,240 that's entirely on a laptop so that that 143 00:05:02,230 --> 00:05:00,720 works in both places so it's it's fairly 144 00:05:04,150 --> 00:05:02,240 straightforward and not not too 145 00:05:05,670 --> 00:05:04,160 complicated to uh to 146 00:05:07,510 --> 00:05:05,680 get the data to study it's another 147 00:05:09,270 --> 00:05:07,520 that's easy for you 148 00:05:11,189 --> 00:05:09,280 well and that was a key part of putting 149 00:05:13,270 --> 00:05:11,199 the twin study together is 150 00:05:15,830 --> 00:05:13,280 uh we didn't design any new equipment or 151 00:05:17,990 --> 00:05:15,840 anything for the study we capitalized on 152 00:05:19,749 --> 00:05:18,000 investigations already ongoing and then 153 00:05:22,390 --> 00:05:19,759 for this new molecular 154 00:05:25,590 --> 00:05:22,400 realm obtaining cheek and saliva and 155 00:05:28,230 --> 00:05:25,600 feces and blood is relatively easy 156 00:05:30,469 --> 00:05:28,240 the the experiments themselves are are 157 00:05:33,110 --> 00:05:30,479 related in that the experimenters are 158 00:05:35,029 --> 00:05:33,120 working cooperatively right that's right 159 00:05:39,430 --> 00:05:35,039 this is an unusual arrangement we 160 00:05:41,909 --> 00:05:39,440 selected 10 separate investigators and 161 00:05:44,950 --> 00:05:41,919 all working together we forged this into 162 00:05:46,790 --> 00:05:44,960 one large meta study if you will so all 163 00:05:48,790 --> 00:05:46,800 10 investigators are sharing data with 164 00:05:50,150 --> 00:05:48,800 one another 165 00:05:51,670 --> 00:05:50,160 sharing in the analysis they'll write 166 00:05:53,510 --> 00:05:51,680 papers together and one of the 167 00:05:54,390 --> 00:05:53,520 investigators did a similar type of 168 00:05:56,070 --> 00:05:54,400 study 169 00:05:57,590 --> 00:05:56,080 with one subject just doing the 170 00:06:00,150 --> 00:05:57,600 molecular part following that subject 171 00:06:01,830 --> 00:06:00,160 for 14 months so we have a good template 172 00:06:04,230 --> 00:06:01,840 on which to build but this is very 173 00:06:06,150 --> 00:06:04,240 unusual i'm not aware of another study 174 00:06:08,070 --> 00:06:06,160 like this even on on the ground where 175 00:06:10,629 --> 00:06:08,080 you've got so much molecular work as 176 00:06:12,230 --> 00:06:10,639 well as the physiology the psychology 177 00:06:15,110 --> 00:06:12,240 and the microbiome 178 00:06:17,110 --> 00:06:15,120 with one pair of subjects here i think 179 00:06:18,950 --> 00:06:17,120 that's not a statistically significant 180 00:06:20,390 --> 00:06:18,960 sample right but this is still worth 181 00:06:22,230 --> 00:06:20,400 doing absolutely 182 00:06:23,990 --> 00:06:22,240 yeah the normal twin study would involve 183 00:06:24,950 --> 00:06:24,000 tens hundreds maybe even thousands of 184 00:06:26,550 --> 00:06:24,960 twins 185 00:06:28,390 --> 00:06:26,560 well we don't have that many in the 186 00:06:30,550 --> 00:06:28,400 astronaut core we just have these two 187 00:06:32,629 --> 00:06:30,560 just in one set and so what we're 188 00:06:34,950 --> 00:06:32,639 expecting is that with the genetic 189 00:06:36,790 --> 00:06:34,960 identity underlying them they were in a 190 00:06:38,710 --> 00:06:36,800 good position to see some subtle changes 191 00:06:40,150 --> 00:06:38,720 that we wouldn't be able to see in two 192 00:06:41,510 --> 00:06:40,160 individuals who weren't 193 00:06:42,309 --> 00:06:41,520 identical twins 194 00:06:44,309 --> 00:06:42,319 now 195 00:06:46,550 --> 00:06:44,319 those will be clues it's very unlikely 196 00:06:48,309 --> 00:06:46,560 we'll have a definitive result from this 197 00:06:51,029 --> 00:06:48,319 study but we'll have clues that we can 198 00:06:52,550 --> 00:06:51,039 follow up then with normal research 199 00:06:55,189 --> 00:06:52,560 studies that would involve the normal 200 00:06:57,670 --> 00:06:55,199 number of astronauts so this is really a 201 00:07:00,710 --> 00:06:57,680 a discovery opportunity not likely to 202 00:07:03,270 --> 00:07:00,720 generate final conclusions and like most 203 00:07:04,710 --> 00:07:03,280 things with data gathering pre and post 204 00:07:07,110 --> 00:07:04,720 flight so 205 00:07:08,950 --> 00:07:07,120 it's you've got a year's worth of data 206 00:07:11,189 --> 00:07:08,960 gathering in front of you that's right 207 00:07:13,029 --> 00:07:11,199 that's right so we've we've already uh 208 00:07:13,990 --> 00:07:13,039 done several sessions of pre-flight data 209 00:07:15,990 --> 00:07:14,000 collection 210 00:07:18,230 --> 00:07:16,000 and now we're entering the flight phase 211 00:07:20,550 --> 00:07:18,240 then after flight there will be 212 00:07:22,629 --> 00:07:20,560 kind of an intense uh six months worth 213 00:07:24,150 --> 00:07:22,639 of data collection and then most of the 214 00:07:25,909 --> 00:07:24,160 twin study 215 00:07:28,629 --> 00:07:25,919 data and sample collections will stop 216 00:07:30,469 --> 00:07:28,639 six months after uh the mission a few go 217 00:07:33,110 --> 00:07:30,479 on because they were part of studies 218 00:07:35,350 --> 00:07:33,120 already in the uh portfolio and they'll 219 00:07:37,749 --> 00:07:35,360 go on a bit longer but the twin study 220 00:07:39,909 --> 00:07:37,759 for the whole will will wrap up in the 221 00:07:41,589 --> 00:07:39,919 fall of 2016 in terms of data and sample 222 00:07:43,909 --> 00:07:41,599 collection be interesting to see what 223 00:07:45,430 --> 00:07:43,919 you learned thanks very much for uh for 224 00:07:47,110 --> 00:07:45,440 telling us about it thanks for having me 225 00:07:49,189 --> 00:07:47,120 craig kundratt is the deputy chief