1 00:00:08,310 --> 00:00:06,630 so a lot of the science being done on 2 00:00:10,310 --> 00:00:08,320 the international space station design 3 00:00:12,310 --> 00:00:10,320 to learn more about how the human body 4 00:00:14,070 --> 00:00:12,320 responds to extended periods of time in 5 00:00:15,669 --> 00:00:14,080 the weightless environment of space the 6 00:00:18,070 --> 00:00:15,679 space station crew members themselves 7 00:00:19,750 --> 00:00:18,080 serving as those test subjects one new 8 00:00:21,590 --> 00:00:19,760 experiment in this area which is 9 00:00:23,830 --> 00:00:21,600 actually sponsored by the canadian space 10 00:00:25,750 --> 00:00:23,840 agency recently got underway and it's 11 00:00:28,230 --> 00:00:25,760 called the marrow study which is 12 00:00:30,710 --> 00:00:28,240 actually looking at bone marrow in these 13 00:00:32,549 --> 00:00:30,720 astronauts recently my colleague brandi 14 00:00:35,270 --> 00:00:32,559 dean spoke with the experiments 15 00:00:36,870 --> 00:00:35,280 principal investigator dr g trudell a 16 00:00:39,350 --> 00:00:36,880 professor of medicine surgery and 17 00:00:40,389 --> 00:00:39,360 biochemistry at the university of ottawa 18 00:00:43,270 --> 00:00:40,399 and also with one of his 19 00:00:45,190 --> 00:00:43,280 co-investigators dr odette lenouville of 20 00:00:46,869 --> 00:00:45,200 the university of ottawa and asked what 21 00:00:48,069 --> 00:00:46,879 they suspect is happening to the bone 22 00:00:51,830 --> 00:00:48,079 marrow of astronauts during 23 00:00:56,150 --> 00:00:53,990 we're a group of scientists at the bone 24 00:00:58,470 --> 00:00:56,160 and joint research lab and we're 25 00:01:00,069 --> 00:00:58,480 focusing our research on the biology of 26 00:01:01,510 --> 00:01:00,079 rehabilitation 27 00:01:04,229 --> 00:01:01,520 so when 28 00:01:06,230 --> 00:01:04,239 decreased physical forces are acting on 29 00:01:08,469 --> 00:01:06,240 the bone as you describe there are 30 00:01:10,149 --> 00:01:08,479 changes on changes on the bone itself 31 00:01:11,990 --> 00:01:10,159 and the bone structure 32 00:01:14,630 --> 00:01:12,000 but we were interested in what's 33 00:01:17,590 --> 00:01:14,640 happening with the other role of the 34 00:01:20,390 --> 00:01:17,600 bone as an organ and that's really the 35 00:01:23,190 --> 00:01:20,400 role of the bone marrow inside the bone 36 00:01:25,429 --> 00:01:23,200 to form the all the blood elements the 37 00:01:27,109 --> 00:01:25,439 red blood cells the white blood cells 38 00:01:29,429 --> 00:01:27,119 and the platelets 39 00:01:31,910 --> 00:01:29,439 so in our experiments related to 40 00:01:35,190 --> 00:01:31,920 immobility removing the physical forces 41 00:01:37,749 --> 00:01:35,200 on the bone we noticed uh spectacular 42 00:01:40,710 --> 00:01:37,759 changes in the bone marrow in some model 43 00:01:41,670 --> 00:01:40,720 is in that the bone marrow shifted from 44 00:01:44,550 --> 00:01:41,680 being 45 00:01:47,109 --> 00:01:44,560 full of cells producing the red blood 46 00:01:49,749 --> 00:01:47,119 cells and the white blood cells 47 00:01:53,429 --> 00:01:49,759 to a bone marrow more filled with fat 48 00:01:56,469 --> 00:01:53,439 cells so when a fat transformation of 49 00:01:58,310 --> 00:01:56,479 the bone marrow okay so um 50 00:02:00,149 --> 00:01:58,320 if fat cells reduce blood cell 51 00:02:02,709 --> 00:02:00,159 population in bone marrow what what 52 00:02:04,789 --> 00:02:02,719 happens to the astronaut 53 00:02:08,070 --> 00:02:04,799 so if that process 54 00:02:10,710 --> 00:02:08,080 is led to its worst case scenario that 55 00:02:13,670 --> 00:02:10,720 is a bone marrow failure then you are 56 00:02:15,990 --> 00:02:13,680 unable to mount a response to produce 57 00:02:17,990 --> 00:02:16,000 the blood cells that you need 58 00:02:20,309 --> 00:02:18,000 for survival basically 59 00:02:23,589 --> 00:02:20,319 so bone is a 60 00:02:25,750 --> 00:02:23,599 rigid structure so if you have invasion 61 00:02:28,229 --> 00:02:25,760 of one of its component it's at the 62 00:02:28,949 --> 00:02:28,239 expense of the other component 63 00:02:32,229 --> 00:02:28,959 so 64 00:02:34,790 --> 00:02:32,239 what would be examples of symptoms 65 00:02:36,470 --> 00:02:34,800 happening from a bone marrow failure so 66 00:02:39,110 --> 00:02:36,480 basically the lack of production of your 67 00:02:41,830 --> 00:02:39,120 red blood cells will lead to anemia 68 00:02:45,190 --> 00:02:41,840 so a person who is anemic will be 69 00:02:48,150 --> 00:02:45,200 weaker will have less resistance less 70 00:02:50,229 --> 00:02:48,160 force less endurance which could 71 00:02:51,190 --> 00:02:50,239 compromise emission 72 00:02:53,030 --> 00:02:51,200 uh 73 00:02:54,550 --> 00:02:53,040 dysfunctioning white blood cells or a 74 00:02:57,350 --> 00:02:54,560 low number of white blood cells will 75 00:02:59,509 --> 00:02:57,360 make you more susceptible to infections 76 00:03:01,589 --> 00:02:59,519 or autoimmune diseases 77 00:03:04,309 --> 00:03:01,599 the last function of the bone marrow is 78 00:03:06,949 --> 00:03:04,319 the production of platelets and these 79 00:03:08,790 --> 00:03:06,959 are responsible to stop the bleed and to 80 00:03:09,589 --> 00:03:08,800 create a blood clot 81 00:03:12,390 --> 00:03:09,599 so 82 00:03:16,229 --> 00:03:12,400 the changes that we've measured in the 83 00:03:20,070 --> 00:03:16,239 models and in bed-ridden patients 84 00:03:23,750 --> 00:03:20,080 are showing some smaller changes in fat 85 00:03:25,670 --> 00:03:23,760 accumulation but if that were to be 86 00:03:28,470 --> 00:03:25,680 extrapolated to a longer mission in 87 00:03:30,869 --> 00:03:28,480 microgravity this could lead to 88 00:03:33,430 --> 00:03:30,879 a bone marrow failure 89 00:03:35,350 --> 00:03:33,440 i see okay well so how how does your 90 00:03:36,869 --> 00:03:35,360 investigation the mirabe investigation 91 00:03:39,110 --> 00:03:36,879 how does it um 92 00:03:40,229 --> 00:03:39,120 look at that in astronauts in particular 93 00:03:43,190 --> 00:03:40,239 so the 94 00:03:46,550 --> 00:03:43,200 protocol we've developed is to 95 00:03:47,830 --> 00:03:46,560 gather some biological samples from the 96 00:03:51,030 --> 00:03:47,840 astronauts 97 00:03:51,990 --> 00:03:51,040 pre-flight during flights and after 98 00:03:54,390 --> 00:03:52,000 flight 99 00:03:56,710 --> 00:03:54,400 and the protocols and methods that we 100 00:03:58,949 --> 00:03:56,720 developed was in collaboration with the 101 00:04:00,869 --> 00:03:58,959 canadian space agency 102 00:04:01,750 --> 00:04:00,879 in canada 103 00:04:02,550 --> 00:04:01,760 and 104 00:04:04,869 --> 00:04:02,560 with 105 00:04:07,670 --> 00:04:04,879 through a team effort we were able to 106 00:04:11,110 --> 00:04:07,680 design some sampling methods that will 107 00:04:14,789 --> 00:04:11,120 allow us to estimate or to measure how 108 00:04:16,150 --> 00:04:14,799 much fat is in the marrow and that will 109 00:04:18,870 --> 00:04:16,160 be using 110 00:04:20,629 --> 00:04:18,880 magnetic resonance imaging and coupled 111 00:04:23,510 --> 00:04:20,639 to spectroscopy 112 00:04:25,510 --> 00:04:23,520 and also to look at the blood itself 113 00:04:28,070 --> 00:04:25,520 through samples of blood 114 00:04:30,469 --> 00:04:28,080 collected over time so the sampling for 115 00:04:32,790 --> 00:04:30,479 alveolar air or breath 116 00:04:34,629 --> 00:04:32,800 will be pre-flagged during flight and 117 00:04:35,830 --> 00:04:34,639 toast flight so for this we had to 118 00:04:38,550 --> 00:04:35,840 design this 119 00:04:41,590 --> 00:04:38,560 contraption that we use for collecting 120 00:04:43,350 --> 00:04:41,600 the alveolar and not the air that is 121 00:04:44,629 --> 00:04:43,360 present in the 122 00:04:48,390 --> 00:04:44,639 airways 123 00:04:50,150 --> 00:04:48,400 and so it's a temporal study we will be 124 00:04:53,030 --> 00:04:50,160 able to 125 00:04:55,110 --> 00:04:53,040 estimate and measure the impact of 126 00:04:57,590 --> 00:04:55,120 microgravity exposure 127 00:04:59,030 --> 00:04:57,600 on the content the fat content of the 128 00:05:00,629 --> 00:04:59,040 marrow 129 00:05:03,590 --> 00:05:00,639 i think what is key 130 00:05:07,430 --> 00:05:03,600 or what is of high interest for our team 131 00:05:09,189 --> 00:05:07,440 is the post flight period and rehab 132 00:05:11,189 --> 00:05:09,199 how does the 133 00:05:14,469 --> 00:05:11,199 body and the marrow 134 00:05:17,510 --> 00:05:14,479 return to a normal state 135 00:05:19,909 --> 00:05:17,520 after flight so we will monitor those 136 00:05:24,870 --> 00:05:19,919 participants those astronauts over an 137 00:05:27,110 --> 00:05:24,880 extensive over a year post-flight and 138 00:05:29,350 --> 00:05:27,120 we are very thankful that the for those 139 00:05:30,230 --> 00:05:29,360 who already have agreed to participate 140 00:05:32,790 --> 00:05:30,240 and 141 00:05:33,830 --> 00:05:32,800 those who will in future participate in 142 00:05:36,150 --> 00:05:33,840 marrow 143 00:05:37,909 --> 00:05:36,160 while on board at the iss how do you 144 00:05:39,430 --> 00:05:37,919 expect that this experiment is going to 145 00:05:41,990 --> 00:05:39,440 help us as we're going forward in future 146 00:05:45,510 --> 00:05:42,000 exploration 147 00:05:47,189 --> 00:05:45,520 as you alluded to earlier this will have 148 00:05:49,350 --> 00:05:47,199 implications for astronauts on 149 00:05:51,029 --> 00:05:49,360 long-duration flights and upon their 150 00:05:53,510 --> 00:05:51,039 return 151 00:05:55,510 --> 00:05:53,520 for example 152 00:05:57,350 --> 00:05:55,520 we want we will evaluate if the 153 00:06:01,350 --> 00:05:57,360 phenomenon happens 154 00:06:04,870 --> 00:06:02,790 it will allow to 155 00:06:06,950 --> 00:06:04,880 develop counter measures 156 00:06:10,070 --> 00:06:06,960 what could prevent this 157 00:06:12,150 --> 00:06:10,080 fat accumulation in the bone marrow 158 00:06:13,029 --> 00:06:12,160 how fast is the progress 159 00:06:17,990 --> 00:06:13,039 and 160 00:06:21,990 --> 00:06:18,000 white blood cell production 161 00:06:27,189 --> 00:06:24,390 brought on board long duration missions 162 00:06:28,710 --> 00:06:27,199 such as the duration to mars that can be 163 00:06:31,590 --> 00:06:28,720 physical countermeasure could be 164 00:06:33,670 --> 00:06:31,600 pharmacological countermeasures as well 165 00:06:35,110 --> 00:06:33,680 and i know you also mentioned that um 166 00:06:37,270 --> 00:06:35,120 you were working with bed rest patients 167 00:06:38,550 --> 00:06:37,280 as well so are there are there 168 00:06:40,150 --> 00:06:38,560 implications to this that could help 169 00:06:42,790 --> 00:06:40,160 them in the future or any of us here on 170 00:06:46,710 --> 00:06:44,309 you're talking to a rehabilitation 171 00:06:49,350 --> 00:06:46,720 physician so this is really the angle 172 00:06:50,710 --> 00:06:49,360 that we have taken to approach this 173 00:06:53,029 --> 00:06:50,720 topic 174 00:06:55,350 --> 00:06:53,039 when you receive 175 00:06:57,589 --> 00:06:55,360 in a rehabilitation center 176 00:07:00,150 --> 00:06:57,599 patients who have been in hospital for a 177 00:07:01,830 --> 00:07:00,160 long time who are deconditioned and you 178 00:07:05,270 --> 00:07:01,840 need to bring them back to their 179 00:07:07,189 --> 00:07:05,280 previous level of health and of function 180 00:07:08,710 --> 00:07:07,199 then you have to look at the restoration 181 00:07:11,350 --> 00:07:08,720 of every system 182 00:07:13,430 --> 00:07:11,360 of those there is the bone system muscle 183 00:07:16,150 --> 00:07:13,440 system balance 184 00:07:17,670 --> 00:07:16,160 so when an astronauts come back from a 185 00:07:19,670 --> 00:07:17,680 long-term mission 186 00:07:22,790 --> 00:07:19,680 he presents many of the same 187 00:07:24,870 --> 00:07:22,800 characteristics as a rehab patient on 188 00:07:26,390 --> 00:07:24,880 earth who has been immobile for a long 189 00:07:29,830 --> 00:07:26,400 period of time 190 00:07:32,230 --> 00:07:29,840 now specifically for merrell 191 00:07:33,430 --> 00:07:32,240 many of those patients who have limited 192 00:07:35,670 --> 00:07:33,440 mobility 193 00:07:38,550 --> 00:07:35,680 who have been in bed for a long time or 194 00:07:40,950 --> 00:07:38,560 even in our western societies the 195 00:07:43,189 --> 00:07:40,960 sedentary lifestyle or the change in 196 00:07:44,469 --> 00:07:43,199 demographics where people move less and 197 00:07:47,589 --> 00:07:44,479 less 198 00:07:50,710 --> 00:07:47,599 we do notice higher proportion of anemia 199 00:07:53,029 --> 00:07:50,720 more susceptibility to infection so 200 00:07:53,990 --> 00:07:53,039 our findings could apply to the large 201 00:07:55,270 --> 00:07:54,000 number 202 00:07:56,950 --> 00:07:55,280 on thirst 203 00:07:59,029 --> 00:07:56,960 that's definitely good news for us and 204 00:08:01,029 --> 00:07:59,039 the astronauts then we really appreciate 205 00:08:04,550 --> 00:08:01,039 you talking with us again this was dr 206 00:08:06,390 --> 00:08:04,560 gee trudeau and dr odette newfield from 207 00:08:07,749 --> 00:08:06,400 the university of ottawa talking to us 208 00:08:09,909 --> 00:08:07,759 about their work with the marrow