B6.3 Flashcards

1
Q

What is the relationship between health and disease?

A

health: state of physical and mental wellbeing
disease: a disorder that affects the body, organs or cells

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2
Q

Describe the 2 different types of diseases, giving examples

A

communicable diseases are contagious so they can spread between people (e.g. chickenpox, malaria, HIV)
non-communicable diseases are non-contagious (e.g. diabetes, cancer from carcinogens, heart conditions)

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3
Q

Describe the interactions between different types of diseases

A

HIV and TB:
-HIV affects the strength of the immune system
-TB is a common bacterial disease found in HIV patients as they are more susceptible to infectious diseases
-TB affects the lungs

HPV and Cervical cancer:
-viruses living in cells can trigger cancers
-most cervical cancer cases are linked with the HPV virus

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4
Q

Explain how communicable diseases are spread in plants and animals, and explain how the spread of communicable diseases can be reduced/prevented

A

Viral infections:
Humans: Human Immunodeficiency Virus (HIV)
-initial flu-like sumptoms
-spread by bodily fluids, commonly through sexual activities or injecting drugs and then sharing needles
-prevented by using condoms, not sharing needles
-complication: can develop into AIDS which remains dominant for some time after HIV and then attacks the immune system
-treatment: drugs exist to stop HIV developing into AIDS but not to prevent HIV

Plants: Tobacco Mosaic Virus
-infects chloroplast levels and changes the green to white spots
-plants cannot photosynthesis correctly and will die
-spread by contact between plants
-prevented by good field hygiene, pest control and growing TMV-resistant strains

Bacterial diseases:
Humans: Salmonella (food poisoning)
-bacteria living in the gut of animals spreading when the meat is ingested by humans
-symptoms: fever, stomach cramps, vomiting, diarrhoea
-spread due to consumption of raw meat and eggs and unhygienic conditions
-prevented by keeping raw meat away from cooked food, wash hands and surfaces when handling it and cook food thoroughly

Plants: crown gall disease (Agrobacterium tumefaciens)
-transfers some of its own DNA to the infect plant’s DNA
-symptoms: like a cancer and a tumour develops in the stems/roots, plants become stunted

Fungal diseases:
Humans: Athlete’s foot
-symptoms: rash found between toes, white/red flaky skin
-spread by touching infected skin or surfaces, so is commonly found in swimming pool changing rooms
-treated with antifungal medication

Plants: barley powdery mildew (Erysiphe graminis)
-affect grass plants, such as barley
-eventually the plant can no longer make chlorophyll and therefore cannot photosynthesise
-symptoms: circular fluffy white growth on leaves, fungus produces spores to reproduce which are spread in the wind, hyphae produced on upper and lower leaf surfaces
-commonly spread in cool, damp areas
-treated with fungicides/removing infected leaves

Protist diseases:
Humans: malaria
-enter red blood cells and replicate, then burst to spread pathogen further
-symptoms: shivering and fevers (caused by the bursting)
-spread by female Anopheles mosquito which is a vector (meaning it is not harmed by the disease but just carries it), protist enters human bloodstream via saliva when mosquito punctures skin to feed on blood
-prevented by using insecticide coated insect nets while sleeping, removing stagnant water to prevent the vectors from breeding, travellers taking antimalarial drugs to kill parasites that enter the blood

The spread of communicable diseases can be reduced by:
-visual identification of disease
-screening for antibodies against virus antigens (such as with HIV)
-DNA identification (e.g. with crown gall disease as it transfers DNA to the plant)

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5
Q

Describe physical plant defence responses to disease

A

-bark: external layer of dead cells forming barrier against infection
-leaf cuticle: waxy outer layer to prevent pathogens passing through
-cell wall made of cellulose

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6
Q

Describe chemical plant defence responses

A

Antimicrobial substances:
-mint and witch hazel produce this to prevent the spread of bacteria that were not stripped by physical defences
-used by humans as antiseptics

Poisons:
-stinging nettles release this to stop themselves being eaten
-cyanide is another example

Antibacterial compounds to kill bacteria
-e.g. phenols, disrupt the bacterial cell wall, which disrupts the cell membrane

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7
Q

Explain how white blood cells and platelets are adapted to their defence functions in the blood

A

White blood cells:
-work by phagocytosis (pathogen is engulfed and then killed)
-produce antitoxins that WBCs neutralise by binding to the toxins of the pathogen
-produce antibodies (lymphocytes)
-each pathogen has an antigen on their surface which is a structure which a specific complementary antibody can bind to
-once antibodies begin to bind to the pathogen, the specific complementary antibodies will be produced at a fast rate
-the person will not feel symptoms, so they are now immune

Platelets:
-have proteins on their surface that helps them to clump together to heal a wound
-secrete proteins that result in a clotting cascade (a chain reaction of different chemical reactions to help with forming clots)

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8
Q

Describe the non-specific defence systems in humans against pathogens

A

Skin:
-acts as a physical barrier
-produces antimicrobial secretions to kill pathogens
-good microorganisms known as skin flora compete with the bad microorganisms for space and nutrients

Nose:
-has hairs and mucus which prevent particles from entering your lungs

Trachea and bronchi:
-secrete mucus to trap pathogens
-cilia (hair-like structures on cells) beat to waft mucus upwards so it can be swallowed

Stomach:
-produces hydrochloric acid that kills pathogens in your mucus, or food and drink

Phagocytic white blood cells:
-one type of white blood cell can do a process called phagocytosis, where the pathogen is engulfed and killed
-as they are able to do this with any type of pathogen, it is a non-specific function

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9
Q

Explain the role of the immune system of the human body in defence against disease

A
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10
Q

What are monoclonal antibodies and describe how they are produced

A

Monoclonal antibodies​ are identical antibodies, that have been produced from the same lymphocyte (a type of white blood cell). As a result of their ability to bind to only one protein antigen, they can be used to target chemicals and cells in the body and so have many different medical uses, e.g. in pregnancy testing.
How they are produced
1) An antigen is injected into a mouse
2) The mouse produces ​lymphocytes​, which have been stimulated to produce a specific
antibody to the injected antigen.
3) Spleen cells from the mouse are removed, as this is where the lymphocytes are
produced
4) The spleen cells are combines with human cancerous white blood cells called myeloma
cells to form a cell called a ​hybridoma​, which divides indefinitely
5) The hybridoma can divide to produce clones of itself, which all produce the same
antibody many times.
6) The antibodies are collected and purified

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11
Q

Describe some ways in which monoclonal antibodies can be used

A

Pregnancy tests:
-a hormone called human chorionic gonadotrophin (hCG)​ is present in the urine of women who are pregnant
-there are two sections of the stick.
-first section has ​mobile antibodies​ complementary to the hCG hormone- these
antibodies are also attached to blue beads.
-second section has ​stationary antibodies​ complementary to the hCG hormone
which are stuck down to the stick.
-a person urinates on the first section, and if hCG is present it binds to the mobile
antibodies attached to blue beads to form ​hCG/antibody complexes​.
-they are carried in the flow of liquid to the second section.
-the stationary antibodies then bind to the HCG/antibody complexes.
-they are each bound to a blue bead, this results in a blue line, indicating that you are pregnant

Diagnosis of cancer:
-cancerous cells have antigens
-monoclonal antibodies can be designed to bind to these specific antigens, causing them to clump together
-they may have a marker, such as a fluorescent dye, attached to them to help identify the location of the tumour in the body
-once the tumour is identified, it can be treated or removed
-monoclonal antibodies have successfully been used to detect and treat prostrate cancer in men

Treatment of cancer:
-drugs can be attached to the monoclonal antibody so that when it binds to the cancer antigen it can deliver the toxic substance
-better than radiotherapy and chemo as it will only target cancer cells, reducing side effects
-can also encourage white blood cells in the immune system to attack the cancer cells directly

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12
Q

Describe different ways plant diseases can be detected and identified, in the lab and in the field

A

ELISA (Enzyme-Linked Immunosorbent Assay)
This can be used to see whether a plant contains a pathogen antigen and is therefore infected
1) Liquidise plant sample
2) Add sample to plastic tube or microtiter plate
3) Leave for 5 minutes so that all the proteins in the plant have bound to the plastic
4) Wash the wells with buffered salt solution to wash off any excess protein that has not
bound to the plastic
5) Add blocking agent to block any uncoated plastic and then wash off again with the salt
solution
6) Add an antibody-enzyme complex specific to the pathogen antigen and then wash off
with the salt solution
7) Add a colourless substrate that the enzyme will change to a coloured product so if the
pathogen antigen is in the liquid the tube will change colour.
Polymerase chain reaction (PCR)
A process allowing a small section of DNA to be copied billions of times
1) Add 2 ​primers​, ​nucleotides​ and ​DNA polymerase​ into tube
● 2 primers (short pieces of DNA) are needed to match each end of the DNA
segment that is meant to be copied
● DNA polymerase reads the DNA and makes a copy, by attaching nucleotides at at
a primer
2) The DNA is heated to​ 95°C​ ​to unzip the double helix of DNA and denature it
3) It is cooled to​ 55°C​ ​to allow the primers to anneal
4) It is heated to ​72°C​ ​as this is the optimum time for DNA polymerase to work
Observation
Observation is not only how the plant looks, but also the feel and smell etc. For example: stunted growth, presence of fungus. We can also use microscopy to detect diseased leaves

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13
Q

What are specific defences and what are the two types

A

The specific immune system destroys any pathogens which pass through the non-specific immune system in the body
2 examples include white blood cells and platelets

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14
Q

Describe the advantages and disadvantages of using monoclonal antibodies

A

Advantages:
-only bind to specific cells , meaning healthy cells are not affected
-can be engineered to treat many different conditions
-we’re now able to produce mouse-human hybrid cells to reduce the chance of triggering an immune response

Disadvantages:
-difficult to attach monoclonal antibodies to drugs
-expensive to develop
-as they were produced from mice lymphocytes, they often trigged an immune response when used in humans

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15
Q

Explain the use of vaccines and medicines in the prevention and treatment of disease

A

Vaccines:
-make an individual immune to a certain disease, so they are protected before they have been infected
-if a large amount of the population is immune, the spread of the pathogen is reduced, as less people will catch it (called herd immunity)
-contains a dead or inactivated form of the pathogen, which stimulates white blood cells to produce antibodies complementary to the antigens on the pathogen

Antibiotics:
-medicines that kill bacterial pathogens inside the body, without damaging body cells
-cannot kill viruses as they use body cells to reproduce, meaning any drugs that target them would affect body tissue too
-can be taken as a pill, syrup or directly into bloodstream
-has decreased the number of deaths from bacterial diseases, such as with pencillin

Antivirals:
-used to stop virus replication
-virus hijacks cell’s normal processes in order to copy its own DNA, so it would not be possible to kill the virus without damaging human cells, so stopping replication is the only way

Antiseptics:
-chemicals that kill foreign microorganisms
-commonly used in sterilising a wound to avoid infection and therefore the spread of disease

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16
Q

advantages and disadvantages of vaccinations

A

Advantages:
-have eradicated many diseases so far (e.g. smallpox) and have reduced occurrence of many (e.g. rubella)
-epidemics can be prevented through herd immunity

Disadvantages:
-not always effective in providing immunity
-bad reactions can occur in response to vaccines (e.g. fevers)

17
Q

How does antibiotic resistance occur?

A

● Mutations​ can occur during reproduction resulting in certain bacteria no longer being killed by antibiotics
● When these bacteria are exposed to antibiotics, only the ​non-resistant​ one die
● The resistant bacteria survive and reproduce, meaning the population of resistant bacteria increases
● This means that antibiotics that were previously effective no longer work, making it a huge issue in treating bacterial infections.
● Resistance can be prevented by stopping the overuse of antibiotics, which unnecessarily exposes bacteria to the antibiotics and also to finish courses of antibiotics to ensure that all the bacteria is killed

18
Q

Explain the aseptic techniques used in culturing organisms

A

Aseptic techniques are procedures carried out to prevent the contamination of pure cultures
Process:
1. Workspace is cleaned and sprayed with disinfectants to kill any existing bacteria that could cause contamination
2. Glass petri dishes and agar gel are sterilised using an autoclave (machine that uses steam to kill harmful bacteria)
3. Agar is poured into the sterile petri dishes and allowed to set
4. Work around a blue Bunsen burner flame to create an updraft so bacteria from the air does not contaminate the agar
5. Bacterial suspension should be swirled to ensure good mixing
6. Sterilise inoculating loop by heating in blue Bunsen burner flame or in pure alcohol
7. Put the mouth of the bacterial bottle in Bunsen burner flame to kill unwanted bacteria on bottle
8. Dip loop into solution and make streaks on agar plate to allow the creation of separate colonies
9. Place lid of petri dish back on and secure with tape, then label the bottom
10. Store the plate upside down. The lid should not be fully sealed as oxygen is needed for bacteria’s aerobic respiration
11. Incubate at up to 25°C to reduce chances of harmful bacteria growing, which would occur at body temp
12. All contaminated materials should be disposed of and work surfaces must be disinfected

Zone of Inhibition:
-occurs around a bacterial colony that has stopped growing, indicating that the antibiotic has worked
-calculated using πr^2 by measuring diameter of the circle
-larger the zone of inhibition, the more effective the antibiotic/antiseptic is

19
Q

Describe the processes of discovery and development of potential new medicines

A

-most new drugs originate from plants that have been used as sources of natural healing for years (e.g. willow barked was used for fever and the active ingredient salicylic acid was what helped - this has now been used in aspirin)
-one of the reasons why destroyed rainforests are a worrying: many plants and organisms in nature can help with modern medicines

Testing new drugs:
1. Preclinical drug trials:
-drugs are tested using computer models or human cells in a lab
-important stage as scientists see the effect on living cells before it is tested on animals

  1. Animal testing:
    -allows us to observe any possible side effects, so that manufacturers adjust dosage before given to patients
    -in the UK, it is legal for medicine to be tested on animals, but not cosmetic products
  2. Human clinical trials:
    -the drugs are first tested on health volunteers who are continually monitored
    -if they pass this, they are then tested on the target patients in low doses
    -does is then increased up to the optimum dosage
    -in human clinical trials, the drug is tested against placebos (inactive version of drug) in a double blind trial
    -the volunteer group is split into 2 and half are given the real drug and half are given the placebo
    -this allows scientists to see if the effect is actually from the drug or from another factors
20
Q

Explain the lifestyle factors that can interact to cause non-communicable diseases

A

Exercise and diet:
-obesity —> high blood pressure, increasing chances of fatty deposit build up in arteries
-body fat affects body sensitivity to insulin, increasing chances of developing Type 2 diabetes

Alcohol:
-liver can regenerate but long-term alcohol abuse can cause long-term damage
-alcohol causes lipids to build up in the liver, causing fatty liver disease
-can also lead to alcoholic hepatitis (liver inflamation)
-liver cirrhosis can also occur (liver is scarred and can no longer function)
-long-term drinking, causing brain shrinkage, memory loss and psychiatric problems

Smoking:
-damages arterial lining, encouraging fatty materials to build up and cause heart attacks or strokes
-chemicals in cigarettes increase chance of blood clots, which can lead to heart attacks
-the carcinogens can lead to lung cancer
-carbon monoxide reduces amount of oxygen that can be carried in red blood cells
-nicotine increases heart rate, putting more strain on the heart than needed
-smoking damages the bronchioles and alveoli, causing inflammation, which causes mucus to build up, increasing breathing difficulties as chronic obstructive pulmonary disease (COPD) develops

21
Q

What are CVDs, what are the risk factors and what are the treatments

A

Cardiovascular diseases include coronary heart disease and heart attacks

Heart attacks:
1. A buildup of cholesterol (caused by saturated fats) causes fatty deposits in the wall of coronary arteries)
2. A blood clot can form as blood cannot get through the now narrowed coronary artery properly
3. The blood clot causes a block, so the heart muscle cannot get any oxygen or nutrients
4. Initially causes chest pain (angina) but if it is not treated, the heart will be so deprived that the cells start to die
5. Since they cannot regenerate, the person has a heart attack

Risk factors of CVD: smoking, high blood pressure, high salt intake (diet) and high levels of saturated fat (diet)

Treating CVD:
Lifestyle choices: not smoking, exercising regularly, losing weight (if obese), reducing amounts of saturated fats in diet
Statins:
-drugs that lower the blood cholesterol by reducing the production in the liver
-given to those with heart disease or those with high risk of developing it
-must be taken long-term
-not suitable for people with liver disease, due to side effects

Stents:
-a wire mesh tube inserted into the coronary arteries to keep them open so blood can flow through properly
-made of metal alloys to avoid immune rejection

Coronary artery bypass:
-surgery is sometimes needed in extreme cases
-a blood vessel from one part of the body (e.g. leg) is attached to the coronary artery above and below blockage (creating a graft) to allow a different path for the blood to flow

Heart transplant:
-a donor heart may be needed for heart failure, where the heart cannot pump enough blood and therefore oxygen and nutrients around the body
-there is a very long waiting list and there is a risk of rejection by the body, so after surgery, the person will have to be on immunosuppressant drugs for the rest of their life, increasing their risk of catching infectious disease
-plastic artificial hearts can be used whilst patients are waiting for transplants

22
Q

Explain what cancer is and the risk factors

A

-result of changes in the cell leading to uncontrolled growth and division (tumours - either benign or malignant)
-benign tumours grow slowly within a membrane, so they can easily be removed and don’t usually grow back. They also don’t spread to other parts of the body
-malignant tumours are cancerous, grow quickly, and cancer cells can also detach and travel in the bloodstream to other parts of the body to form secondary tumours (metastasis)

Risk factors:
-carcinogens (chemicals that cause cancer): damage DNA and increase chance of mutations
-age: more likely to develop cancer when old as there have been mullions of cell replications and therefore more chances of mutation occurring
-genetic factors: certain cancers (e.g. breast cancer with the BRCA1 gene)
-lifestyle factors:
-HPV is spread through sexual intercourse
-smoking causes lung cancer
-alcohol increases risk of liver cancer
-sunbathing increases UV radiation (linked to skin cancer)
-exposure to asbestos can cause cancers

23
Q

Discuss potential benefits and risks associated with medical use of stem cells

A

Benefits:
-can be used to replace damaged cells, such as in Type 1 diabetes, multiple sclerosis and paralysis caused by spinal cord injuries
-bone marrow transplants for adult stem cells can be used to treat blood cell cancers like leukaemia
-can grow whole organs for transplants
-no rejection as it is made from the body

Risks:
-ethical issues of destroying unused embryos
-no guarantee in how successful these therapies will be
-mutations could occur in cultured stem cells
-difficult to find suitable stem cell donors

24
Q

Explain some possible benefits and risks of using gene technology in medicine

A

Benefits:
-human insulin can be produced. The insulin gene is cut out using restriction enzymes and then inserted into a plasmid using ligase enzymes. This plasmid is taken up by bacteria to multiply by binary fission. Bacteria are ideal as they reproduce asexually and so all daughter cells are genetically identical
-genetically inherited conditions can be treated, as the faulty gene can be cut of patient’s DNA and replaced with a working gene (gene therapy)
-genetic testing for inherited diseases like Huntington’s disease can also be carried out, as they can test for it before starting a family and passing the gene on accidentally

Risks:
-with gene therapy, the healthy alleles may not go into every target cell, and healthy alleles may join chromosomes in random places, so they don’t work

25
Q

Discuss the potential importance for medicine of our increasing understanding of the human genome

A

The Human Genome Project has enabled us to understand the genes that cause different diseases so that we can:
-predict likelihood of diseases occuring
-get a better understanding of the effectiveness of drug treatments that target genomes

26
Q

Explain how the case of Thalidomide in the 1950s proves the importance of thoroughly testing drugs

A

-Thalidomide was initially created a sleeping pill drug but was given to pregnant women to prevent morning sickness
-however, it was not tested properly, and led to many birth defects, with many babies being born with missing limbs