B6.3 Flashcards

1
Q

3e

What is a communicable disease?

A

A communicable disease is a disease that can spread between individuals and is caused by pathogens (micro-organisms)

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2
Q

What is a non-communicable disease?

A
  • a non communicable disease is one that is not caused by pathogens and cannot be spread between individuals
  • the effects of these diseases tend to be longer lasting
  • e.g asthma
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3
Q

What are some factors that increase the risk of developing non-communicable diseases?

A
  • Smoking (lung + cardiovascular diseases)
  • Obesity (Type 2 Diabetes, excess consumption of sugar reduces the sensitivity of body to insulin )
  • Alcohols (liver disease + brain impairment, breakdown of alcohol by liver produces large amounts of toxins+ neurones of brain are also damaged)
  • Carcinogens (cancer, exposure to ionising radiation can lead to uncontrolled cell division, e.g cancer)
  • Smoking/Drinking while pregnant (poor development of fetus, smoking means less oxygen transported to baby as there is more carbon monoxide + alcohol can impair the brain development of a fetus)
  • Location in the world
  • Constantly being under stress (can lead to High BP)
  • A person’s Income
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4
Q

What is susceptibility and why does it occur?

A
  • if an individual has one disease then they are more likely to be more susceptible to other deasies
  • this is because the immune system can be compromised in some way (e.g individuals with HIV will have a reduced number of lymphocytes (white blood cells), which reduces the body’s ability to tackle infections (such as pneumonia)
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5
Q

What can viruses lead to?

A
  • Viruses in cells can be triggers for cancer (e.g HPV cells in the cervix can lead to cervical cancer)
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6
Q

What can a knockon effect of physical ill health be?

A
  • mental illnesses which can negatively impact the immune system and also lead to the individual making poorer choices
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7
Q

How does HIV affect lymphocytes (4 Steps)?

A
  1. HIV attaches to the receptors on the lymphocyte
  2. The HIV then injects it’s genetic material into the lymphocyte, which becomes the host cell
  3. The HIV uses the cell’s machinery to replicate and produce more copies of itself
  4. After making many copies the host cell is destroyed
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8
Q

What does a HIV infection mean for the body?

A
  • reduced number of lymphocytes to tackle infections, as less antibodies can be made
  • leads to AIDS
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9
Q

How does HIV avoid being recognised and destroyed by lymphocytes?

A

The HIV constantly changes its protein coat to avoid detection

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10
Q

What are 4 types of microorganisms that can be pathogens?

A
  1. Bacteria
  2. Protoctists
  3. Fungi
  4. Viruses
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11
Q

Which type of microorganism is always pathogenic?

A

VIRUSES

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12
Q

How do pathogenic bacteria harm the cells?

A
  • pathogenic bacteria do not always enter the target cell
  • they can release toxins which damage cells
  • they are small and can reproduce rapidly
  • e.g cholera
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13
Q

How do pathogenic fungi harm the cells?

A
  • mostly harm plants, not animals
  • can be single or multicellular
  • they produce spores that allow them to infect other organisms (via touching contaminated surfaces)
  • fungal diseases can threaten entire crops for plants and are serious
  • e.g athletes foot
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14
Q

How do pathogenic protists harm the cells?

A
  • eukaryotic organisms
  • parasites, so require a host to live
  • small number of protists are pathogenic but those that are are serious
  • e.g malaria
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15
Q

What are 7 modes of transmission for communicable diseases?

A
  1. Water - drinking/bathing in dirty water (cholera)
  2. Air - spores can be distributed by wind (barley powdery mildew)
  3. Body Fluids - sharing needles (blood), semen, breast milk (HIV)
  4. Through Contact - (Athletes Foot)
  5. Ingestion - not cooking food properly or old food (salmonella)
  6. Animal Vectors - mosquitos (malaria)
  7. Soil
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16
Q

What are the 2 ways the spread of disease can be prevented?

A
  • behaviour in social situation: (density of population, poor diet, availability of healthcare, education)
  • individual behaviour (personal hygiene, self isolating, cleaning, vaccination)
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17
Q

What are 4 ways of detecting disease?

A
  • antigens detected in a persons bloodstream or body fluids - e.g COVID 19 testing kits
  • DNA testing - can see whether some alleles that could mean the disease later in life (non-communicable)
  • Visual Identification of the disease (from trained professionals)
  • Reporting plant diseases
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18
Q

What are the 4 main physical plant defences?

A
  • waxy cuticle - keeps leaf waterproof and also prevents pathogens from getting in through the surface
  • cell wall - can act as a physical barrier to pathogens within the leaf
  • Callose Production - presence of pathogens can cause callose to form which makes a temporary extra cell wall
  • production of anti-microbial substances - some plants produce anti-microbial substances to defend agaisnt pathogens, which may kill the pathogen or prevent reproduction
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19
Q

What are the first lines of defence against pathogens for the body?

A
  • nose hairs - barrier against pathogens going up nostrils
  • mucus(goblet cells) in trachea/bronchi traps the pathogens/bacteria and cilia waft it up where it is swallowed and destroyed by hydrocloric acid
  • hydrocoloric acid in the stomach
  • enzymes in tears that kill bacteria
  • enzymes in sebum and sweat
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20
Q

How do white blood cells detect the presence of pathogens?

A
  • all cells have marker proteins on them called antigens
  • White blood cells recognises them, sees foreign antigens and knows
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21
Q

What is a phagocyte and what does it do?

A
  • it is a white blood cell that engulfes unknown antigens
  • enzymes are released into the pathogen which destroy it
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22
Q

What type of immunity are phagocytes used for ?

A

NON SPECIFIC

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23
Q

What type of white blood cell is used for specific immunity?

A

LYMPHOCYTES

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24
Q

There is a different lymphocyte…

A

for every antigen

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25
Q

What do lymphocytes do and what are they?

A
  • lymphocytes produce proteins called antibodies which directly fit the corresponding antigen
  • will clone mutiple copies of the antibody
  • will release antibodies into bloodstream and body
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26
Q

What do antibodies do?

A
  • they will fit onto the antigen and clump many antigens together
  • this means phagocytes can engulf many antigens at once
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27
Q

How does the body get rid of the toxins from pathogens in the body?

A
  • another type of lymphocyte makes antitoxin
  • antitoxin is specific for toxin
  • break down the toxins
28
Q

Once you have antibodies why are you immune?

A
  • the lymphocytes do not waste time synthesising enough antibodies, you will already have enough
29
Q

How do vaccines work?

A
  1. injected with dead or weakened antigens
  2. lymphocytes clone the correct antibody
  3. body remembers/stores antibodies
  4. if infection occurs with live pathogen body has antibodies ready
  5. Artifical Immunity achieved
30
Q

How are monoclonal antibodies made (using mice)?

A
  • mouse is injected with antigen
  • mouse’s lymphocyte cells produce antibodies for the antigen
  • spleen lymphocyte cells are taken out and crossed with a myeloma (tumour of white blood cells) cell in the lab
  • forms hybridoma which can produce antibodies and replicate and clone indefinitely
  • the antibodies from the hybridoma can be extracted and purified for use
31
Q

How can monoclonal antibodies be used to diagnose diseases?

A
  • used for STD’s such as HIV and Chlamdiya
  • used for pregancy test (woman urinates on paper, paper has HCG antibodies which if antigen is present in urine causes colour change)
32
Q

How can monoclonal antibodies be used to measure or monitor

A
  • tests athletes for drugs
  • tests hormone levels
33
Q

How can monoclonal antibodies be used for research?

A
  • linked to fluroescent dye to locate cells with antibodies
34
Q

How can monoclonal antibodies be used to treat disease?

A
  • monoclonal antibodies can bind to receptors on cancer cells to stop growth hormones so they grow no larger
  • can take toxic chemical or radioactive substance to target cell direct so healthy cells are not affected
35
Q

What are the positives and negatives of monoclonal antibodies?

A
  • POS very specific unlike chemo, only go to target cells
  • CON very expensive
  • CON difficult to attach chemicals
  • CON mouse may be rejected by humans
36
Q

What are the criteria a drug must meet to be authorized?

A
  • must be safe, non-toxic and have few side effects
  • it must treat the symptoms of the illness, cure it or prevent symptoms
  • needs to be stable/stored easily
  • can it be sucessfully taken in and out of the body (reach its target and be excreted)
37
Q

What takes place before clinical trials for developing trials?

A
  • computer modelling (look at origin of drug and find a possible cure and put chemical composition in)
  • then they test on cells, tissues and organs
  • then they test on animals - test for optimal dose, effectivity and safety
38
Q

What are the stages in clinical trials?

A
  1. test on a small group of healthy volunteers (only to see if drug is safe with small side effect)
  2. tested on small group of affected individuals (placebo and actual group, to eliminate the placebo effect)
  3. larger group of volunteers with the illness
  4. then it is licensed
39
Q

What is a double blind trial?

A
  • person receiving drug and person giving drug both do not know whether it is placebo or drug
40
Q

What are 6 risk factors for developing a disease?

A
  • carcinogens - cause cancer e.g asbestos
  • ionising radiation
  • diet
  • exercise
  • alchohol
  • smoking
41
Q

How do cigarettes cause cancer?

A
  • cigarettes contain many carcinogens which are inhaled
  • this leads to uncontrollable cell division by mitosis (in the lungs)
  • form a tumour (depends on whether it is benign or malignant)
  • malignant tumour mean cancer
42
Q

How do cigarettes affect pregnancy?

A
  • the more cigarettes smoked, the lower the birth weightage
  • cigarette smoke contains carbon monoxide (and it has more affinity to haemoglobin than oxygen)
  • therefore if mothers blood has less oxygen means less oxygen for fetus and therefore slower growth and development meaning lower weight
43
Q

What are risk factors for cardiovascular diseases?

A
  • smoking - damages blood vessels - fatty deposits in blood - coronary heart disease
  • high fat diet - more cholestrol - adds to fatty deposists in blood - coronary heart disease
  • high salt/processed food - increased blood pressure can damage vessels
  • NOTE: it is mostly in developed countries that people eat high fat and salt diets so location is a factor
  • stress - releases hormones - narrow blood vessels and greater blood pressure
  • Obesity - lack of overweight + poor diet - sensitivity to insulin drops - diabetes - can influence
44
Q

How does alcohol affect succeptibility to diseases?

A
  • affects brain and liver
  • breaking down alcohol in liver damages the cells
  • if it occurs too much can lead to scar tissue and cirrhosis
  • damages brain cells leads to loss of volume (impairs brain function)
  • affects fetus - leads to facial deformities and problems with organs
45
Q

What is coronary heart disease?

A
  • where arteries to the heart become more narrow due to fatty deposits
  • less oxygen is delivered to heart
46
Q

How to treat coronary heart disease?

A
  • wire mesh/stent into blood vessels
  • they have a balloon inside which is inflated
  • widens the artery and squashes the fatty deposits
  • wire mesh stays extended keepin blood vessel open
47
Q

What can go wrong with a stent in the blood vessels?

A
  • wire mesh is an obstacle blood must go through
  • platelets start accumalate at obstacle and can form blood clot (thrombosis)
48
Q

What is bypass surgery?

A
  • rerouting blood to avoid fatty deposits via surgery
49
Q

How can cholestrol cause a fatty deposit?

A
  • lipid your body needs and transported by blood
  • if too much is being transported excess can be left in blood
  • bad cholestrol caused by poor diet, lack of exercise and genetics
  • can cause heart attack
50
Q

What are statins?

A
  • drugs that lower cholestrol production (to reduce fatty deposits)
  • preventative
  • have kidney and liver damage side effects
51
Q

What can cause blood loss?

A
  • injury can cause this (blood can still be pumped around if volume is topped up)
52
Q

What is the treatment for blood loss?

A
  • inject body with saline solution to act as volume top up
  • make sure to remove air bubbles
  • gives body enough time to make new blood cells
  • IF severe, blood transfusion must be uses ( need to be same type of blood)
53
Q

What is the pacemaker?

A
  • specialised cells in the right atrium that send electrical impulses for the cardiac muscle to contract
54
Q

What is the treatment/way to replace the pacemaker?

A
  • artificial device with 2 wires that mimics a pacemaker
  • after that people can live normally (will need regular check-ups)
55
Q

What can cause blood valves to malfunction?

A
  • as you get older the tissues of the blood valves stiffen and they cant close
  • this means the backflow of blood is not stopped
56
Q

What are treatments for blood valves?

A
  • valves can be replaced from a living organism human (if close tissue match) or pig
  • however they must take immunosuppresant drugs if rejected so they are vulnerable to other diseases
  • mechanical valves can also be used and they last longer (but more chance of clotting) so anti clotting drugs taken
57
Q

What is the treatment for a heart malfunction?

A
  • heart transplant from donor
  • issue of rejection and availability
  • artifical hearts used to legnthen time waiting for real heart
  • using artificial heart uses a lot of energy and patient must stay in hospital (short term)
58
Q

How to make cell/tissues/organs from a blastocyst?

A
  • use a blastocyst and extract the ICM cells
  • let them grow into an embryo
  • separate the clones cells and grow them under different conditions so they differentiate into different cells tissues and organs
  • these can then be transplanted into the patient
59
Q

What are some issues with organ transplants

A
  • tissue matching is required and rejection is very likely so immunosuppresabt drugs must be taken
  • these leave the patient vulnerable to other diseases
  • organ donor lists are very large
60
Q

What are some benefits and costs of cloned blastocyst organs?

A
  • you skip the organ donor queue but there are still rejection issues
61
Q

What is therapeutic cloning?

A
  • get a donor egg and remove nucleus
  • get patients somatic/body cell (diploid)
  • insert nucleus into egg cell
  • use electric shocks so the egg cell is stimulated to divide via mitosis and form a blastocyst
  • take ICM from blastocyst and follow process of making organs
62
Q

What is the debate around therapeutic cloning?

A
  • could treat disease BUT can cause cancer (as may divide faster than normal cells as they are from embryo)
  • spare embryos would be discarded and give better QOL for patient BUT embryos cannot give consent
  • less money needed to cure disease BUT will eradicating the disease lead to a social stigma
63
Q

What is the human genome project?

A
  • sequenced the entire human genome
64
Q

What have the benefits of the human genome project been?

A
  • personalised medicine
  • cancerous alleles can be identified
65
Q

What is gene therapy?

A
  • the placement of a fully functioning allele in a cell with a faulty allele for the same gene
66
Q

What are the 5 steps of gene therapy?

A
  1. The correct allele is isolated and removed from the chromosome
  2. allele is placed on a modified virus
  3. this virus is injected into the patient
  4. virus enters target cell
  5. correct allele is transcribed and trasnlated into correct protein
67
Q

What are some issues with gene therapy?

A
  • low success rate
  • misses target cells
  • expensive
  • may lead to infections (as virus may mutate)
  • may lead to cancer (as may intefere with cell cycle)
  • corrected cells may be replaced