Topic 5 - Health, disease and development of medicines Flashcards

1
Q

What is a disease?

A

A condition where part of an organism doesn’t function properly.

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2
Q

What are antigens?

A

A foreign organism that gets into the body and triggers an immune response such as proteins on the surface of pathogens

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3
Q

What are Lymphocytes? (6)

A

Lymphocytes are another type of white blood cell. They recognise antigens. Lymphocytes detect that both the proteins and pathogens are foreign, not naturally occurring within your body and produce antibodies. This can take a few days, during which time you may feel ill. The antibodies created by the lymphocytes cause pathogens to stick together, and make it easier for phagocytes to engulf them.

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4
Q

Which chemicals that are used as chemical defences in plant help treat humans? (2)

A

Quinine comes from the bark of the cinchona tree. For years it was the main treatment for malaria.
Aspirin is used to relieve pain and fever. It was developed from a chemical found in the bark and leaves of willow trees.

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5
Q

How can you catch a communicable diseases?

A

When you are exposed to a pathogen

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6
Q

What do antihypertensives do?

A

They reduce blood pressure. Prevents damage to arteries so reduces risk of fatty deposits. However, has side-effects such as headaches

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7
Q

Describe Stomach Ulcers

A

Pathogen - Helicobacter Pylori
Symptoms - stomach pain, nausea and vomiting
How it spreads - Oral transmission (eating)
How to reduce transmission - Having clean water supplies and hygienic living conditions

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8
Q

How do Phagocytes engulf pathogens?

A

The phagocytes’ membrane surrounds the pathogen and the enzymes found inside the cell, then break down the pathogen in order to destroy it. As phagocytes do this to all pathogens that they encounter, we call them ‘non-specific’.

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9
Q

Describe Ebola

A

Pathogen - Ebola virus
Symptoms - Haemorrhagic fever
How it spreads - Via bodily fluids
How to reduce transmission - Isolating infected individuals and sterilising any areas a virus may be present.

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10
Q

What do statins do?

A

They reduce cholesterol in the blood. Slows build-up of fatty deposits. Reduces risk of heart attack and stroke. However, there can be severe side-effects - liver damage.

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11
Q

How do cell walls help defend a plant?

A

Forms a physical barrier against the pathogen if they make it past the waxy cuticle.

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12
Q

What are the effects of non-communicable diseases? (3)

A

> In areas of high levels or obesity, smoking or alcohol consumption there is likely to be high occurrence of non-communicable disease which can put pressure on resources of local hospitals.
Sometimes people with non-communicable diseases are unable to work which can affect the economy
The high cost and high occurrence of these diseases can hold back the development of these countries - so they have an effect on a global level

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13
Q

Describe Tuberculosis

A

Pathogen - Mycobacterium tuberculosis
Symptoms - Lung damage
How it spreads - Air when infected cough
How to reduce transmission - Infected people should avoid crowded spaces, practise good hygiene and sleep alone - homes should be well-ventilated.

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14
Q

What is the Lysogenic pathway?

A

No new viruses are made by it is combined with the host cell’s DNA which means that it is replicated when it the host cell divides.

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15
Q

What does detecting an specific antigen in plant tissue allow?

A

Pathogens have unique molecules on their surface called antigens. Antigens from a particular pathogen will be present in a plant infected with that pathogen and can be detected in a sample of plant tissue (using monoclonal antibodies). The detection of an antigen unique to a particular pathogen allows that pathogen to be idenfified and the disease diagnosed.

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16
Q

What aseptic techniques are needed to sterilise equipment to investigate the effects of antibiotics on bacterial growth? (5)

A
  • Autoclave (high temp and pressure to kill any microorganisms) for Petri dishes and growth medium
  • Inoculating loop should be passed through a hot flame before being used to transfer bacteria to remove unwanted microorganisms.
  • Liquid bacterial cultures should be kept in a culture vial with a lid. The lid should only be removed briefly when transferring the bacteria, to prevent other microbes getting in.
  • The Petri dish should have a lid taped on after the practical to prevent other microorganisms from the air getting in.
  • The Petri dish should be stored upside down to stop drops of condensation falling onto the agar.
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17
Q

Describe the steps of the lytic pathway

A

The virus simply replicates its genetic material by using the host’s cells and enzymes. After this, new viruses are formed when components assemble together. The host cell then burst open to release the new viruses (lysis). The cycle starts agains when the new viruses infect other cells.

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18
Q

How are monoclonal antibodies used to target drugs to cancer cells?

A

1) An anti-cancer drug is attached to monoclonal antibodies.
2) The antibodies are given to the patient through a drip.
3) The antibodies target specific cells (the cancer cells) because they only bind to the tumour markers. and radiotherapy) can affect normal body cells
4) The drug kills the cancer cells but doesn’t kill any normal body cells near the tumour.
5) Other cancer treatments (like other drugs as well as killing cancer cells
6) So the side effects of an antibody-based drug are lower than for other drugs or radiotherapy.

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19
Q

How were new drugs discovered?

A

In the past, drugs were discovered purely by chance such as penicillin by Alexander Fleming. Nowadays, most scientists use their knowledge of how a disease works to try and identify molecules that could be used as drugs to fight disease.

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20
Q

What are pathogens?

A

Pathogens are organisms such as viruses, bacteria, fungi and protists that cause communicable diseases.

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21
Q

What are memory Lymphocytes and why are they useful?

6

A

They can ‘remember’ the antigens from an infection by a previous pathogen. A second exposure to it will result in a much faster immune response. Antibodies will be produced much faster, which often stops us becoming ill again. There are hundreds of common colds caused by different viruses. It is very unlikely you will become infected by the same virus because memory lymphocytes exist to fight the infection immediately. This response to a known antigen is called the secondary response and it is much quicker than the response to an antigen for the first time.

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22
Q

What are the disadvantages of immunisation?

A
  • Doesn’t always work - doesn’t give you immunity

- Could give you bad reactions - swelling - but not always

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23
Q

What are the two ways to identify specific pathogens in a lab?

A

Detecting antigens

Detecting DNA

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24
Q

Describe chemical barriers in humans.

A

Hydrochloric acid - kills most pathogens that are swallowed.
Lysozyme (in tears) - kills bacteria that is on the surface of the eye.

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25
Q

Describe how coronary bypass surgery can be used to treat cardiovascular disease.

A

If part of a blood vessel is blocked, then a piece of healthy blood vessel is taken from elsewhere in the body and used to create an alternative route to the the blocked section.

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26
Q

What are anticoagulants?

A

They reduce chance of blood clots. This can cause excessive bleeding when you are cut.

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27
Q

What is blind testing and double blind testing in clinical testing? (3)

A

Blind - when the patient doesn’t know whether they’re getting the drug or the placebo.
Double blind - Neither the doctors or the patients know who had the placebo or the drug. This is so that the doctors monitoring the patients and analysing the results aren’t subconsciously influenced by their knowledge.

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28
Q

Describe how monoclonal antibodies are produced

A

Cannot be easily made by lymphocytes. Made by fusion of Myeloma (cancer/tumour) cells with B lymphocyte cell to produce antibodies. B lymphocytes make antibodies and myeloma cells divide a lot so fusing this together makes a Hybridoma cell which can produce antibodies and can divide a lot. The B lymphocyte is chosen to suit a specific antibody which can only tackle a specific antigen.

29
Q

What does health mean according to the World Health Organisation?

A

A state if complete physical, mental and social well-being.

30
Q

What is clinical testing?

A

Firstly, the drug is tested on healthy human volunteers to see if it has any harmful side effects when the body is working normally. If the results are good then the drug can be used on people with the illness. This is to find the dosage that is most effective and has the fewest side effects.

31
Q

What is the Lytic Pathway.

A

The pathway which produces new viruses. Most viruses reproduce this way.

32
Q

Why are you more susceptible to other disease if you already have a disease?

A

Your body may become weakened by the disease, so you are less able to fight off others.

33
Q

Describe how lifestyle changes can be made to treat cardiovascular disease.

A

This can reduce the risk of developing CVD but if you already have it can be part of the treatment, helping to reduce the risk of heart attacks or strokes. One lifestyle change could be to have a balanced and healthy diet which is low in saturated fat. They may also be encouraged to exercise regularly or to stop smoking. They don’t have any downsides.

34
Q

What is the second line of defence?

A

Immune system

35
Q

How does the drooping leaves of a Mimosa pudica plant help defend it?

A

The plant closes its leaves and then point its stems towards the ground when touched by an insect as it lands on it. This movement is a defence mechanism which acts to dislodge any insect that rests on it

36
Q

What is a risk factor?

A

Things are linked to an increase in the likelihood that a person will develop a certain disease during their lifetime. But they don’t guarantee that someone will get the disease.

37
Q

What risk factors are unavoidable? (2)

A
  • Age

- Gender

38
Q

How do Lymphocytes counteract the toxins from pathogens?

A

Some pathogens produce toxins which make you feel ill. Lymphocytes can also produce antitoxins to neutralise these toxins. Both the antibodies and antitoxins are highly specific to the antigen on the pathogen, therefore the lymphocytes that produce them are called ‘specific’.

39
Q

What are the stages of developing new drugs?

A
  1. Discovery
  2. Development
    • Preclinical testing
    • Clinical testing
40
Q

What is immunisation?

A

This involves injecting dead or inactive pathogens into the body. These are antigenic (carry antigens) so even though they are harmless, your body still makes antibodies. The antigens also trigger memory lymphocytes to be made. So, if live pathogens of the same type get into the body, there will already be memory lymphocytes that can cause a fast secondary immune response. This means that you’re less likely to get the disease.

41
Q

What two blood cells help fight disease as part of the immune system?

A

Phagocytes and Lymphocytes

42
Q

Describe how a new drug is tested on a person with illness. (4)

A

Patients are put into 2 groups. 1 is given the new drug and one is given a placebo - a drug that looks like the new drug but doesn’t do anything. This is to allow for the placebo effect where the patients expects the treatment to work and so feels better even if it isn’t the actual drug.

43
Q

What does detecting a pathogen’s DNA in plant tissue allow?

A

If a plant is infected with a pathogen, the pathogen’s DNA will be present in the plant’s tissues. Scientists have techniques that allow them to detect even small amounts of pathogen DNA in a sample of plant tissue, allowing them to identify the particular pathogen that is present.

44
Q

List the physical defences of plants (4)

A

Waxy cuticle
Cell walls (plant cells)
Large thorns(like roses)
Mimosa pudica plant - Drooping leaves

45
Q

Describe how transplants can be used to treat cardiovascular disease.

A

The whole heart can be replaced with a donor heart. However, it doesn’t start pumping immediatedly and the patient has to take drugs to stop the body from rejecting the heart. These drugs can have side-effects.

46
Q

What drugs are used to treat cardiovascular disease? (3)

A

> Statins
Anticoagulants
Antihypertensives

47
Q

How are monoclonal antibodies used to find blood clots?

A

1) When blood clots, proteins in the blood join together to form a solid mesh.
2) Monoclonal antibodies have been developed that bind to these proteins.
3) You can attach a radioactive element to these antibodies.
4) Then, if you inject them into the body and take a picture using a camera that picks up the radiation, that picture will have a really bright spot where there is a blood clot
5) This is useful because you can easily find a potentially harmful blood clot (and get rid of it before it harms the patient).

48
Q

What are Phagocytes?

A

Phagocytes are white blood cells. They are attracted to pathogens. They surround them in the blood, bind to them and engulf them. They do this to all pathogens (non-specific)

49
Q

How are monoclonal antibodies used in pregnancy testing? (4)

A

1) The bit of the stick you wee on has some antibodies (specific to the HCG hormone), with blue beads attached.
2) The test strip (the bit of the stick that turns blue if you’re pregnant) has some more antibodies (specific to HCG) stuck onto it (so that they can’t move).
3) If you’re pregnant and you wee on the stick: The hormone binds to the antibodies on the blue beads. The urine moves up the stick, carrying the hormone and the beads. The beads and hormone bind to the antibodies on the strip. So the blue beads get stuck on the strip, turning it blue.
4) If you’re not pregnant and you wee on the stick the urine still moves up the stick, carrying the blue beads. But there’s nothing to stick the blue beads onto the test strip, so it doesn’t go blue.

50
Q

What is the difference between communicable and non-communicable diseases?

A

Communicable diseases can be spread between individuals. Non-communicable diseases can’t be transmitted between individuals.

51
Q

What are the two lifecycles of a virus?

A

Lysogenic pathway

Lytic pathway

52
Q

Describe the chemical defences of plant (3)

A

Plants, like stinging nettles and foxgloves, have developed poisons to deter herbivores from eating them. They produce these constantly. These do not defend plants from infection by pathogens.

Other plants release a toxin into the air when attacked by aphids. This toxin acts as a warning to other aphids, causing them to fly away.

Also, some plants such as mint and witch hazel produce antibacterial chemicals. These kill bacteria that were not stopped by physical defences. We now use these chemical defences in antiseptics for humans.

53
Q

Describe how to investigate the effects of antibiotics on bacterial growth. (12)

A
  1. On the bottom of the agar plate, draw a cross and label the 4 sections “A”, “B”, “C” and “D” using the marker pen.
  2. Open the sterile syringe and then, working near the flame, carefully open the culture and use the syringe to remove 100 µl of culture, flaming the top of the culture bottle when opening and closing.
  3. Lift the lid of the agar plate very slightly and syringe the 100 µl of culture into the centre of the plate, close the lid.
  4. Next, lift the lid of the agar plate at an angle keeping one edge in contact. Open towards the Bunsen burner. Then use the spreader to spread the culture evenly across the surface of the agar plate. Rotate the plate spreading the bacteria whilst keeping the lid in contact.
  5. Dip the tips of the forceps in ethanol and flame them in a blue Bunsen flame and allow them to cool.
  6. Take a disc of the first antibiotic to be tested in the forceps.
  7. Lift the lid of the agar plate very slightly, only enough to be able to slide the forceps in and gently place the disc in the centre of area A.
  8. Dip the forceps in ethanol and flame them in a blue Bunsen flame.
  9. Repeat for the other two antibiotic discs and place them in areas B and C, remembering to flame the forceps each time.
  10. In area D, place a sterile filter paper disc that has been soaked in sterile distilled water, flaming the forceps as before.
  11. Use 2-4 small pieces of sticky tape to tape the lid of the plate securely onto the base but do not seal it completely.
  12. Incubate the plate for three days at 20-25 O C even though they would grow much faster at 37 O C.
54
Q

Describe HIV.

A

Pathogen - HIV virus
Symptoms - raised temperature (fever)
sore throat, body rash, tiredness, joint pain, muscle pain, swollen glands, leads to AIDS.
How it spreads - via infected bodily fluids
How to reduce transmission - using a condom for sex; treatment for HIV to reduce the viral load to undetectable; if you use drugs, never sharing needles or other injecting equipment, including syringes, spoons and swabs

55
Q

Describe how stents can be used to treat cardiovascular disease.

A

These are tubes inserted inside arteries to keep arteries open. Makes sure that blood flows through them properly. Lowers risk of heart attack. But over time, the arteries can narrow again as stents can irritate the artery and make scar tissue grow. The patient has to take drugs to stop blood clotting as well.

56
Q

Describe the Lysogenic pathway. (3)

A

1) The injected genetic material combines with the DNA of the host cell.
2) The viral genetic material gets replicated along with the host DNA every time the host cell divides - but the virus is dormant (inactive) and no new viruses are made.
3) Eventually a trigger (e.g. the presence of a chemical) causes the viral genetic material to leave the genome and enter the lytic pathway

57
Q

How do large thorns help defend plants?

A

Prevents it from being eaten, while plants like cacti have evolved thin spines. These adaptations protect plants from damage from pests and from disease from pathogens carried by pests.

58
Q

What risk factors are avoidable?

A

> Smoking - cardiovascular disease
Too many or too little nutrients - malnutrition
Not enough exercise and unhealthy diet - obesity
Too much alcohol - liver disease

59
Q

Describe Chlamydia

A

Pathogen - A bacterium but acts similarly to a virus as it can only reproduce inside host cells.
Symptoms - doesn’t always show symptoms but can lead to infertility in men and women.
How it spreads - unprotected vaginal, anal or oral sex; sharing sex toys that aren’t washed or covered with a new condom each time they’re used; your genitals coming into contact with your partner’s genitals – this means you can get chlamydia from someone even if there is no penetration, orgasm or ejaculation; infected semen or vaginal fluid getting into your eye
How to reduce transmission - wearing a condom when having sex; screening individuals for treatment or avoiding sexual contact.

60
Q

Describe Malaria

A

Pathogen - Protist
Symptoms - Damage to red blood cells and sometimes to the liver
How it spreads - Mosquitoes act as animal carriers (vectors). They pass on the protist but they don’t get the disease themselves
How to reduce transmission - Get mosquito nets and use insect repellent from biting people.

61
Q

Describe physical defences in humans (4)

A

Skin - barrier to pathogens, if it gets damaged blood clots quickly seal cuts and keep microorganisms out.
Hair and mucus in your nose - trap particles that could contain pathogens.
Mucus in airways in lungs - cells in your trachea and bronchi produce mucus which traps pathogens.
Other cells that line the trachea and bronchi have cilia which are hair-like structures that waft mucus up the back of the throat where it can be swallowed.

62
Q

Describe how antibiotics work. (5)

A

Antibiotics are used to treat bacterial infections. They work by inhibiting processes in bacterial cells but not in the host organism. Different antibiotics kill different types of bacteria, so it is important to be treated with the right one. Antibiotics don’t kill viruses. Viruses reproduce using your body cells which makes it difficult to develop drugs that destroy just the virus without killing the body’s cells.

63
Q

Describe Chalara ash dieback

A

Pathogen - Fungus
Symptoms - Leaf loss, bark lesions
How it spreads - Air by wind
How to reduce transmission - remove young infected trees and replant different species of tree . Restrict the import or movement of ash trees

64
Q

How are monoclonal antibodies used to diagnose cancer? (5)

A

1) First, the antibodies are labelled with a radioactive element.
2) Then, the labelled antibodies are given to a patient through a drip. They go into the blood and are carried around the body.
3) When the antibodies come into contact with the cancer cells they bind to the tumour markers.
4) A picture of the patient’s body is taken using a special camera that detects radioactivity. Anywhere there are cancer cells will show up as a bright spot.
5) Doctors can see exactly where the cancer is, what size it is, and find out if it is spreading.

65
Q

What is a waxy cuticle?

A

A barrier to stop pathogens from entering them or pest from damaging them; can stop water collecting on them so pathogens that transfers between plants in water cannot get in.

66
Q

What is Preclinical testing?

A

Firstly, drugs are tested on human cells and tissues in a lab. However, this doesn’t represent whole body systems. So then the drug is tested on live animals. This is to test that the drug works; how toxic it is and to find out the correct dosage.

67
Q

What are the advantages of immunisation? (3)

A
  • Big outbreaks of diseases(epidemics) can be prevented if a large percentage of people are immunised. Even those who aren’t immunised are unlikely to get the disease because there are fewer people able to pass it on - herd immunity. However, if a significant number of people aren’t immunised then the disease can spread quickly.
  • Some disease have been virtually wiped out by immunisation
68
Q

How can plant disease be detected in the field?

A

> Elimination of possible environmental causes
Distribution analysis of affected plants - random (by air)/ patches (through soil)
Observation of visible symptoms

69
Q

Describe Cholera

A

Pathogen - Vibrio Cholerae
Symptoms - Diarrhoea
How it spreads - Contaminated water sources
How to reduce transmission - Acess to clean water supplies