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    Cardiovascular disease (CVD)

    12

    Unit 1: Lifestyle, Transport, Genes and Health1

    Green Book 1.1,1.2 Orange Book 1.1

    Bloodclottingisavitaldeencemechanismorthebody.Iyousueracutorgraze,thenclottingcan: minimisebloodloss helppreventtheentryopathogens providearameworkorrepair.But,iaclotoccursinsideabloodvesselitcanbeverydangerous,blockingbloodflowandsometimesleadingtothedeathotissues.

    Clotormationisstimulatedwhenthereisdamagetoabloodvessel.Damage

    exposescollagenfbrestowhich platelets(smallcellswithnonucleusormedwhenaprecursorcellragments)attach.Theplateletsreleaseaclottingactorcalledthromboplastin.InthepresenceocalciumionsandvitaminK,thromboplastinconvertsinactiveprothrombinintoactivethrombin.Thisinturnconvertsthesolublefbrinogenintoinsolublefbrin,whichormsanetworkofbres,trappingcellsanddebristomakeaclot.

    Atherosclerosis

    13

    Topic 1: Lifestyle, health and risk 1

    Green Book 1.1, 1.2 Orange Book 1.1

    Treatment of CVD

    RiskoCVDcanbereducedbyliestylechanges: stoppingsmoking moderateexerciseseveraltimesaweek stoppingover-consumptionoalcohol dietarychanges,especiallyloweringcholesterolandsaturatedatintake.

    Medicaltreatmentswhichcanhelpare: reducinghighbloodpressure(usuallydefnedasover160(systolic)/100(diastolic))

    byantihypertensives reductionobloodcholesterol,e.g.bydietorbydrugssuchasstatins

    anticoagulants platelet inhibitors.

    ThetablesummarisessomedrugsusedortreatingCVDandtherisksassociatedwiththeiruse.

    Make sure you know that the

    two substances, prothrombin

    and fibrinogen, are the inactiveforms. Promeans, roughly, first as

    in prototype. You may have met

    trypsinogen at GCSE and know that

    the ogensuffix means the

    inactive form.

    The formation of an atherosclerotic plaque is a positive feedback phenomenon.

    Athero (artery) sclerosis (hardening)

    the plaque makes the wall become

    less elastic and narrows the a rtery.

    CVD

    stroke blood supplyto part ofthe brainis cut off

    angina narrowing

    of coronaryblood

    vesselsheart attack blockage ofcoronaryvessels

    peripheral vascular disease thrombosis, narrowing of arteries toperiphery, especially common in the legs

    The various types of cardiovascular disease (CVD), all caused as a result of atherosclerosis.

    Drug treatment Mode of action Risks/side effects

    diuretics

    (antihypertensive)

    increasevolumeourine;

    lowersbloodvolumeand

    pressure

    veryoccasionaldizziness,nausea,

    musclecramps

    betablockers

    (antihypertensive)

    blockresponseoheart

    tohormonesandmake

    contractionslessrequentand

    lesspowerul

    possiblelinkwithdiabetes

    ACEinhibitors

    (antihypertensive)

    blocktheproductiono

    angiotensin(ACEstands

    orangiotensinconverting

    enzyme)whichnormallycausesarterialconstrictionand

    ariseinbloodpressure

    cough,dizziness,heartarrhythmia,

    impairedkidneyunction

    s tatins lower cholest er ol level inthe

    bloodbyblockingtheliver

    enzymethatmakescholesterol

    muscleaches,nausea,constipation

    anddiarrhoea;veryrarely

    inflammationreactionscanoccur

    which,evenmorerarely,areatal;

    also,againrarely,liverailure;also,

    peoplemaystoptryingtoeata

    healthydiet,leavingitalltothe

    statins

    anticoagulants,e.g.

    wararin

    reduceriskoclotormation riskouncontrolledbleeding;dosage

    controlisessential

    plateletinhibitory

    drugs,e.g.aspirin,

    clopidogrel

    makeplateletslesssticky aspirinirritatesthestomachlining

    andcancauseseriousstomach

    bleeding;usingclopidogrelwith

    aspirincanmaketheriskevengreater

    You probably will not know enough

    about what these treatments do to

    work out what the risks might be,

    so try to learn them thoroughly.

    Q1 Listthefactorswhichmustbepresentinorderorabloodclottoorm.Q2 EveniallthebloodclottingchemicalsyouhavelistedinQ1werepresent,

    thiswouldnotallowaclottoorm.Whatelseisneeded,apartromarangeochemicals?

    Q1 Use the outline flowchart

    below to summarise the

    clotting process by substituting

    the correct terms from the

    description on page 12.

    Thinking TaskTheriskosueringromCVDisincreasedby:

    geneticactors

    age

    gender

    highbloodpressure

    liestyleactorsdiet,exerciseandsmoking.

    (Seepage16ormoredetails.)

    increasedriskobloodclottingintheartery

    inflammatoryresponse

    whitebloodcellsmoveinto

    thearterywall

    cholesterolbuildsup,leadingtoormation

    oatheroma

    build-upocalciumsaltsandfbresleadingtoplaque formation

    narrowingoartery

    raisedbloodpressure

    damage toendothelial liningo

    artery(e.g.bysmoking,highbloodpressure)

    A

    B

    C D

    E F

    clot

    G H

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    Cells and organelles

    52

    Unit 2: Development, Plants and the Environment2

    Green Book 3.1 Orange Book 3.1

    Somesingle-celledorganismsandallmulticellularorganismssuchashumansaremadeupoeukaryoticcells.Aeukaryoticcellalwayscontains:

    anucleus,containinggeneticmaterial,surroundedbyadouble membrane(orenvelope

    organelles(structures)inthecytoplasm,eachsurroundedbyoneortwomembranes.

    Animal cell ultrastructureUltrastructureisthenameorthefnestructurethatisrevealedwhenusingapowerulmicroscopesuchasanelectronmicroscope.Theultrastructureoaeukaryoticanimalcellanddetailsosomeoitsorganellesareshownbelow.

    Cross-section of a generalised animal cell a typical eukaryotic cell.

    Protein transport within eukaryotic cells1. Amino acids made intoprotein on the ribosomes.

    2. Newly made proteinstored in rER cavity. 5. Protein being modified

    in the Golgi apparatus.

    vesicle which may containextracellular enzymes

    3. Protein being packaged atthe ends of rER. Membranecloses forming a vesicle.

    4. Vesicles, pinched off therER, transport proteintowards the Golgi apparatus.

    The Golgi apparatus and rER are involved in the making and movement of proteins through the cell. The

    arrows show the direction of transport. The proteins leave the cell by exocytosis, when the vesicles fuse with

    the cell surface membrane.

    53

    Topic 3: The voice of the genome 2

    Green Book 3.1 Orange Book 3.1

    Make sure that you can recognise

    and label the organelles from

    electron microscope (EM) images

    as well as from diagrams.

    ThemodifedproteinisplacedintovesiclesbytheGolgiapparatus.Somemaybeexportedoutothecell,suchasextracellularenzymes,e.g.amylaseandprotease.

    Golgi apparatusZl^kb^lh_lbg`e^%\nko^]lZ\l^g\ehl^][rZf^f[kZg^^Z\alZ\bllfZee^kmaZgma^ik^obhnlhg^fZgro^lb\e^l\enlm^kZkhng]ma^@he`bZiiZkZmnl

    rER (rough endoplasmic reticulum)Zl^kb^lh_lbg`e^%_eZmm^g^]lZ\l^g\ehl^][rZf^f[kZg^ribosomeshgma^lnk_Z\^

    sER (smooth endoplasmicreticulum)Zl^kb^lh_lbg`e^%mn[neZklZ\lfZ]^h_f^f[kZg^

    nucleuslnkkhng]^][rZ]hn[e^f^f[kZg^!^go^ehi^"ihk^l!ahe^l"bgma^gn\e^Zk^go^ehi^]Zkd&lmZbgbg`Zk^Z%\Zee^]ma^nucleolus%pbmabgma^gn\e^Zk^go^ehi^

    centriolesmphaheehp\rebg]^klZkkZg`^]Zmkb`am&Zg`e^lmh^Z\ahma^k

    lysosome^g\ehl^][rZlbg`e^f^f[kZg^\hgmZbgbg`]b`^lmbo^^gsrf^l

    mitochondrialnkkhng]^][rZ]hn[e^f^f[kZg^!^go^ehi^"bgg^kf^f[kZg^_he]^]bgmh_bg`^k&ebd^

    ikhc^\mbhgl\Zee^]\kblmZ^!lbg`neZk%\kblmZ"\^gmkZeZk^Z\hgmZbglZc^eer\Zee^]ma^fZmkbq_ehZmbg`bgma^fZmkbqZk^3ribosomes=G:!ZlZehhi"

    A

    B

    Onewaytoinvestigateproteintrafckingistouseradioactiveaminoacids.

    Atissuewassoakedinasolutionoradioactiveaminoacidsorashortperiodotimeandthentranserredtoasolutionwithnon-radioactiveaminoacids.

    Thetablebelowshowstheamountoradioactivity,asapercentageothe

    totalradioactivityinthecellsothistissue,oundinthreeorganelles,atthreedierenttimesaterbeingtranserredtothenon-radioactivesolution.

    Organelle Percentageoftotalradioactivityincellsafter

    tissuetransferredtonon-radioactivesolution

    5min 10min 45min

    vesicles 0 5 60

    rER 80 10 5

    Golgiapparatus 10 80 30

    totalradioactivity 90 95 95

    (a) ThevesiclescontainingradioactivitycaneithercomeromrERortheGolgiapparatus.Usingevidenceromthetable,suggestwhetherthesevesiclescomeromrERortheGolgiapparatus.

    AsmostotheradioactivityisintherERat5minutes,youwouldexpectalotinthevesiclessoonaterwardsitherERmadethesevesicles.At10minutes,therewasonlyalittleinthevesiclesandalotintheGolgiapparatus.ThissuggeststhattheGolgiisjustbeginningtomakethesevesicles.Thisisconfrmedat45minuteswhenthereislessradioactivityintheGolgiapparatusasitisnowinthevesicles.Thevesicles,thereore,comeromtheGolgiapparatus.

    (b) Suggestanexplanationorthedierenceinthetotalradioactivitybetween5minutesand10minutes.

    Atfrst,itlooksasthoughradioactiveaminoacidshavesuddenlyappearedbutthiscannotbe.Thisisaquestionaboutexperimentaltechnique.Datawascollectedatthreetimeintervalsratherthancontinuously.Itcouldbethatat4minsmoreradioactivitywasattherERbutby5minsithasalreadybeenpackagedandisintransittotheGolgi.By10minsithasarrivedattheGolgi.

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    2 Unit 2: Development, Plants and the Environment

    Multicellularorganismsareorganismsmadeupomanycells.Thesecellsarenotrandomthroughoutthebodybutareorganised.Thereare fourlevelsoorganisationasshownbelow.Plantandanimalexamplesaregiven.

    Q1 Explainwhatismeantbythetermsystem.

    Q2 Suggestonereasonwhyorgansareconsideredmorecomplexthancells.

    Q1 Make a table to compare a

    tissue and an organ.

    Thinking Task

    54 55Green Book 3.1 Orange Book 3.3

    Q1 During cell division, an animal

    cell does not have a nucleus

    but is still considered to be

    eukaryotic. Suggest tworeasons

    why this cell is still considered to

    be eukaryotic.

    Q2 Draw a diagram of a Golgi

    apparatus.

    Q3Make a flowchart to describeprotein trafficking from when

    the protein is first formed until

    it is released from the cell as an

    extracellular enzyme.

    Thinking Task

    Q1 Givethreestructuraldierencesbetweenatypicalprokaryoticcellandahumanlivercell.

    Q2 Giveonesimilaritybetweenthestructureoanucleusandamitochondrion.

    Q3 DescribehowyoucoulddistinguishrERromGolgiapparatus.

    Q4 Listfourmembrane-boundorganellesoundinananimalcell.

    Feature Prokaryoticcell Eukaryotic

    Animalcell Plantcell

    nucleuswithenvelope absent present present

    membrane-boundorganelles absent present present

    DNAoundas aloop separatestrands separatestrands

    slimecapsule sometimespresent neverpresent neverpresent

    flagella simple(ipresent) complex(ipresent) absent

    cellwall present(bacterial) absent present(cellulose)

    relativesizeocell small medium large

    Table to compare a prokaryotic cell with two typical eukaryotic cells.

    Allcellsomulticellularorganismsareeukaryotic.Palisadecelland

    livercellareexamples.

    Tissuesconsistooneoraewdierenttypesocellthatwork

    togethertoperormaunction.Epidermaltissueandmuscletissue

    areexamples.Organsaremadeupovarioustissuesgroupedtoworktogether

    andperormtheirunctionefciently.Leaandheartareexamples.

    Systemscomprisevariousorgansthatworktogethertoperorma

    large-scaleunction.Manypeoplebelievetherearenosystemsin

    plants.Thedigestivesysteminhumansisanexample.

    cells

    tissues

    organs

    systems

    Thediagramshowsasectionthroughalea.Explainwhythisleaisconsideredtobeanorgan.

    Thequestionasksaboutthisleaf,sowemustreertothediagram.Notethatthereisnoreerencetochloroplastssonomarkswouldbegivenorwriting

    aboutunction.

    Statethatanorganismadeuposeveraltissues.Pointoutthatthediagramshowspalisadetissueandalsoepidermalandspongytissue.Sothisleahasthreetissuesvisible,henceisanorgan.

    epidermal cell

    one cell from thepalisade tissue

    spongy cell

    guard cell

    Section through a leaf.

    Magnification and estimating sizeImagineacellthatmeasures10mmacrossonapagebecauseithasbeenmagnifed1000times.Fromthiswecanworkoutthetruesizeothecellbyusingtheormulabelowandtheexample.

    Calculationstages

    1 Usingthepyramid,youcanseethattruesizeisoundbydividingimagesizebymagnifcation.

    2 10103m(10mm)1000=

    3 Theanswercomesouttobe10106mor10m

    NB:Toworkoutmagnifcationusingthepyramid,useimagesizetruesize.

    When asked to compare, you should

    include similarities and differences.

    Cellular organisation

    Topic 3: The voice of the genome 2

    flagellum*

    photosyntheticmembranes*

    loop of DNA (nucleoid)

    glycogen granules,lipid droplets

    cell surface membrane

    smallribosomes

    cell wall

    plasmids*

    * = not present in all bacteria

    A typical prokaryotic cell. Compare this to the diagram of the eukaryotic cell.

    Differences between a prokaryotic cell and

    a eukaryotic cell

    Make sure you realise that bacteria

    are prokaryotes and that both plant

    and animal cells are eukaryotic

    cells.

    54 Green Book 3.1 Orange Book 3.1

    Make sure all dimensions are in

    the same units before you start

    the calculation. This is a commonsource of error.imagesize

    truesize

    magnifi-cation

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    Species and biodiversity

    70

    Unit 2: Development, Plants and the Environment2

    Green Book 4.3, 4.4 Orange Book 4.1, 4.3

    Biodiversityisthevarietyodierentorganismswithinahabitat.Twoaspectstoconsiderare: Speciesrichnessthenumberodierentspecieswithinanareaoknownsizeata

    particulartime.Aspeciesisagroupoorganismswithsomanyeaturesincommonthattheycanmateandproducesexuallyviableospring.

    Geneticdiversitythegeneticvariationwithinaspecies.

    How to measure these two aspects of

    biodiversity1 Measuringspeciesrichness

    Toestimatethespeciesdiversity,randomsamplingcanbecarriedout.Anumberoquadrats(oten10)oknownsizearerandomlyplacedinanarea.Allthespeciesoundineachquadratarerecordedandusedtoestimatethetotalspeciesrichness.

    71

    Topic 4: Biodiversity and natural resources 2

    Green Book 4.3, 4.4 Orange Book 4.1, 4.3

    Q1 Makeaflowcharttoexplainhowspeciesrichnesscanbemeasured.Q1 In a large population of

    organisms, eight different

    alleles were found for one gene.

    However, when only half of the

    population was sampled, six

    different alleles were found

    for the same gene. Suggest

    twopossible reasons for the

    absence of the two alleles.

    Thinking Task

    Make sure you know the difference

    between diversityand densityof

    organisms.

    1 Usingthedatainthetable:

    aworkoutthenumberospeciesoundinthe3m2

    sampled.

    b constructabarcharttocomparetherequencyooccurrenceoeachspecies.

    Answers a Itdoesntmatterwhetherthe

    speciesoccursonlyonceormanytimesasthisquestionitemisaskingorpresenceorabsenceonly.Theansweris,thereore,5asAtoEoccuratleastonce.

    b Frequencyisthetotalnumberotimeseachspeciesisound.ForspeciesAitis1andorspeciesDitis3.Thebarchartisshownbelow.

    1m2quadratnumber

    Species 1 2 3

    A

    B

    C

    D

    E

    F

    Frequ

    ency

    ofoccurrence

    3

    2

    1

    A B

    Species

    EC D F

    0

    2 Measuringgeneticdiversity

    Findthenumberodierentallelesinagenepool.

    Eachgenemayhaveonetomanydierentalleles.

    Thetotalnumberogenesaspecieshas

    Make sure you know the difference

    between allelesand genes. A

    gene codes for a characteristic,

    e.g. eye colour. The alleles are

    the alternative forms, e.g. blue or

    brown, of a gene that codes for a

    variable characteristic, e.g. eye

    colour.

    EndemismEndemismdescribesthesituationwhereaspeciesisoundinonlyoneparticulararea.Thering-tailedlemurisrestrictedtotheislandoMadagascarandsoisconsideredtobeendemictoMadagascar.

    A new taxonomic groupingThreedomainshavebeenidentifedbasedonmolecularphylogeny.Molecularphylogenycomparesthestructureoaparticularmoleculeromdierentorganismstodiscovertheirdegreeoevolutionaryrelatedness.Themoresimilarthestructureothemolecule,themorecloselyrelatedtheorganismsaretoeachother.Thisisbecausechangesinmoleculestructuregenerallyoccuronlyslowlyastheyarecaused

    bymutations.

    Thethreedomainsare:

    Bacteria

    Archaea

    Eukaryota.

    Theideaothethreedomainsillustratesthescientifcprocessandtheimportantroleocriticalevaluationonewdatabythescientifccommunity.

    Mutations in DNA and the

    structure of the proteins produced

    are covered in Unit 1.

    Alllieissplitintotheprokaryotesandeukaryotes

    AscientistcalledWoesesuggested

    athirdgroupwhichhecalledtheArchaea;hesupportedhissuggestion

    withevidence

    Otherscientistsstudytheevidencecareully;thisiscalledpeer review

    Otherscientistsstarttocollectevidence

    Mostscientistsacceptedthatallliewaseitherprokaryotic(cellswithoutatruenucleus)oreukaryotic(cellswithatruenucleus).

    Woesepublishedapaperinascientifcjournalusingmolecular

    phylogenicevidence.Thisisonewayoinormingthescientifccommunityoadiscovery.Otherwaysincludepresentinginormation

    ataconerenceorusingtheInternet.

    Thescientistsarecheckingthattheevidenceisaccurateandcorrect,thattheconclusionsdrawnaresensibleandthatthemethodsused

    areappropriate.

    Theevidencewillhelptosupportthesuggestion,torejectthesuggestionorleadtoamodifcationothesuggestion.Thereisstill

    debateaboutWoesessuggestionbutmuchothescientifccommunitynowacceptthethreedomains.