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A Level Biology Topic 2 Genes and Health notes

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GCE A Level Edexcel Biology Salters Nuffield A Summary of everything you need to know for Topic 2 Genes and Health: cystic fibrosis, mutations, inheritance, genetic testing, human breathing system, cell plasma membrane, diffusion and osmosis, phagocytosis, proteins, enzymes, DNA and protein synthesis. Point form, easy to read with useful tables and diagrams. Self written by a medicine offer holder

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Cystic fibrosis
-​ Diff versions due to diff mutations of CFTR gene
-​ Affect liver, lungs, pancreas, spleen, skin, reproduction
-​ Liver and gallbladder: extra sticky bile blocks bile duct > irritation and
inflammation, scar tissue > liver disease
-​ Lung:
-​ Excess sticky mucus cause bacterial infection
-​ Mucus block bronchioles
-​ Less steep conc gradient, lower rate of gas exchange
-​ Let air pass in but not out: overinflation of lung tissue,
reduced elasticity
-​ Airway clearance, antibiotics
-​ Pancreas: mucus blocks delivery of digestive enzymes to digestive system,
protease break down islets of langerhans, trouble producing insulin and
digestive enzymes > type 1 diabetes
-​ Pancreatic enzyme pills (gastro-resistant to low pH)
-​ Need high fat + calorie intake: partial digestion and malabsorption
-​ Saltier skin: faulty secretory cell of sweat glands, sweat glands cannot
reabsorb salt from sweat
-​ Reproduction: infertility
-​ Mucus block vas deferens / congenital bilateral absence of the vas
deferens CBAVD
-​ thicker vaginal mucus plug, harder for sperm to reach ovum

Endocrine glands Exocrine glands

Pituitary gland, thyroid gland, adrenal glands, Pancreas, salivary glands, gastric glands: sweat,
pancreas: secrete hormones to regulate body tears, saliva, milk and digestive juices
-​ With ducts >> get blocked by mucus
functions
-​ Richly supplied w blood capillaries
-​ Ductless: secrete hormones directly
into blood


Pancreas: endocrine gland regulate blood glucose level by secreting insulin + glucagon into
blood

, ●​ Also exocrine gland: acinar cells secrete pancreatic juice w digestive enzymes
(pancreatic amylase, proteases, lipase) via pancreatic duct for digestion




Mutations
-​ Sudden and permanent change in DNA of an organism


Causes of mutations
1.​ Spontaneous mutations
a.​ Occur naturally and randomly at a very low rate (esp @DNA replication)
2.​ Induced mutations by mutagens
a.​ Chemical: change chemical structure of DNA
i.​ Nitrous acid (food preservatives): change base of DNA molecule
ii.​ Tar (cigarette smoke)
iii.​ Asbestos (construction materials)
iv.​ Mustard gas (chemical warfare)
b.​ Radiation
i.​ UV light (sunlight)
ii.​ X-rays (medical examination): ionise water or other molecules to form
free radicals (highly reactive, can damage DNA molecules)

, iii.​ Gamma rays (radiotherapy, nuclear bombs): ionise water or other
molecules to form free radicals (highly reactive, can damage DNA
molecules)


Types of mutations

Gene mutations Chromosome mutations

-​ Changes in base sequence of DNA -​ Changes in structure/number of
on a gene chromosomes
-​ Occur @DNA replication -​ Occur @
-​ Produce new alleles in a population
Change in chromosome structure
POINT MUTATION -​ Affect some genes: death of
Substitution and inversion embryos/foetuses before birth
-​ usually change in 1 triplet code only -​ @crossing over of non sister
-​ Possibilities chromatids in meiotic cell division
a.​ Silent mutation: new code -​ Possibilities
specifies the same amino acid: X -​ Deletion
effect on AA sequence -​ Duplication: segment is
b.​ Missense mutation: new code repeated
specifies a diff amino acid: 1 -​ Inversion: broken segment
diff amino acid: change of protein reversed order, reinserted
structure in non-critical area / -​ Translocation: crossing over
critical area (alter 3D structure of chromatids of non
of protein> non functional) homologous chromosomes
c.​ Nonsense mutation: new code
specifies a stop signal: Change in chromosome number
polypeptide production stopped -​ Addition of loss of many genes per
prematurely > non functional chromosome: most die before birth
-​ @anaphase I, II in meiotic cell
FRAMESHIFT MUTATION division
Deletion and insertion -​ Nondisjunction: homologous pair of
-​ Often dramatic effect chromosomes or sister chromatids
-​ Possibilities fail to separate, go to same
-​ Delete/insert Xmul3 bases: daughter cell > abnormal no of
shift reading frame, whole chromosomes
AA sequence after point of
mutation altered > non <extra chromosome 21> down syndrome
functional -​ Risk increases with mother’s age
-​ @meiosis: 2 members of homologous

, <substitution> sickle cell anaemia chromosome 21 fail to separate,
-​ (2 mutated alleles) Substitution of gamete bearing extra chromosome
base in gene coding for polypeptide fuse with normal gamete
chain in haemoglobin: -​ Symptoms
-​ base T replaced by base A -​ Shorter than avg
-​ 1 diff amino acid (valine -​ Distinctive round face with
instead of glutamic acid) smaller ears
-​ affect shape of polypeptide -​ Some degree of mental
formed, properties of retardation
protein -​ Most die @early childhood due to
-​ Low O2 levels: abnormal infections, heart defects
haemoglobin molecules less soluble,
stick tgt, form long fibres, distort <missing X chromosome: XO> turner’s
shape of RBCs (sickle shaped) syndrome
-​ Decrease O2 carrying -​ Female
capacity of RBCs -​ Little development of secondary
-​ Clump tgt, block capillaries > sexual characteristics
easy bruising, damage organs -​ Infertile: X ovaries, menstruation
-​ RBCs have shorter life span
> anaemia <extra X chromosome: XXY> klinefelter’s
syndrome
-​ Male
-​ Some degree of breast development
-​ Infertile: testes underdeveloped




<common: phenylalanine (AA) deletion> cystic fibrosis
-​ Cystic fibrosis transmembrane regulator (CFTR) non functional / absent
-​ Transmembrane/integral protein
-​ Ligand-gated chloride channel: facilitated diffusion
-​ ATP and phosphate bind to CFTR to open/close gate
-​ Cl- travel down conc gradient (unidirectional: Cl- leave cell)
-​ CFTR closed = ENaC always opened
-​ Epithelial sodium channel (unidirectional: Na+ enter cell)
-​ >> ATP temporarily builds in cell
-​ Decreased conductance: X transport Cl- ions out across cell membrane to lower
water potential
-​ Water and Na+ X move out by osmosis
-​ Mucus become thick, sticky >> accumulation
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Self written notes by a 6 year DGS full scholarship recipient and medicine offer holder. These helped me ace my exams. I hope they help you too.

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