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The Ultimate Unit 1 Revision Guide

3.1.1 Disease

Syllabus Statement What I need to know:


Pathogens include bacteria, viruses and fungi.

How pathogens enter the body and cause disease.

Risk factors for cancer and coronary heart disease.

Difference between correlations and causal



Exam Q


Book Ref

Key Term








Lifestyle Factors


A micro-organism that causes disease

Passing a pathogen from one individual to another
Pathogen colonises host tissues.
A change in one variable is reflected by a change in
another e.g. incidence of cancer increases as number of
cigarettes increases
There is experimental evidence to prove that one factor
causes another
A measure of the probability that damage to health will
occur as a result of a given hazard
Factors to do with how we live that contribute to
suffering a disease. These are in our power to change.

Microorganisms include: Bacteria and viruses

Pathogens include: Bacteria, fungi and viruses

Pathogens: Bacterium
Bacteria release toxins as they multiply. These toxins affect
and damage cells in the region of infection. Eg, Pulmonary
Pathogens: Virus
Viruses enter living cells and disrupt their metabolic systems.
The genetic material of the virus incorporates itself into that
of the cell and instructs the cell to produce more viruses. Eg.
Pathogens: Fungi
Fungal hyphae secrete enzymes, which digest subject tissues.
The growth of hyphae physically damages tissues. Some fungi
also secrete toxins. Eg Athletes foot

For a microorganism to be considered a pathogen, it must: 1) Gain entry

to the host, 2) colonise host tissues, 3) resist the host defences, and 4) cause
damage to host tissues
How do microorganisms enter the body?
1) Many pathogens enter through the gas exchange system (including
ones that cause flu and TB).
2) Food and water can carry pathogens into the stomach and intestines via
the mouth and into the digestive system (including ones that cause
cholera) (gastrointestinal opening)
3) Broken skin
4) Urogenital openings
How are pathogens prevented from entering?
1) Mucous layer that covers the exchange surfaces and forms a thick sticky
barrier that is difficult to penetrate
2) Enzymes that break down pathogens
3) Stomach acid (low pH) which kills pathogens

How do pathogens cause disease?

1) By damaging host tissues the sheer number of pathogens causes
damage and stops tissues functioning properly e.g. viruses stop DNA and
RNA synthesis.
2) By producing toxins most bacteria produce toxins which cause damage
to the body e.g. the cholera bacterium produces a toxin which leads to
Correlations and causal relationships:
Correlation: a change in one or two variables is reflected by a change in
another variable
Causation: causal relationship one factor is proven to be the direct cause of
another by scientific evidence. (Not just correlation or statistical evidence)
Why not causal? Maybe there is another factor involved.
Data that shows there is a correlation between two variables e.g. cancer and
smoking can never prove that smoking is the cause of cancer so therefore
always look at it critically as it could be that stress is the cause and people
smoke to help with stress nothing can be explicitly proved!
Diseases can be caused by two factors: 1) Genetics and 2) Lifestyle
Factors that increase the risk of cancer

Smoking if they smoke the risk is higher

Diet low fat and high fibre rich in fruit and vegetables lowers risk
Obesity if someone is overweight the risk is higher
Physical activity more of this lowers risk

5) Sunlight more someone is exposed to sunbeds or sunlight (without sun

cream) the greater the risk
Factors that increase the risk of CHD

If you smoke
If you have high blood pressure
If your blood cholesterol is high
If youre obese
Diet if you have a high amount of salt this increases blood pressure
which increases the risk and if you have a high amount of saturated fatty
acids this increases blood cholesterol which increases risk
6) If you dont do a lot of physical activity
Therefore you can reduce the risk of CHD and cancer by:

Giving up or not taking up smoking

Avoiding becoming overweight
Reducing salt intake in the diet
Reducing saturated fats in the diet
Doing regular exercise
Keeping alcohol consumption within the recommended limits
Increasing intake of fibre and antioxidants in the diet

Section 1.2: Epidemiology

Epidemiology is the study of patterns in diseases and the various factors that
affect the spread of disease.

A correlation is different causal link.

Strong, positive correlation

A positive correlation will occur

when an increase in one variable,
causes an increase in another. In
order for the correlation to be
strong, there must be little
spread in the data.

Weak correlation

A weak correlation occurs when

there is a wide spread of data
shown in the graph.

Negative Correlation

A negative correlation will

occur when an increase in
one variable causes a
decrease in another.

How to prove a link

Wide samples must be used.

Data must be analysed over long periods of time.
Variables must be controlled.

Demographic Transition
Explains how the population changes over time e.g. from high birth rate.

Section 1.3: Lifestyle and Health

Risk A measure of probability that damage to health will occur as a result

of a given hazard.
We need to look at probability that a hazard will occur as a consequence of
the hazardous event.
If the consequence of the hazard is high and the probability is low, there is
little cause for concern.
A major concern is when both are high.

Measuring risk

0% (no harm will occur)

100% (will definitely occur)
A timescale is needed to give the data more weight.
Risk must be relative.


Cancer Cell division in an uncontrollable fashion. This continues if there

are nutrients.
Cancer cells cease to function normally.
Carcinogen Cause the DNA to mutate. They are cancer causing agents.
Most mutated cells are destroyed.
One mutated cell can cause a mass of mutated cells.
Benign does not move from the point of origin. Usually harmless,
however can cause problems depending on where it grows.
Maligment grow faster and can spread throughout the body. Can have
its own blood supply. The process of moving to another area of the body is
called metastasis.
Older people = more likely.
Genetics can cause approximately 5% of cancers. Tumour producing genes
Lifestyle factors can expose you to more carcinogens.
More you smoke, higher the risk.
Diet low fat, high fibre, fruit etc.
Radiation, UV light and X-rays are carcinogens.
Physical activity exercise reduces the risk.
Alcohol increases risk.
Hormones high level of sex hormones can increase risk.


Prevention is better than cure.

Early diagnosis.
Surgical removal Easiest when the tumour is benign.
Chemotherapy using drugs to kill cells in the body. Affects all cells that
divide rapidly.
Radiotherapy ionising radiation that destroys tissue. Healthy cells suffer
less so there are little side-effects.

Future treatments

Hyperthermia may destroy cancer because the immune system is better

at detecting cancer cells.
It may be possible to create drugs which can locate genes which are
responsible for mutating and causing each type of cancer.


Heavy smoking over a long period of time will drastically increase the risk
of developing lung cancer.
There is a strong correlation, but not a causal link.

Conclusive evidence

Tar in cigarettes contains Benzopyrene (carcinogen)

Cancer cells were looked at and scientist found that mutations occurred in
3 places in the DNA.
The gene that mutates is called a tumour suppressor gene.
This is still not a causal link because smoking does not definitely cause
cancer, even though it is very likely to be the cause.
It is only a correlation because it is a multi-factorial disease.

Coronary Heart Disease

Largest cause of death in the U.K

Occurs when one of the arteries supplying heart tissue with oxygen is
Heart cells respire anaerobically when there is a blood clot.
Anaerobic respiration does not release enough energy.
Heart attack myocardial infarction.
Blood clot thrombus
Process of a blood clot forming is called thrombosis.
If this happens to coronary arteries it is called coronary thrombosis.
Smoking narrows blood vessels thus increase blood pressure.
High blood pressure increases the rate at which cholesterol is deposited.
Exercise can lower blood pressure.
Diets high in saturated fats will increase the risk of developing coronary
heart disease.

3.1.3 Cells and Transport

Syllabus Statement What I need to
The structure of an epithelial cell from




the small intestine as seen with an optical


The appearance, structure and function

of plasma membrane, including cellsurface membrane, microvilli, nucleus,


mitochondria, lysosomes, ribosomes,

endoplasmic reticulum, Golgi apparatus

Transmission v scanning electron

The difference between magnification
and resolution.

Cell fractionation and ultracentrifugation

Chapter 3 Cells and Movement in and out of them

Book Ref

Key Term




The minimum distance apart 2 objects are, so that they look like
separate objects under the microscope
The process by which cells are broken up and the organelles
separated out
Cells that lack a nucleus and any membrane-bound organelles


Cell Fractionation


Prokaryotic Cells


Eukaryotic Cells


Saturated Lipids

Cells that have a nucleus, chromosomes and other membranebound organelles

Fatty acids with only C-C single bonds


Unsaturated Lipids

Fatty acids with one or more C=C double bonds



Attracted to water



Attracted to fat


Fluid-mosaic model


Extrinsic Proteins

The structure of a cell surface membrane and its various

Proteins on the surface of the bilayer


Intrinsic Proteins

Proteins spanning the bilayer






Active Transport

The net movement of molecules or ions from a region of high

concentration to a region of low concentration
The passage of water from a region of high water potential to a
region of low water potential, across a partially permeable
The movement of molecules or ions into or out of a cell from a
region of lower concentration to a region of higher
concentration using energy and carrier molecules


Lenses work more effectively if they are in a compound light microscope.

Light waves a have a relatively long wavelength; therefore, they can only
distinguish between objects that are at least 0.2 micrometers apart.
Limitation: cannot distinguish between two organisms less than 0.2
micrometers apart.

Beams of electrons have shorter wavelengths and are therefore able to

distinguish between objects as close as 0.1 nm apart. BETTER
Why are electron microscopes better? They have shorter wavelengths!


When an object is viewed under a microscope, the object seen under the
microscope is called called an image.

Magnification tells you how many times bigger the image is in relation to the
actual size of the object. It can be found using the following formula:
Magnification = size of image/size of object

The previous formula can also be rearranged to find the size of an object.
Size of object = size of image/magnification

Increasing magnification DOES NOT always increase the resolution


The resolving power of a microscope is the minimum distance two objects can be
apart in order for them to appear as separate items.

The greater the resolution, the greater the clarity of the image that is produced.
Cell fractionation: cells are lysed, contents separated

Cell fractionation is the process where cells are broken up and the different
organelles they contain are separated out.

Before fractionation begins, the cells are put in a solution that is:

Cold to reduce enzyme activity that might break down the organelles.
Isotonic to prevent organelles bursting or shrinking as a result of osmotic
gain or loss of water. An isotonic solution is one that has the same water
potential as the original tissue.
Buffered to maintain a constant pH.

To break up the cells a homogeniser/blender is used:


Cells are broken up by a homogeniser that releases the organelles. The fluid is
called a homogenate. It is then filtered to remove complete cells and large
pieces of debris.


Ultracentrifugation is the process by which the homogenate is separated in a

machine called a centrifuge.

This spins tubes of the homogenate, creating a centrifugal force that makes the
mixture separate.

The tube of filtrate is placed in the ultracentrifuge and spun at a slow

The heaviest organelles such as the nucleus are forced to the bottom
where they form a thin sediment.
The fluid at the top, called the supernatant (e.g ribosomes) is removed,
leaving just the sediment of nuclei at the bottom.
The supernatant is then put in another tube where it is spun at an even
higher speed than before.
The next heaviest organelles (mitochondria) are forced to the bottom and
the process continues until all the organelles are separated.

Section 3.2 The electron microscope

Electrons have a shorter wavelength than light and so they have a greater
resolving power.

As electrons are negatively charged, the beam can be focused using an


Advantages: Shorter wavelength, focused using an electromagnet

Because electrons are absorbed by molecules in the air, a near vacuum must be
created within the chamber of an electron microscope for it to work effectively.

There are two types of electron microscope:

- Transmission electron microscope and scanning

electron microscope.

Transmission electron microscope

The TEM consists of a gun that fires electrons which

are focused onto the specimen by an electromagnet.

Some of the electrons are absorbed by the specimen and appear dark on the
image; other parts allow the electrons through and so appear light. This produces
an image of the specimen.

The image that appears on screen is called a photomicrograph.

Because the process takes place in a vacuum, living specimens cannot be


A complex staining process is required and even then the image is only in B&W.
The specimen must be extremely thin.
Artefacts (structure not present in the organism when it was alive) may appear
on the image, these appear as a result of the way the specimen is prepared.

Scanning electron microscope

All the limitations of the TEM apply to the SEM but the specimen does not have
to be extremely thin as the electrons do not penetrate.
The beam of electrons is directed over the surface of the specimen in a regular

The electrons bounce on the contours of the specimen and are scattered.
The scattering of the electrons can be analysed and from this an image can be
produced using a computer.
***The SEM has a lower resolving power than the TEM (20nm) but is still
ten times better than a light microscope.

Classes of cells: Eukaryotic (Distinct nucleus, membrane-bound organelles) or


Epithelial cells are eukaryotic cells. Eukaryotic cells have a distinct nucleus and
a membrane that surrounds each organelle.
The function of an epithelial cells is to absorb and secrete.

The nucleus
The nucleus controls the cells activities and contains hereditary material.

The Nuclear envelope is a

double membrane that surrounds
the nucleus. Its outer membrane
is continuous with the
endoplasmic reticulum and often
has ribosomes on its surface. It
can control the substances
entering and leaving the nucleus.

Nuclear pores allow the passage of large materials into and out of the

Nucleoplasm is granular jelly like material that makes up the bulk of the

Chromatin is the DNA found within the nucleoplasm This is the form
chromosomes take up when the cells is not dividing.

The nucleolus is small spherical body within the nucleoplasm. It

manufactures ribosomal RNA and assembles ribosomes.

Function: control protein synthesis, contain cells genetic material, manufacture

ribosomes and ribosomal DNA
The mitochondria

A double membrane surrounds the

organelle, the outer one controlling the
entry and exit of material. The inner
membrane inner membrane is folded to
form extensions known as cristae.

Cristae are shelf like extensions of the

inner membrane. These provide a large
surface area for the attachment of
enzymes during respiration.

The matrix makes up the remainder of the mitochondria. It is a semi-rigid

material that contains proteins, lipids and traces of DNA that allows the

mitochondria to control the production of its own proteins. The enzymes

involved in respiration are found in the matrix.
Mitochondria are responsible for the production of the energy-carrier molecule
ATP. Because of this, high numbers of mitochondria are found in cells where there
is a high level of metabolic activity.

Endoplasmic Reticulum

Rough endoplasmic reticulum

has ribosomes present on the outer
surface of the membranes. Its
functions are to: a) provide a large
surface area for the synthesis of
proteins and glycoproteins, b)
provide a pathway for the transport
of materials, especially proteins
throughout the cell.

Smooth endoplasmic reticulum lacks ribosomes on its surface and is often more tubular in appearance. Its
functions are to: a) synthesise, store and transport lipids, b) synthesise
store and transport carbohydrates.

Golgi Apparatus

The Golgi apparatus is similar to the SER in structure but is more compact.

It consists of a stack of membranes that

form flattened sacks, or cisternae with
small rounded hollow structures called

The proteins and lipids produced in the ER

are passed through the Golgi apparatus in
strict sequence.

The Golgi apparatus modifies these

proteins often by adding non-protein
structures to them such as carbohydrates. It is also labels them so they can be
sorted and sent to their correct destination. Once sorted and modified, proteins
are transported in vesicles which are regularly removed from the edge of the
Golgi cisternae.

These vesicles move to the cell membrane where they fuse and release their
contents to the outside (exocytosis).


Lysosomes are formed when a vesicle contains enzymes.

Lysosomes isolate potentially dangerous enzymes from the rest of the cell before
releasing them outside of the cell or into phagocytic vesicles within the cell.

Lysosomes digest worn out organelles so that the useful chemicals they are
made of can be reused.

They can completely break down cells after they have died. (Apoptosis)


Ribosomes occur in either the cytoplasm or the RER. There are two types
depending on which cell they are found in:
80S Type found in eukaryotic cells, is around 25nm in diameter.
70S Type found in prokaryotic cells, is slightly smaller.


Microvilli are finger like projections of

the epithelial cells. Their function is
to increase the surface area for

Diffusion and effect of surface area,

difference in concentration and the thickness
of the exchange surface (Ficks Law).


The role of carrier proteins and protein

channels in facilitated diffusion.

Diffusion is defined as the net movement of molecules or ions from a region

where they are more highly concentrated to one where their concentration is

All particles are constantly in motion due to the kinetic energy that they possess.

The motion is random and there is no set pattern to the way they move.

Rate of diffusion

The greater the difference in concentration, the greater the rate of


The larger the area of an exchange surface, the greater the rate of

The thinner the exchange surface, the faster the rate of diffusion.

The nature of the plasma membrane; its composition and the number of

The size and nature of the diffusing molecule. For example smaller
molecules diffuse faster than big ones.

Diffusion is proportional to: surface area x difference in concentration

Length of diffusion path

Facilitated diffusion

Facilitated is a passive process as it only relies on the kinetic motion of particles.

Facilitated diffusion can only occur at specific point along the plasma membrane
where there are special protein molecules.

The proteins for

special water
filled channels.

The channels
only open for

This allows water soluble ions and molecules to pass through. Such molecules
such as glucose and amino acids would take much longer to diffuse through the
phospholipids bilayer.

When a molecule that is specific to the carrier protein is present, the carrier
protein changes shape, causing it to release the molecule on the other side of
the plasma membrane.


Osmosis and water potential

Osmosis is defined as the passage of water from a region where it has a higher
water potential to a region where it has a lower water potential through a
partially permeable membrane.

Water potential is measured in Pascals.

Under standard conditions of temperature (25oC), pure water is said to have a

water potential of 0.

Water with a solute dissolved in it will have a water potential that is less than 0.

Water molecules move from one side where the water potential is higher (less
negative) across a partially permeable membrane to another side where the
water potential is lower (more negative).

The water moves along a water potential gradient.

At the point where the water potentials on either side of a partially permeable
membrane are equal, a dynamic equilibrium is established and there is no net
movement of water.

Osmosis in animal cells

If a red blood cell is place in pure water it will absorb water by osmosis because
it has a lower water potential.

The cell-surface membrane will eventually burst if too much water enters the

To prevent cells bursting due to too much water entering the cells, cells are often
bathed in solutions where the water potential outside the cell is the same as the
water potential inside the cell. This is called an isotonic solution.

A hypotonic solution is one where the concentration outside is greater than the
concentration inside.

A hypertonic solution is one where the water potential outside the cell is lower
than the water potential inside the cell.


The role of carrier proteins and the transfer of

energy in the transport of substances against a

concentration gradient.
Absorption of the products of carbohydrate

digestion. The roles of diffusion, active transport

and co-transport involving sodium ions.
Cholera structure (prokaryotic cell)

Causes and symptoms of cholera.

Oral rehydration solutions (ORS) and ethical issues



Section 3.8 Active transport

Active transport allows cells to exchange molecules against a concentration

Metabolic energy is required for this process.

Active transport is the movement of molecules or ions into or out of a cell from a
region of lower concentration to a region on higher concentration using energy
and carrier molecules.

Metabolic energy is needed in the form ATP.

Carrier molecules which act as pumps are involved.

Active transport uses ATP in two main ways:

by using ATP to directly move molecules.

By using a concentration gradient that has already been set up by direct

active transport. This is known as co-transport.

The carrier molecules accept molecules or ions to be transport on one side

of it.

The molecules of the ions bind to the receptors on the channels of the
carrier protein.

On the other side of the membrane ATP bind to the carrier protein causing
it to split into ADP and a phosphate molecule. This as a result, causes the
carrier protein to change shape, releasing the molecule onto the other

The phosphate molecule then recombines with the ADP to form ATP again,
which causes the carrier protein to revert back to its original shape.

Occasionally, the molecule or ion is moved

into the cell at the same time as a different
one is being removed from it. One example
of this is the sodium-potassium pump

Sodium ions are actively taken in by the

cell whilst potassium ones are actively
removed from the cell.

Section 3.9 Absorption in the small intestine

Villi and Microvilli

Villi have walls lined with epithelial cells.

Villi are situated at the interface between the lumen of the intestines and the
blood and other tissues inside the body.

Their properties increase the efficiency of absorption because:

They increase the surface area for diffusion

They are very thin walled, thus reducing the distance over which diffusion
takes place.

They are able to move and so maintain a concentration gradient

They are well supplied with blood vessels so that the blood can carry away
absorbed molecules and hence maintain a diffusion gradient.

The epithelial cells possess Microvilli which further increase the surface area for
diffusion. They are situated on the cell surface membrane.

Villi contain muscles which move the food ensuring the glucose is absorbed from
the food adjacent to the villi, new glucose rich food replaces it, thus maintains a
concentration gradient for diffusion.

Role of active transport in absorption

The way in which most glucose is absorbed from small intestine is an example of

1. Sodium ions are actively transported out of the epithelial cells by the
sodium potassium pump.

2. There is now a much higher concentration of sodium ions in the lumen

than in the cells.
3. The sodium ions diffuse into the cells down a concentration gradient. As
they flood back into the cells, they are coupled with glucose molecules
which are drawn in with them.
4. The glucose diffuses into the blood through a carrier protein.

It is the sodium ion concentration, rather than the ATP directly, that powers the
movement of glucose into the cell.

Section 3.10 Cholera

Structure of a bacteria cell
The bacterium that causes cholera is called Vibrio Cholerae.

All bacteria possess a cells wall that is made up of peptidoglycan. This is a

mixture of polysaccharides and peptides.

Many bacteria also protect themselves by producing a capsule of

mucilaginous slime around this wall.

Flagella occur at certain types


Inside the cell-surface

membrane is the cytoplasm
that contains ribosomes that
are smaller than the ones found
eukaryotic cells. (70s type)

Bacteria store food as glycogen

granules and oil droplets.

The genetic material of a bacterium is found in the form of a circular

strand of DNA.

Separate from this are smaller circular pieces of DNA, called plasmids.



How the cholera bacterium causes disease

Almost all Vibrio cholerae bacteria ingested by humans are killed by the low pH
in the stomach but many can still survive, especially if the pH is above 4.5.
When the bacteria enter the lumen of the small intestine they use their flagella
to propel themselves through the mucus lining of the intestinal wall.

They then start to produce a toxic protein. The protein has two parts: one part
binds to the carbohydrate receptors of the intestinal epithelial cells, whereas the
other part enters the epithelial cells. The causes the ion channels of the cellsurface membrane to open, that the chloride ions that are normally contained
within the epithelial cells flood into the lumen of the intestine.
The loss of chloride ions from cells increases the water potential in the cell, but
lowers the water potential outside the cells. This causes water to move into the
small intestine.
The loss of ions from the cells establishes a concentration gradient. Ions move by
diffusion into the epithelial cells. This establishes a water potential gradient that
causes water to move by osmosis from the blood and other tissues into the small

Section 3.11- Oral rehydration therapy

What causes diarrhoea?

Damage to the epithelial cells in the lining of the small intestine

Loss of Microvilli due to toxins

Excessive secretion of water due to toxins

What is oral rehydration therapy?

Drinking water to treat diarrhoea is ineffective because:

Water is not being absorbed by the intestine. Indeed, as in the case of cholera,
water is actually being lose from cells.

The drinking water does not replace electrolytes that are being lost from cells of
the intestine.

As sodium ions are being absorbed, the water potential falls and water enters the
cells by osmosis.
A rehydration solution should therefore contain:

Water to rehydrate tissues

Sodium to replace the ions lost from the epithelium of the small
intestine and to make optimum use of the sodium-glucose carrier proteins.

Glucose to stimulate the uptake of sodium ions from the intestine and to
provide energy

Potassium to replace lost potassium ions and to stimulate appetite

Other electrolytes such as chloride and citrate ions, to help prevent

electrolyte imbalance

The solution must be given regularly and in large amounts whilst the person has
the illness.