Unit 1 New Syllabus Notes
Unit 1 New Syllabus Notes
Practical section
• Introduction to investigations 63
• Unit 1 Core practical 65
1) Deoxygenated blood from the whole body enters the right atrium carried by the vena
cava.
2) Deoxygenated blood is pumped from the right atrium into the right ventricle.
3) Deoxygenated blood is then pumped from the right ventricle to the lungs carried by the
pulmonary artery. In the lungs, oxygenation takes place
4) Oxygenated blood is returned to the left atrium carried by the pulmonary veins.
5) Oxygenated blood is pumped from the left atrium into the left ventricle.
6) The left ventricle pumps oxygenated blood to all the tissues of the body carried by the
aorta.
› Pulmonary circulation: 3 & 4 only
› Systemic circulation: 1 & 6 only
• Semilunar Valves: Allow blood from the ventricles into major arteries during
ventricular systole. During diastole, pressure in arteries is slightly higher than
ventricles so blood collects in the pockets closing the valve.
N.B If the question is about the adaptations of the aorta, the answer would be the exact same
except for the following points:
1) Relatively large lumen to accommodate the large volume of blood.
2) The aortic semilunar valve is present to prevent backflow of blood during diastole & atrial
systole.
Blood
Blood Constituents
Plasma 55% (Liquid part of the blood) Cells 45% (Solid part)
Water 90% Dissolved substances 10%: RBCs: WBCs: Platelets:
Glucose, salts, minerals, Oxygen Immunity (150000 –
hormones, enzymes, wastes transport 400000/ mm3)
and
Function in
Blood clotting
Plasma proteins (fibrinogen+
albumin+ globulin)
Blood Clotting
› Advantages:
• Prevents loss of health by entry of microorganisms.
• Prevents blood loss.
If energy input is higher than energy output this leads to obesity & the opposite causes weight
reduction. This explains why any weight loss program should have two arms: The first arm is
reducing energy intake through having smaller quantities of a balanced diet & the second arm is
increasing energy loss through doing regular exercise
The table shows how BMI values are used to describe the weight of people.
N.B. Lipids cannot be transported by water. To be transported in blood, they must be coated by LDL
& HDL. HDL is protective as it transports fats from blood to the liver. LDL increases the risk of
CVD as it transports lipids from the liver into blood increasing the risk of atheroma. So to assess
the risk of CVD, we calculate the LDL:HDL ratio. The higher the ratio the higher the risk & vice
versa.
4. Others:
› Plant Sterols: They decrease the absorption of fats from the intestine.
› Antioxidants: They decrease free radicals that cause endothelial damage.
C. Surgical methods *read only*
1. Balloon angiography
2. Coronary Bypass
3. Heart Transplantation
Designing Studies
Types of Studies:
1. Case Control Study
› One group is having the disease (Cases) while the other group is not having the disease
(Control).
› Both groups are asked about the past history of exposure to risk factors.
2. Cohort Study or Longitudinal Study
› Start with normal population and divide into two groups.
› One group is exposed to the risk factor while the other group is not exposed.
› Follow up over a long period of time.
When commenting on graphs, your comment should include description of the trend, pattern
& data manipulation (subtraction, division or percentage change). Don’t make theoretical
assumptions except if you were asked to explain the changes shown by the graph.
When you are asked to calculate the length of the cardiac cycle using pressure / volume
changes table, look for the time between two successive repeated figures. If a graph is given,
look for the distance between two successive peaks on the x-axis.
Placebo is a control drug that doesn’t have the active ingredient but looks similar to the real
drug. It could be for example a starch tablet or a water capsule. It is used to compare its effect
with the effect of the real drug and to eliminate the psychological impact of being on a
medication.
To assess the correlation between a risk factor and a disease using 2 graphs, look for the
pattern of change. If the pattern of the risk factor graph obeys and precedes the disease graph,
this suggests a correlation. A fluctuating or opposing pattern never suggests a correlation.
Morbidity = disease presence, Mortality = Death from the disease. Differences in morbidity
or mortality rates in different populations are usually attributed to differences in health
education & awareness, the presence of new medications, the presence of different risk factors
& sticking to protective measures.
Morbidity and mortality rates are calculated as a number per 100,000 as population sizes are
different so this allows for a valid comparison.
Biological Molecules
© Dr. Mohab Megahed 19
› Types of bonds:
1. Hydrogen bonds: weak bonds between slightly charged atoms.
2. Ionic bonds: strong bonds between strongly charged ions.
3. Disulfide bridges
Water (H2O)
› Water molecules are non-linear and dipolar due to different sizes of atoms and
uneven distribution of charges.
› Water has a dipolar nature due to uneven distribution of charges. This allows
the formation of hydrogen bonds with all polar particles. Positive ions bond
with the negative end of water while negative ions bond with the positive end
of water. So all polar structures dissolve in water. This makes water an
excellent solvent.
› Moreover, water molecules can form hydrogen bonds with each other (cohesion) as well as
with nearby surfaces (adhesion). This allows water to move as one unbroken column.
› An excellent solvent that moves as one unbroken column is definitely a perfect transport
medium.
Water Properties
1. Excellent Solvent.
2. Amphoteric:
Keeps constant pH as it acts as a proton donor or a proton acceptor. So, it acts as a buffer during
metabolic reactions.
3. Transparent:
Allows marine life to exist due to passage of sunlight and photosynthesis.
4. Low Density:
Ice floats on the surface insulating the lower water which allows for the continuity of marine life.
5. High specific heat capacity (SHC):
Keeps water temperature within narrow limits. This allows for proper enzyme activity of aquatic
organisms.
Carbohydrates (CH2O)n
Monosaccharaides
Monomers of Carbohydrates
› They could be either:
• Trioses: Only three carbon atoms C3H6O3
• Pentoses: Only five carbon atoms C5H10O5
• Hexoses: Six carbon atoms C6H12O6
› Hexoses include Glucose, Galactose and Fructose
Starch:
› It’s a polymer of a-glucose monomers joined together by a 1,4 glycosidic bonds formed
through condensation reactions.
Properties of Polysaccharides
1) Large/high molecular weight.
2) Insoluble in water/non-polar/hydrophobic.
3) Non-sweet in taste.
› As shown above, Triglycerides are formed of glycerol head and 3 Fatty acid tails joined by
condensation forming Ester Bond.
Types of Fatty acids
Saturated Fatty acids Unsaturated Fatty acids
› FA chain contains the maximum possible › FA chains contains less than the maximum
number of H-atoms. (saturated with number of H-atoms.
hydrogen) › C=C double bonds (1=MUFA, if ˃1
› No C=C double bonds =PUFA)
› Straight structure › Kinky structure
› Example: animal fat › Example: plant oils.
› Causes CVDs. › Don’t cause CVDs.
› High melting point › Low melting point
N.B. Saturated fats are tightly packed so they have strong intermolecular forces and a high level of
heat energy is needed to break these forces unlike unsaturated fats which are loosely packed.
N.B. The general formula of saturated fatty acids is CnH2nO2
© Dr. Mohab Megahed 25
Phospholipids
› Same as Triglycerides, but one of the FAs attached to glycerol is replaced by phosphate
group.
› Formed of a polar hydrophilic head (phosphate group) and 2
non-polar hydrophobic tails (fatty acids).
› Form an important part of cell membrane, the Phospholipid
Bilayer.
› All amino acids have the same backbone consisting of a central carbon attached to H, carboxyl
group on one side and amino group on the other side as well as a variable R group.
› There are only 20 types of AAs. However, by using different numbers, sequences and
combinations a huge number of proteins can be produced.
› Humans can only make 12 AAs in their bodies. The others must be supplied in diet, so they
are called essential Amino acids.
Peptide Bond Formation
› One Amino acid loses OH from the Carboxylic group, the other Amino acid loses H from
the Amino group (Condensation reaction).
› The bond is broken by addition of H2O (Hydrolysis reaction).
› The backbones of all Amino acids are similar, the only thing that differentiates between
them are the R-groups. So, the R-groups:
§ Determine the properties of the Amino acid.
§ Determine the function of formed proteins.
§ Determine types of bonds that hold proteins in the 3ry and 4ry structures.
Secondary Structure:
Slight bending of the polypeptide chain producing α-helix or β-pleated sheets. Formed between
slightly charged atoms in the backbone of amino acids (Hydrogen bonds).
• R-groups are not involved in the 2ry structure.
• Backbones are similar, so the 2ry structure is not specific for particular proteins.
α-helix β-pleated sheets
Formed by H-bonds between amino acids of one H-bonds between amino acids of one chain
turn and those of the next turn. Ex. Keratin of and amino acids of an adjacent chain. Ex.
nails and skin. Fibroin in silk protein.
Tertiary Structure:
The bending and folding of the polypeptide chain into a precise, complex and unique 3D shape
through the formation of bonds between R-groups. The bonds are of the following types:
1. Hydrogen bonds 2. Ionic bonds 3. Disulfide bonds
› Formed between the small › Formed between the charged › Formed between R-groups
+ve charge of the Hδ+ and amino group and charged of amino acids that contain
the small –ve charge of the carboxyl group of R-groups sulfur.
δ-
O found on R-groups. of the amino acid. › The strongest of the three
› Very weak bonds, › Stronger than H bonds but types of bonds.
› Broken by temperature weaker than disulfide bonds. › Only broken by reducing
› Broken by PH agents.
4. Hydrophobic interactions: they are not real bonds, but the presence of hydrophobic R-
groups makes the polypeptide chain bend or fold.
Examination tip
Describe how the 1ry structure determines the 3ry structure & properties of an enzyme?
The primary structure determines the type, number & sequence of AAs in the polypeptide chain
so it determines the arrangement of the R groups and consequently the bonds to be formed
between those are groups such as Hydrogen bonds, ionic bonds or disulfide bridges.
Those bonds are responsible for bending & folding of the polypeptide chain to arrive at a precise
3ry structure with a specific shape of the active site (complementary to a certain substrate) leading
to enzyme specificity.
Moreover, the intact primary structure guarantees that the 3ry structure will have proper
positioning of the hydrophilic R groups outwards and hydrophobic R groups inwards ensuring
enzyme solubility.
Ventilation (Breathing)
It is the movement of air in (inspiration) and out of the lungs (expiration).
Ventilation is controlled by two groups of muscles: The Diaphragm and Intercostal muscles.
Inspiration Expiration
Alveoli:
› They are the tiny air sacs where gas exchange takes place.
Examination tips:
Remember that any gas exchange surface must have the following features to ease diffusion
of gases: Large surface area to volume ratio, Steep concentration gradient & thin surface
membranes.
The role of the respiratory system in gas exchange:
Ventilation maintains concentration gradient (as it brings inhaled air rich in O2 and removes
exhaled air rich in CO2.
Alveoli are responsible for gas exchange to which they are adapted by:
1. Large total surface area: as surface area is proportionate to diffusion.
2. Surrounded by a rich network of blood capillaries
3. Very thin wall (one cell thick) to shorten diffusion distance
4. Lined by a layer of moisture to prevent drying out of cells
All the above helps to overcome limitations of diffusion (such as…)
90
80
70
Haemoglobin/%
60
50
40
30
20
10
0
0 20 40 60 80 100
Partial pressure of oxygen/mmHg
It’s a sigmoid-shaped curve showing partial pressure of oxygen on the X-axis and
percentage oxygen saturation of Haemoglobin on the Y-axis.
This graph shows that Haemoglobin has low affinity to oxygen in tissues with low partial
pressure of oxygen (For example: exercising muscles) while Haemoglobin has high affinity
to oxygen in tissues with high partial pressure of oxygen (For example: lungs).
The above explains how Haemoglobin transports oxygen in our bodies as it binds to oxygen
in the lungs and leaves this oxygen in the tissues.
The Bohr effect: the presence of carbon dioxide reduces the percentage saturation at all
partial pressures. This means that Haemoglobin has a lower affinity to oxygen in tissues
with high carbon dioxide concentration or low pH so the graph shifts to the right.
Fetal Haemoglobin: Fetal Haemoglobin has higher affinity to oxygen than the normal adult
Haemoglobin. This leads to shifting of the oxygen dissociation curve to the left. This is due
to the different chemical structure from adult Haemoglobin. However, 6 months after birth
all fetal Haemoglobin is replaced by normal adult Haemoglobin.
§ Increase in temperature.
§ Decrease in cholesterol.
B. Facilitated Diffusion
› Definition:
Passive movement of substances down concentration gradient through channel proteins.
Channel proteins form hydrophilic tunnels through the hydrophobic centre of the bilayer,
allowing for the passage of large polar structures such as:
i. Glucose
ii. Amino acids
N.B Factors affecting Diffusion:
Both are called
1. Steepness of the concentration gradient.
Electrochemical gradient
2. Electric gradient: Ions attached to opposite charge.
3. Temperature: Increasing temperature increases diffusion.
4. Surface area: Increasing surface area increases diffusion.
5. Thickness of the membrane.
6. Size of the molecules: Smaller diffuses faster.
7. Polarity of the molecules: Non-polar molecules diffuses faster.
N.B Osmosis:
› Definition:
The net movement of water down water potential gradient through a partially permeable membrane.
› Water molecules can pass through one of the two pathways:
a) Inbetween phospholipids (Simple diffusion)
b) Through channel proteins (Facilitated diffusion)
› Water potential is a measure of the tendency of water to move from one place to another due
to its kinetic energy. Pure water has the highest water potential which is zero.
› Factors affecting Osmosis:
• All factors of Diffusion in addition to:
1. Solute concentration: adding solute to pure water restricts the movement of water
molecules.
2. Pressure applied to water: The higher pressure applied, the higher the water potential.
Diffusion
Concentration of substance
X inside the cell
Time
› First region: steepest increase in the concentration of substance X inside the cell.
Explanation: Highest concentration gradient so highest rate of diffusion.
› Second region: less steep increase in the concentration of substance X inside the cell.
Explanation: Lower concentration gradient so lower rate of diffusion.
› Last region: No change in concentration of substance X inside the cell.
Explanation: Equilibrium is achieved so diffusion stops.
N.B. Active transport graph shows a linear change as it’s not affected by concentration gradient.
Active transport
Concentration of substance
X inside the cell
Time
Concentration of substance X
inside the cell
Temperature
1. Temperature:
- A rise in temperature increases the rate of a chemical
reaction because both the enzyme and substrate gain
kinetic energy which increases the frequency of
successful collisions leading to a greater number of
enzyme substrate complexes. This continues until the
optimum temperature is reached at which the highest
rate of reaction occurs.
- Further increase beyond the optimum temperature, the
rate of reaction drops rapidly until it completely stops
due to denaturation of the enzyme.
Denaturation means that the shape of the enzyme’s
active site changes permnantly as temperature breaks
Hydrogen bonds and thus it no more fits the substrate.
- At temperature 0 enzymes and substrates are frozen and there is no kinetic energy for
movement. This is a state of reversible deactivation.
Polynucleotide chain
› Consists of many DNA nucleotides held together by
phosphodiester bonds between phosphate attached to C5 of
one nucleotide & C3 of the next nucleotide forming the
Sugar-Phosphate Backbone.
› This covalent bond is formed by a condensation reaction with
loss of H2O molecule.
› The polynucleotide chain has 2 ends; 3’ end and 5’ end.
› Consists of 2 DNA strands (2 polynucleotide chains) running antiparallel with the 5’ end
facing the 3’ end of the other strand.
› The two strands are held together by H-bonds between nitrogenous bases according to
complimentary base pairing rules.
• A=T
• G≡C
› Explanation:
• The space between backbones is just enough for 3 rings (Purines have 2 rings and
Pyrimidines have 1 ring).
• Both A and T have 2 weak charges so they form 2 hydrogen bonds.
• Both C and G have 3 weak charges so they form 3 hydrogen bonds.
(A needs 2 H-bonds just as T, while G needs 3 H-bonds just as C.)
› The two strands (polynucleotide chains) are coiled around each other forming a double
helix.
› DNA is a perfect genetic material:
1. Can carry instructions for protein synthesis.
2. Stable structure.
3. Can replicate easily and perfectly.
1. Grow E. coli cells in a medium with N15 as a sole source of nitrogen, collect a sample and
purify DNA.
2. Transfer cells to a medium containing N14. Leave them to divide once, then collect a sample
and purify DNA.
3. Leave cells to divide a second time then collect a sample of DNA and purify.
4. Centrifuge the 3 samples and compare the location of the DNA bands, DNA containing N15
is heavier and forms a lower band.
› Explanation:
• Original DNA was all heavy N15
• 1st generation has half-old (N15) and half-new (N14) → hybrid middle band.
• 2nd generation has two bands, one hybrid band in the middle and one light (N14) higher
band.
› Question:
Now draw the 3rd generation and its centrifuged band on the blank page.
Protein Synthesis
Intro:
› Each chromosome is a molecule of DNA.
› A gene is a short length of DNA coding for synthesis of a certain protein.
› The gene consists of many genetic codes.
Overview:
› Protein synthesis consists of Transcription and Translation
› Transcription: formation of mRNA from the gene in the nucleus.
› Translation: formation of a polypeptide chain using mRNA & tRNA in the cytoplasm.
1. Transcription
› Definition:
The process by which the base sequence on one strand of DNA molecule
(called the antisense strand) is converted into a complementary base
sequence forming messenger RNA, it occurs in the nucleus catalyzed by
RNA polymerase enzyme.
› Steps:
› A specific length of DNA (gene) unwinds & unzips. This is
catalyzed by DNA helicase enzyme. One of the two strands will
be used as a template for mRNA formation (Antisense strand)
while the other strand remains inactive.
› The antisense strand attracts free active RNA nucleotides according to complementary base
pairing rules T=A, A=U and G≡C. Then, RNA-polymerase enzyme catalyzes the formation
of hydrogen bonds and phosphodiester bonds (joins the sugar-phosphate backbone).
› Now, a single stranded mRNA is formed, it detaches and leaves through nuclear pores heading
to the ribosome.
› RNA-polymerase detaches, DNA strands rejoin each other to form a double helix again.
Now: every three bases on mRNA strand are called Codons as they code for a specific amino
acid on the polypeptide chain.
N.B The start codon is responsible for starting the amino acid sequencing process and bringing the
first amino acid. The stop codon is responsible for ending amino acid sequencing process and
releasing the polypeptide chain. It doesn’t bring an amino acid.
Mutations
Definition
Random change in the DNA nitrogenous base sequence which might alter protein structure. It
mostly occurs during DNA replication. It may be through insertion, deletion or substitution of a
nitrogenous base.
Causes
› Chemical mutagens: Ex. Tar, Tobacco smokers or Asbestos.
› Radiation mutagens: Ex. X-ray, Ionizing radiations.
Types
1. Neutral mutations:
The function of the protein is unchanged, this may be due to:
• One codon is altered. However, the new codon still codes for the same amino acid.
• A certain codon is changed. So, different amino acid exists in the 1ry structure, but it
doesn’t significantly affect the folding of the polypeptide chain.
2. Frame shift mutations:
All the codons in the sequence are altered, this may be caused by addition of a nucleotide (insertion
mutation) or removal of a nucleotide (deletion mutation).
3. Non-sense mutations:
The altered codon becomes a stop codon. So, the protein is half formed (mostly not functioning).
© Dr. Mohab Megahed 54
Genetic Diseases
› Definition:
A disease caused by a faulty allele on an autosome.
› Types:
› Mechanism:
Normally › CFTR protein allows exit of
Cl- outside epithelial cells.
› Na+ is drawn into mucus from
the intercellular space to
balance the charge. It passes
between epithelial cells.
› NaCl makes the mucus
hypertonic.
› Water enters mucus from the
cytoplasm by osmosis and it
becomes diluted (watery).
In Cystic Fibrosis › CFTR is blocked or absent so
Cl- stays inside the epithelial
cells.
› Na+ doesn’t move into mucus
as there is no change in
charges to balance.
› Mucus is hypotonic.
› Water leaves mucus to
cytoplasm by osmosis and it
becomes sticky.
Genetic Screening
Definition
Carrying out genetic analysis on a large number of people to identify carriers.
› In this process, samples are removed containing diploid somatic cells. (For example:
from the lining of the cheek)
› Gametes can’t be used in screening as they are haploid with half the DNA only. This
carries very high chances of having a false negative test result.
› Cystic fibrosis might arise from a wide range of different mutations in the CFTR gene, so
we should screen for all these possible mutations to avoid having a false negative test
result.
› When we identify carriers, we screen the rest of the family members in order to know if
they’re also carriers or not. This provides them with a real opportunity of making
informed choices.
Benefits
1. Reduce money spent by the health authorities, as usually the cost of treating an ill person is
higher than the cost of screening a large number of people.
2. Identifies carriers who can make their decision consequently, they have a variety of decisions:
a. To have children hoping to be lucky as only 1 in 4 are diseased.
b. Not to have children at all.
c. To get pregnant then undergo prenatal testing.
N.B. A negative screening test result makes the chances of having a diseased child very low but not
zero, because mutation might occur during the formation of gametes, a mutation might occur after
fertilization or the test itself might be false negative!
3. Data tabulation
› Independent Variable: comes in the first column in vertically oriented graphs OR upper
row in horizontally oriented graphs.
› Dependent Variable: comes in the second column in vertically oriented graphs OR lower
row in horizontally oriented graphs.
› Include SI units in the headings of your columns / rows.
› Use a large syringe to measure 20 cm3 of pureed potato into a conical flask
› Connect this conical flask using a delivery tube to a half-full water bowl with an inverted
measuring cylinder.
› Measure 2 cm3 of Hydrogen peroxide using a syringe and add them to the pureed potato.
› After, 30 seconds note the volume of oxygen in the measuring cylinder.
› Divide the volume of oxygen given out by 30 to get the initial rate of reaction in terms of
cm3/s
› Repeat the whole process using different concentration of H2O2 such as 30, 40 & 50 cm3
› Record the results in a table.
› Plot a graph showing the effect of changing H2O2 concentration on the rate of reaction.
› To ensure validity, control temperature using a thermostatic water bath and control pH by
adding buffer solution.
› To ensure reliability, repeat several times for each concentration of catalase and calculate the
average rate of reaction.
N.B Why use catalase?
1) Abundant in nature as it’s found in most living organisms.
2) It’s an enzyme with very high specific activity.
3) The product is oxygen gas which is easy to measure.
Independent variable: substrate concentration
Dependent variable: Initial rate of reaction at each concentration.
Controlled variables:
› Temperature
› pH
› Volume & concentration of the enzyme.
› Volume of the substrate
N.B. To investigate the effect of enzyme concentration on the rate of reaction, repeat the same
investigation but with varying the volume of pureed potatoes used and fixing H2O2
concentration.
Good Luck J