Detailed

• Pathogens


  Microorganisms that cause infectious disease, including viruses, bacteria, protists and fungi
• Viruses


  • Very small
  • Move into cells and use the biochemistry to make many copies of itself
  • This leads to the cell bursting and releasing all of the copies into the bloodstream
  • The damage and destruction of the cells makes the individual feel ill
• Bacteria


  • Small
  • Multiply very quickly through dividing by a process called binary fission
  • They produce toxins that can damage cells
• Protists


  • Some are parasitic, meaning they use humans and animals as their hosts (live on and inside, causing damage)
• Fungi


  • Can be single celled or have a body made of hyphae (thread-like structures)
  • They can produce spores which can be spread to other organisms
• Ways pathogens are spread

  • Direct contact (touching contaminated surfaces, kissing, contact with bodily fluids, microorganisms from faeces, infected plant material)
  • By water (drinking or coming into contact with dirty water)
  • By air (droplet infection from sneezing, coughing or talking)
• Ways to reduce the spread of disease

  • Improving hygiene (hand washing, using disinfectants, isolating raw meat, using tissues and handkerchiefs when sneezing)
  • Reducing contact with infected individuals
  • Removing vectors (using pesticides or insecticides and removing their habitat)
  • Vaccination
• Vaccination


  Injecting a small amount of a harmless pathogen into an individual's body, so they can become immune to it and not get infected
• Herd immunity


  When a large proportion of the population is vaccinated, the spread of the pathogen is reduced as there are less people to catch the disease from
• Measles


  • Symptoms: Fever and red skin rash, can lead to other problems such as pneumonia, encephalitis and blindness
  • Spread by droplet infection
  • Prevented by vaccinations for young children
• HIV


  • Symptoms: Initially flu-like symptoms, then the virus attacks the immune system and leads to AIDS
  • Spread by sexual contact or exchange of bodily fluids
  • Prevented by using condoms, not sharing needles, screening blood, and mothers with HIV bottle-feeding their children instead of breastfeeding
  • Development to AIDS prevented by antiretroviral drugs
• Tobacco mosaic virus


  • Symptoms: Discolouration of the leaves, the affected part of the leaf cannot photosynthesise resulting in the reduction of the yield
  • Spread by contact between diseased plants and healthy plants, insects act as vectors
  • Prevented by good field hygiene and pest control, growing TMV-resistant strains
• Salmonella food poisoning


  • Symptoms: Fever, stomach cramps, vomiting, diarrhoea
  • Spread through raw meat and eggs, unhygienic conditions
  • Prevented by vaccinating poultry, keeping raw meat away from cooked food, avoiding washing it, washing hands and surfaces, cooking food thoroughly
• Gonorrhoea


  • Symptoms: Thick yellow or green discharge from the vagina or penis, pain when urinating
  • Spread through unprotected sexual contact
  • Prevented by using contraception such as condoms and antibiotics
• Rose black spot


  • Symptoms: Purple or black spots on leaves of rose plants, reduces the area of the leaf available for photosynthesis, leaves turn yellow and drop early
  • Spread by the spores of the fungus in water or by wind
  • Prevented by using fungicides or stripping the plant of affected leaves
• Malaria


  • Symptoms: Fevers and shaking
  • Spread by the female Anopheles mosquito, in which the protists reproduce sexually
  • Prevented by using insecticide coated insect nets, removing stagnant water, and travellers taking antimalarial drugs
• Non-specific defence system


  • The skin (acts as a physical barrier, produces antimicrobial secretions, has good microorganisms known as skin flora)
  • The nose (has hairs and mucus which prevent particles entering the lungs)
  • The trachea and bronchi (secrete mucus to trap pathogens, have cilia to waft mucus upwards)
  • The stomach (produces hydrochloric acid to kill pathogens)
• Specific immune system


  • Phagocytosis (white blood cells engulfing and consuming pathogens)
  • Producing antibodies (white blood cells produce antibodies that bind to pathogens)
  • Producing antitoxins (white blood cells neutralise toxins released by pathogens)
• Antibiotics


  Medicines that kill bacterial pathogens inside the body, without damaging body cells
• Antibiotics cannot kill viruses as they use body cells to reproduce, meaning any drugs that target them would affect body tissue too
• Painkillers


  Only treat the symptoms of the disease, rather than the cause
• The great concern is that bacteria are becoming resistant to antibiotics
• Ways to prevent the development of resistant bacteria

  • Stop overusing antibiotics
  • Finishing courses of antibiotics to kill all of the bacteria
• Many drugs were initially discovered in natural sources
• Epidemics (lots of cases in an area) can be prevented through herd immunity
• Bad reactions (such as fevers) can occur in response to vaccines (although very rare)
• Mutations can occur during reproduction resulting in certain bacteria no longer being killed by antibiotics


  1. When these bacteria are exposed to antibiotics, only the non-resistant one die

  2. The resistant bacteria survive and reproduce, meaning the population of resistant bacteria increases

  3. This means that antibiotics that were previously effective no longer work
• To prevent the development of these resistant strains

  • Stop overusing antibiotics- this unnecessarily exposes bacteria to the antibiotics
  • Finishing courses of antibiotics to kill all of the bacteria
• Preclinical testing


  Using cells, tissues and live animals
• Clinical testing


  Using volunteers and patients
• Clinical testing


  1. It is first tested on healthy volunteers with a low dose to ensure there are no harmful side effects

  2. The drugs are then tested on patients to find the most effective dose

  3. To test how well it works, patients are split into two groups with one group receiving the drug and one receiving a placebo (appears to look like the drug but has no active ingredient so no effect) so the effect of the new drug can be observed
• Single-blind


  Only the doctor knows whether the patient is receiving the drug
• Double blind


  Neither the patient or doctor knows whether they are receiving the drug, removing any biases the doctor may have when they are recording the results
• The results then need to be peer reviewed by other scientists to check for repeatability
• Monoclonal antibodies


  Identical antibodies, that have been produced from the same immune cell
• Producing Monoclonal Antibodies


  1. Scientists obtain mice lymphocytes (a type of white blood cell that make antibodies but cannot divide), which have been stimulated to produce a specific antibody

  2. They are combined with tumour cells (do not make antibodies but divide rapidly), to form a cell called a hybridoma

  3. The hybridoma can divide to produce clones of itself, which all produce the same antibody

  4. The antibodies are collected and purified
• Uses of Monoclonal Antibodies

  • Pregnancy tests
  • In laboratories to measure and monitor
  • In research to find or identify certain molecules on a cell or tissue
  • In the treatment of disease, e.g. cancer
• Pregnancy tests using monoclonal antibodies

  • A hormone called human chorionic gonadotrophin (hCG) is present in the urine of women who are pregnant
  • The first section has mobile antibodies complementary to the hCG hormone- these antibodies are also attached to blue beads
  • The second section has stationary antibodies complementary to the hCG hormone which are stuck down to the stick
  • The individual urinates on the first section, and if hCG is present it binds to the mobile antibodies attached to blue beads to form hCG/antibody complexes
  • They are carried in the flow of liquid to the second section
  • The stationary antibodies then bind to the HCG/antibody complexes
  • As they are each bound to a blue bead, results in a blue line
  • This indicates that you are pregnant
• Using monoclonal antibodies in laboratories


  • They can be used to measure and monitor levels of hormones or chemicals in the blood
  • The monoclonal antibodies are modified so that they will bind to the molecule you are looking for
  • The antibodies are also bound to a fluorescent dye
  • If the molecules are in the sample then the antibodies bind to it, and the dye can be observed
• Using monoclonal antibodies in research


  The same method as above is applied, and scientists look for a build up of the fluorescence