Molecules, Transport and Health
Molecules, Transport and Health
Molecules, Transport and Health
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Water
Water as a solvent
● In water the hydrogen atoms are more positive than the oxygen atom, causing one end
of the molecule to be more positive than the other.
● This causes water to have a permanent dipole - an uneven distribution of charge within
the molecule, making water a polar molecule.
● Many substances, such as inorganic ions, can dissolve in water thanks to these positive
and negative charges within the molecule.
● When substances dissolve in water, they can move, allowing chemical reactions to occur.
Carbohydrates
Carbohydrates are molecules which consist only of carbon, hydrogen and oxygen and they are
long chains of sugar units called saccharides.
Monosaccharides
Disaccharides
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● Maltose is a disaccharide formed by condensation of two glucose molecules.
● Sucrose is a disaccharide formed by condensation of glucose and fructose.
● Lactose is a disaccharide formed by condensation of glucose and galactose.
Polysaccharides
These are formed from many monosaccharides of glucose joined together and are used as
energy stores:
● They are a large molecule with a compact shape - there are many glucose molecules
within a small space.
● They can be easily hydrolysed to glucose - glucose can then be broken down in
respiration to release energy.
● They are insoluble - so have no osmotic effect in cells.
Glycogen is the main energy storage molecule in animals and it’s formed from many molecules
of glucose joined together by 1,4 and 1,6 glycosidic bonds. It has a large number of side
branches meaning that energy can be released quickly. Moreover, it is a relatively large but
compact molecule thus maximising the amount of energy it can store.
Starch is the primary energy store in plants and it is a mixture of two polysaccharides called
amylose and amylopectin:
● Amylose – amylose is an unbranched chain of glucose molecules joined by 1,4
glycosidic bonds. As a result of this amylose is coiled and thus it is a very compact
molecule meaning it can store a lot of energy.
● Amylopectin - amylopectin is branched and is made up of glucose molecules joined by
1,4 and 1,6 glycosidic bonds, due to the presence of many side branches it is rapidly
digested by enzymes therefore energy is released quickly.
Monosaccharide monomers such as glucose and galactose can join together through
condensation reactions - reactions that join 2 molecules together through the release of a
small molecule (often water). The bond formed between 2 monosaccharides is known as a
glycosidic bond and contains a single oxygen atom.
To break apart polysaccharides these glycosidic bonds have to be broken, this time through a
hydrolysis reaction where a water molecule is added, splitting a polysaccharide into 2 smaller
molecules, or a disaccharide into 2 monosaccharides.
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Lipids
Lipids are biological molecules that have many different functions
within an organism such as energy storage, organ protection,
thermal insulation and making cell membranes. They are
non-polar molecules, so insoluble in water, but soluble in organic
solvents. Lipids can be saturated, or unsaturated:
Triglycerides are made of one molecule of glycerol and three fatty acids joined by ester
bonds formed in condensation reactions. There are many different types of fatty acids, they vary
in chain length, presence and number of double bonds. Also, some triglycerides contain a mix
of different fatty acids. Triglycerides are used as long term energy reserves in plant and animal
cells.
An ester bond
Mass transport
Why we need a transport system
Diffusion in single-celled organisms can occur directly between the external environment and the
cell, this is known as simple diffusion as it occurs only through the cell membrane. Exchange of
substances, such as oxygen for these organisms occurs very quickly as they have a very large
surface area to volume ratio. For larger organisms, like us humans, we have a low surface area
to volume ratio, meaning diffusion would be too slow to supply all cells with the nutrients they
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need and this is why larger organisms have mass transport systems that supply all cells with vital
substances.
Circulatory system
The mammalian circulatory system is comprised of the heart and three types of blood vessels:
arteries, veins and capillaries. Each blood vessel is adapted to its role in the circulation of the
blood.
Arteries
Capillaries
● Arterioles branch into these to supply cells with substances from the blood
● They are numerous and highly branched so have a large surface area
● Their walls are one cell thick to allow quick diffusion
● Very narrow diameter to reach close to every cell
Veins
● Capillaries join back up to form these, so veins carry deoxygenated blood back to the
heart
● Carry blood a low pressure so have thin walls
● Have a wide lumen to maximise blood flow to the heart
● Have valves to prevent backflow (blood flowing in the wrong direction).
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Structure of the heart
The heart is comprised of 4 chambers: the left
and right ventricles (which receive blood into
the heart), and the left and right atria (which
push blood out of the heart and into arteries to go
to the lungs or the body).
Mammals are described as having a ‘double circulatory system’, this is because the blood flows
through the heart twice in each circulation. Blood first enters the heart into the right atrium through
the largest vein in the body - the vena cava. The first time it leaves the heart it travels from the
right ventricle via the pulmonary artery to the lungs where it becomes oxygenated, the blood then
returns to the heart via the pulmonary vein into the left atrium. The second time the blood leaves
the heart is from the left ventricle via the aorta, where blood now flows to the rest of the body.
The movement of blood through the heart is carefully controlled by the contracting and relaxing
of heart muscles. The cardiac cycle has three stages as follows:
1. Atrial systole – the atria contract and this forces the atrio-ventricular valves open and
blood flows out of the atria and into the ventricles. Pressure in the atria is greater than in
the ventricles, so blood is forced out.
2. Ventricular systole – the ventricles then contract, causing the atrio-ventricular valves to
close and semi-lunar valves to open. Thus allowing blood to leave the left ventricle through
the aorta and right ventricle through the pulmonary artery.
3. Cardiac diastole – the atria and ventricles relax, elastic recoil of the heart lowers the
pressure inside the heart chambers and blood is drawn from the arteries and veins. Thus
causing semilunar valves in the aorta and pulmonary arteries to close, preventing backflow
of blood.
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Transport of gases in the blood
Haemoglobin
Haemoglobin is a water soluble globular protein found in red blood cells, which consists of two
beta polypeptide chains, 2 alpha polypeptide chains and 4 haem groups. Each of the 4 polypeptide
chains is bound to a haem group (Fe2+ ion) to which 1 oxygen molecule can bind. This means
each molecule of haemoglobin can carry 4 oxygen molecules. The oxygen binds with
haemoglobin to form oxyhaemoglobin, and can unbind when needed in respiring cells and
tissues.
The affinity of oxygen for haemoglobin (how easily oxygen loads onto haemoglobin) varies
depending on the partial pressure of oxygen, which is a measure of oxygen concentration. The
greater the concentration of dissolved oxygen in cells the greater the partial pressure. Therefore,
as partial pressure increases, the affinity of haemoglobin for oxygen increases. This means that
oxygen binds to haemoglobin more readily. This occurs in the lungs in the process known as
loading. During respiration, oxygen is used up therefore the partial pressure decreases,
decreasing the affinity of oxygen for haemoglobin. As a result of that, oxygen is released from
haemoglobin in respiring tissues where it is needed; this is known as unloading.
As oxygen diffuses into respiring tissues for respiration, carbon dioxide diffuses out and into the
capillaries. Here, in the low partial pressure of oxygen environment, carbon dioxide binds to
haemoglobin to form carboxyhaemoglobin. The deoxygenated blood returns to the lungs where
carbon dioxide unloads from haemoglobin, which binds to oxygen again.
Dissociation curves
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● Fetal haemoglobin - The haemoglobin present in foetuses has a different affinity for
oxygen compared to adult haemoglobin, as it needs to be better at absorbing oxygen
because by the time oxygen reaches the placenta, the oxygen saturation of the blood has
decreased. Therefore, fetal haemoglobin must have a higher affinity for oxygen in order
for the foetus to survive at low partial pressure.
● The Bohr effect - The affinity of haemoglobin for oxygen is also affected by the partial
pressure of carbon dioxide. Carbon dioxide is released by respiring cells, which require
oxygen for the process to occur. Therefore, in the presence of carbon dioxide, the affinity of
haemoglobin for oxygen decreases, thus causing it to be released.
Atherosclerosis is the hardening of arteries caused by the build-up of fibrous plaque called an
atheroma. Atheroma formation is the cause of many cardiovascular diseases and occurs as
following:
Blood clotting
Blood clots are formed to minimise blood loss from damaged vessels, and also to prevent
pathogens entering the bloodstream. Blood clots are important to preventing damage to the
body, however when they form on the inside of blood vessels, they can restrict blood flow
through the vessel and cause a blockade. This is known as thrombosis and can cause
cardiovascular disease. Blood clots are formed as follows:
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1. Platelets come into contact with a damaged blood vessel wall and change shape from
flattened discs to spherical shapes with thin outward projections which form a
temporary plug by clumping together.
2. The platelets and damaged tissues release clotting factors such as thromboplastin
which causes prothrombin to change to thrombin.
3. This enzyme catalyses the conversion of fibrinogen to insoluble fibrin, whose strands
form a mesh, trapping bundles of blood cells. More platelets attach to this, forming the clot.
Risk is defined as the chance of something unfavourable occurring. There are a number of
factors that increase the risk for cardiovascular diseases, some within a person’s control and down
to their lifestyle choices, others outside of their control.
● Genetics - certain genes can increase the risk, sometimes indirectly for instance by having
genes for a higher blood pressure. Family history of the disease also increases your risk.
● Diet - diets high in cholesterol and certain fats increase the build-up of plaque on arteries.
● High blood pressure - this can narrow and damage arteries or cause an aneurysm, both
of which increase the risk of CVD
● Smoking - smoking damages the lining of arteries and can cause the formation of
atheromas.
Thus risk of CVD can be reduced by stopping smoking, regular exercise, reducing consumption of
alcohol, dietary changes and maintaining healthy body weight.
Dietary antioxidants
Oxidative stress is an imbalance of antioxidants and free radicals of oxygen in the body. Free
radicals of oxygen are oxygen atoms with an uneven number of electrons, making it highly
reactive and meaning it can cause damaging chains of chemical reactions in the body.
Antioxidants can donate electrons to make the oxygen radical stable, without making itself
unstable. It’s thought that this oxidative stress can contribute towards the cause of cardiovascular
disease, so the intake of additional antioxidants in the diet should help prevent some cases of
cardiovascular disease and at least lessen the risk.
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Blood cholesterol levels and CVD
Cholesterol is transported in your body in high-density lipoproteins (HDLs) or low-density
lipoproteins (LDLs), they each have a different effect on cholesterol levels and are found in
different types of food.
High-density lipoproteins
● Transports cholesterol to the liver to be expelled
● Reduces cholesterol levels
● The more of this you have in your body, the better
● Formed from unsaturated fats and proteins
Low-density lipoproteins
● Transports cholesterol to the arteries where it can build up and form plaque
● Increases cholesterol levels
● The less you have of this in your body, the better
● Formed from saturated fats and proteins
There is a positive correlation between ingestion of saturated fats and an increase in cholesterol
level. Since increased cholesterol levels cause a build-up of plaque on artery walls, there is a
causal relationship between saturated fats (LDLs) and cardiovascular disease.
Antihypertensives
These are drugs that are used to lower blood pressure.
● Pros - generally effective on most patients and inexpensive.
● Cons - different types of drugs have different side effects, although most aren’t severe and
are irreversible.
Statins
These are a class of drugs used to lower cholesterol levels and so reduce the build-up of
plaques on artery walls.
● Pros - mostly effective, also help relax blood vessels leading to a lower blood pressure,
also helping to prevent CVD
● Cons - can cause nausea, vomiting and aches in muscles and joints, as well as more
severe but less common side effects such as diabetes. The side effects often go away
over time.
Anticoagulants
These are drugs that help prevent blood clots.
● Pros - Reduce the risk of internal blood clots that can sometimes cause thrombosis and
reduce blood flow in the artery.
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● Cons - If damage to the blood vessel does occur, then excessive bleeding can happen and
lead to a haemorrhage, since blood clots take longer to form.
Platelet inhibitors
These are drugs that interrupt the cascade through which blood clots are formed, commonly
through stopping thrombus formation and so preventing blood clots from forming.
● Pros - can help prevent the formation of blood clots in certain arteries that anticoagulants
are ineffective at preventing.
● Cons - Can, like anticoagulants, also lead to excessive bleeding and haemorrhage due to
slow clot formation.
Obesity indicators
The public’s understanding of cardiovascular disease and its causes has increased greatly over
the years and a number of measurements can now be used to look at obesity, which is a cause of
cardiovascular disease. Being aware you are overweight or obese can help encourage a change in
diet and increase in exercise to reduce the risk of CVDs.
The value generated can be compared to a chart which classifies you under the following:
● Under 18.5 - underweight
● 18.5 - 25 - normal
● 25 - 30 - overweight
● Over 30 - obese
WHR is another way to view if someone is overweight and can also be used to view their risk of
developing certain diseases. You are classified as obese if as a male you have a value greater
than 0.9 and as a female have a value greater than 0.85.
Perceived risk
Risk is the chance of something unfavourable occurring. Statistical chance of something occurring
can be supported using data obtained by scientific research. Whereas a perceived risk varies
from person to person and is based on factors, such as approval of activity. Therefore, as a result
of that, the perceived risk can vary greatly from the actual risk, thus leading to underestimating
or overestimating the probability of occurrence of an unwanted event or outcome.
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Exam Technique
From the specification: “students should be able to analyse and interpret quantitative data on
illness and mortality rates to determine health risks, including distinguishing between correlation
and causation and recognising conflicting evidence”
● Quantitative data - Data that can be represented with figures. For instance, your weight.
● Causation - This is when one variable causes another, and is different to correlation. 2
values can have a correlation, but that does not mean they cause each other. For instance,
an increase in cholesterol levels can cause an increase in plaque formation (causation and
correlation); or correlation only - the average temperature in 2 places both increase over 2
months, this is correlation, but one has not caused the increase in the other, so there is no
causation.
Evaluating studies
In order to make conclusions from scientific studies they must have been carried out appropriately
to avoid bias and to be representative of the whole population.
Sample selection must be done randomly to avoid bias, it must be a large enough sample size to
be representative of the whole population and must also be sampled across different areas. For
instance a nationwide study couldn’t sample from one city only.
A reliable study has statistical analysis and peer review from other scientists. Any trials involving
patients and doctors should have a control group, a placebo, and be blind - or ideally
double-blind.
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