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Introduction
The Road map starting on page 2 is a suggested route through Topic 2.
The learning outcomes are numbered as in the specification.
Here are notes a route through the topic if two teachers/lecturers are sharing a group for
Topic 2. The first teacher starts introduces the topic context, making it clear that the problem
is a faulty protein in the membrane. The first teacher looks at the effects of this on the lungs,
while the second teacher is considering the effect on the digestive and reproductive system.
The first teacher would complete sessions 2 / 3 / 6 / 7 / 8 / 9 / 17 / 18 /19 / 20 / 21. The
second teacher would complete sessions 4 / 5 / 10 / 11 / 12 / 13 / 14 / 15 / 16 This covers
protein structure before enzymes. The first teacher has more sessions, so if they have done
the introduction the second teacher may need to complete genetic screening (sessions 20
and 21) at the end of their sequence.
Note that learning outcome 17 Explain how the expression of a gene mutation in people
with cystic fibrosis impairs the functioning of the gaseous exchange, digestive and
reproductive system appears in several places throughout the table that starts on page 2.
There is an AS summary chart map at the end of the guidance notes. This shows where
concepts are introduced and revisited in later topics. (Some students will have studied cystic
fibrosis and its effects, and the associated ethical dilemmas, at GCSE.)
It is assumed that each session is approximately an hour in length. There are more activities
than can be done in the time available in most centres, so select a balanced collection
according to your and your students’ interests, and the time and resources available. Some
activities are labelled ‘Core’. Core activities contain experimental techniques included in the
specification, and may appear in questions on the unit exam for this topic. These learning
outcomes are in bold in the specification, and in the Read map below. They are underlined
in the Guidance notes below. In the Road map, activities are in italics if there is an additional
activity covering the same material more directly. Choose which activities students
complete, and substitute activities when appropriate.
The Core practicals, and any other practicals completed by students, can be used to assess
practical biological skills as part of the Unit 3 coursework assessment.
There are various activities – particularly the interactive tutorials associated with some of
the activities – which could be completed by students outside of class time. These activities
are shown in the lower half of each ‘Possible activities’ box.
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Diffusion and surface area to volume Activity 2.3 The effect of size on
ratio uptake by diffusion (A2.03L)
(Practical)
6 Describe the properties of gas
exchange surfaces in living organisms Q2.1–Q2.13
(large surface area to volume ratio,
thickness of surface, difference in
concentration) and explain how the
2 structure of the mammalian lung is
adapted for rapid gaseous exchange.
Structure of alveoli and SA:V ratio; Activity 2.4 The structure of alveoli
properties of gas exchange surfaces (A2.04L) (Practical)
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SNAB T2 Teaching scheme
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Monohybrid inheritance
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Teachers or lecturers may be presenting this material to groups containing either a student
with CF or a student who has a close relative or friend who has or had the disease. A great
deal of sensitivity will be needed. It is nearly always best to talk before the session to the
student(s) concerned on a one-to-one basis, and see how they would like it to be handled.
Discussing the topic with students in advance may help you to find out if any of them have
connections with CF. Encourage the student(s) in question to take a positive role within the
group; their experiences can make a valuable contribution to discussions. If it is difficult for a
student, you may need to present the material in a more traditional way as a series of
biological principles.
The sections in the topic address the questions that Claire and Nathan may have asked in
their search for information to help their decision-making. The opening page poses some of
these questions.
On the first spread there is a reference to the initial GCSE review and the GCSE review
test. These cover the main GCSE ideas that students will be expected to draw on during the
topic – lung structure and function, digestion, genetics and enzymes. The test itself is open
access, and it is assumed that it will be completed outside of class time.
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In CF patients there is a build up of sticky mucus in the airways. An X-ray of the lungs of a
CF patient shows this clearly. There is a CF patient X-ray and CAT scan in the general
weblinks for Topic 2. Photographs of normal and CF-affected lungs and pancreases can
also be found via the weblinks.
There are two major consequences of sticky mucus in the lungs: the first is an increased
chance of infection because the mucus cannot be cleared from the lungs, so pathogenic
bacteria can take hold; the second is the blockage of airways by the mucus. The infection
problem is described in the student book and Q2.1 and Q2.2 are linked to this section. The
blockage of the airways occurs to a greater extent in the later stages of the disease.
The main consequence of airway blockage is a reduction in the effective surface area for
gas exchange. The student book has a Key biological principle box with questions
introducing the importance of a large surface area to volume ratio. This is followed by a
section on the features and properties of gas exchange surfaces. These are complemented
by Activities 2.3 to 2.5.
Checkpoint question 2.1 can be used as a summary question at the end of this section or as
a revision question later. Answers to Checkpoint questions are given on the snabonline
website; these are only accessible to teachers.
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proteins. They also need to know about membrane structure and methods of transport
across membranes.
A Key biological principle box in the student book relates protein structure to function.
Activity 2.6 is found within this box.
The interactive tutorial does not differentiate between globular and fibrous proteins – this
distinction is made in the student book. Checkpoint question 2.2 requires students to
compare and contrast these two types of protein.
Activity 2.8 Why does the colour leak out of cooked beetroot? (A2.08L) Core practical
In this core practical, students use beetroot to examine the effect of temperature or alcohol
on cell membranes and relate this to membrane structure. The activity sheet provides
detailed procedures for students to follow. Before starting, students are asked to make a
hypothesis and check that the procedure will test their hypothesis. Prompts help them focus
on various practical and investigative skills.
Q2.16 enables students to check their understanding of the different sorts of transport
across membranes.
The student book goes on to identify the types of transport involved in the epithelial cells of
the airways.
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surfaces runny. The interactive tutorial has an animation showing this. It also demonstrates
how the non-functioning CFTR protein channel causes mucus to be sticky. Students view
the animation and complete the accompanying worksheet. This guides students to an
understanding of the mechanisms of salt and water secretion in the airways, and of what
has gone wrong in people with CF. Ideas presented here were the latest understanding of
the mechanism when the material was written. Reasearch into the mechanisms is ongoing.
Activity 2.11 Enzyme concentrations and enzyme activity (A2.11L) Core practical
This core practical investigates the effect of enzyme concentration on rate of reaction. It
provides an opportunity for students to plan an investigation and develop practical and
investigative skills. The planning sheet includes a checklist of what students need to include
in their plan, together with some suggested methods.
The effects of CF in the reproductive system are described in the student book. The
associated Checkpoint question 2.5 requires students to summarise the effects of CF on the
gas exchange, digestive and reproductive systems.
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(Note that the use of the sense and antisense in the student book follows common usage in
academic and industrial literature. Many A-level textbooks use these terms wrongly.)
This section starts with a description of DNA semi-conservative replication. Then it explains
how Meselson and Stahl’s classic experiment provided new data that supported the
accepted theory of replication of DNA and refuted competing theories.
The Public Health Genetics Foundation website has a good educational resources section.
It includes information on a range of genetic diseases, epidemiology, ethical issues, and
genetic testing. The Wellcome Trust Sanger Institute has good online educational
resources. See the general weblinks for Topic 2.
The National Centre for Biotechnology Information in the USA has a series of gene maps
showing the location of disease related genes. See the general weblinks for Topic 2.
The Channel 4 website includes an interactive activity which investigates the inheritance of
sickle cell anaemia within one family. It is a good activity, although for an able student who
grasps the idea, having to complete the sequence of questions for every family member
could be tiresome. See the general weblinks for Topic 2.
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The BBSRC website has downloadable information and activity sheets about new
technologies, including gene therapy. There is an excellent MRC update on cystic fibrosis
on the School Science website under biology 16–18 resources. It includes information about
the symptoms, causes and use of gene therapy with questions on each section. Duncan
Geddes at the Royal Brompton Hospital describes the UK trials in which he is involved. See
the general weblinks for Topic 2, and the Activity 2.18 weblinks.
Students could also search the Internet for the latest progress in the development of gene
therapy. Students should be aware that gene therapy research is being used not only for CF
but for other conditions too.
The student book describes the uses of genetic screening. Students need to be able to
explain the uses of genetic screening: identification of carriers, preimplantation genetic
diagnosis and prenatal testing (amniocentesis and chorionic villus sampling) and discuss
the implications of prenatal genetic screening. The BBSRC website has downloadable
information and activity sheets about CF, including a section on testing, it gives examples of
DNA samples that students can interpret. See the general weblinks for Topic 2.
It may be helpful if the continuing professional development module CPD4 Ethical debate is
completed by teachers/lecturers before undertaking Activity 2.19. The activity within the
CPD unit uses genetic screening to illustrate the use of the ethical frameworks and could be
used with students – see Ethical debate (D0.04F and D0.04L).
Students need to identify and discuss the social and ethical issues related to genetic
screening from a range of ethical viewpoints. The student book section ‘Making ethical
decisions – What is right and what is wrong?’ provides a set of ethical frameworks for
students to use when discussing and making decisions about ethical issues. Students
should study this before completing Activity 2.19 or engage in general class discussion
about these issues. The aim of Activity 2.19 is to encourage students to make a decision
about an ethical issue, and to support their decision using ideas based on the ethical
frameworks. The BioEthics Education Project (BEEP) website supports the teaching and
learning of bioethics. It includes a section on genes and health including CF.
In Checkpoint question 2.7 students use the ethical frameworks to make decisions about
genetic screening.
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The topic could finish with a class discussion about the options open to Claire and Nathan,
the couple in the opening story, and whether they should or should not have a child. It would
be interesting to recall any views expressed at the start of the topic and find out if the
students’ views have changed.
End-of-topic tests
There is an online interactive end-of-topic test. This test is not accessible to students initially
unless set by their teacher/lecturer. The teacher has the option to ‘flick a switch’ to make it
open access. There is also a paper-based test for Topic 2 with examination-style questions
on the teacher’s and technician’s sites. A mark scheme is also available on these sites. The
questions are similar in layout and style to those that are found on exam papers. However,
the restriction of questions to only one topic in each test has meant that it has not been
possible to include some types of questions that draw on material from different topics.
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AS Summary chart
The grid below shows where concepts are introduced and then revisited in later topics.
Note: Some of these concepts will be revisited and built on in A2.
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