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2017 · Paper 1 · Question 3 · 9 marks

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3.1

Sodium ions from salt (sodium chloride) are absorbed by cells lining the gut. Some of these cells have membranes with a carrier protein called NHE3.

NHE3 actively transports one sodium ion into the cell in exchange for one proton (hydrogen ion) out of the cell.

Use your knowledge of transport across cell membranes to suggest how NHE3 does this.

3 marks
3.2

Scientists investigated the use of a drug called Tenapanor to reduce salt absorption in the gut. Tenapanor inhibits the carrier protein, NHE3.

The scientists fed a diet containing a high concentration of salt to two groups of rats, A and B.

• The rats in Group A were not given Tenapanor (0 mg kg–1). • The rats in Group B were given 3 mg kg–1 Tenapanor.

One hour after treatment, the scientists removed the gut contents of the rats and immediately weighed them.

Their results are shown in Table 2.

The scientists carried out a statistical test to see whether the difference in the means was significant. They calculated a P value of less than 0.05. They concluded that Tenapanor did reduce salt absorption in the gut.

Use all the information provided and your knowledge of water potential to explain how they reached this conclusion.

4 marks
3.3

High absorption of salt from the diet can result in a higher than normal concentration of salt in the blood plasma entering capillaries. This can lead to a build-up of tissue fluid.

Explain how.

2 marks