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2019 · Paper 2 · Question 10 · 14 marks

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10.1

Damage to the myelin sheath of neurones can cause muscular paralysis (lines 2–4).

Explain how.

2 marks
10.2

Sometimes Guillain–Barré syndrome causes heart rate irregularities (lines 4–5).

Suggest and explain why.

3 marks
10.3

The first successful drug trial to reduce concentrations of huntingtin in the brain used single-stranded DNA molecules (lines 13–14).

Suggest and explain how this drug could cause a reduction in the concentration of the protein huntingtin.

3 marks
10.4

Scientists from the first successful drug trial to reduce concentrations of huntingtin (lines 9–11) reported that the drug is not a cure for Huntington's disease.

Suggest two reasons why the drug should not be considered a cure. Do not include repeats of the drug trial in your answer.

1

2

2 marks
10.5

Suggest two reasons why people had the drug injected into the cerebrospinal fluid (lines 12–13) rather than taking a pill containing the drug.

1

2

2 marks
10.6

Suggest and explain one way epigenetics may affect the age when symptoms of Huntington's disease start.

2 marks