A severe reduction of blood flow to the brain causes cells to die. This is called a stroke. The after-effects of a stroke can range from recovery to permanent brain damage and death. A new emergency gene therapy treatment for people who are at risk of brain damage from a stroke was tested in mice. • The human granulocyte colony-stimulating factor, hG-CSF, is a protein that stimulates the production of stem cells in bone marrow. • mRNA coding for hG-CSF was obtained and used to make cDNA. • This cDNA was inserted into an adeno-associated virus (AAV) vector and given in eye drops to mice just after they experienced a stroke.
- (a)(i)Explain what is meant by gene therapy.[2]
- (a)(ii)Describe the roles of reverse transcriptase and DNA polymerase in making cDNA for hG-CSF.[2]
- (a)(iii)The AAV vector used was unable to replicate itself within the target cells. Suggest why the researchers chose a vector that could not replicate.[2]
- (b)(i)A study was carried out to investigate the effect of the gene therapy described in (a). Four groups of mice were used. • Group A mice had a stroke. They received eye drops containing AAV vector carrying cDNA for hG-CSF once only. • Group B mice had a stroke. They received eye drops containing AAV vector carrying cDNA for hG-CSF four times. • Group C mice had a stroke. They received eye drops containing AAV vector carrying the GFP gene coding for green fluorescent protein, instead of the cDNA for hG-CSF, once only. • Group D mice did not have a stroke. They were not given any eye drops. (i) Explain why the mice in group C were used in the study.[3]
- (b)(ii)Explain why the mice in group D were used in the study.[1]
- (c)Table 5.1 summarises some results from the study and shows: • the percentage of mice surviving • the percentage of brain volume occupied by fluid-filled space • the score on a behavioural test in which normal mice score 0.5 and brain-damaged mice score nearer to 1.0. Table 5.1 mouse treatment group percentage of mice surviving percentage of brain occupied by fluid-filled space behavioural test score / arbitrary units A 63 3.6 0.67 B 100 3.0 0.67 C 25 5.2 0.90 D 100 3.0 0.50 Use the results in Table 5.1 to evaluate the benefits of gene therapy treatment, with AAV vector carrying the gene for hG-CSF, for people who have a stroke.[4]
Mark scheme
Marking points from the official mark scheme (May/June 2018). The mark or mark type is shown in brackets.
- [2] any 2 of: 1 to treat disease caused by, faulty / recessive, allele ; A cure 2 deliver, gene / allele / DNA (into target cells of individuals); 3 named example; e.g. SCID / cystic fibrosis
- [2] (reverse transcriptase) uses mRNA to make (ss)DNA; (DNA polymerase) makes DNA double-stranded / description ;
- [2] 1 to prevent virus spreading (throughout the body); 2 to limit, side effects / immune response / cancer / illness / infection / cell destruction;
- [3] any 3 of: 1 control; 2 idea of to see if gene therapy has worked or to compare the effect of no gene therapy with gene therapy or to compare the effect of no hG-CSF gene with presence of hG-CSF gene ; 3 to see where the gene (carried by the vector), goes (in, body / brain) or to see if the gene (carried by the vector), enters cells or to see where cells have been transformed; 4 to see the effects of the, vector / virus, alone;
- [1] any 1 of: 1 (control) to compare results (of mice without stroke) to mice with stroke ; 2 to establish baseline figures (in mice without a stroke) / act as a reference point ; 3 to make the study valid ;
- [4] any 4 of: survival 1 increases survival ; brain damage 2 reduces (percentage of brain occupied by) fluid filled space ; behaviour test 3 improves / lowers, behavioural test score ; A score closer to normal general 4 comparative data quote to support, mp1/mp2/mp3; A processed data mp1 25% v 63% 25% v 100% 63% v 100% mp2 5.2% v 3.6% 5.2% v 3.0% 3.6% v 3.0% mp3 0.90 v 0.67 5 eye drops four times is better than eye drops once ; ora 6 if effective with mice likely to be effective with humans ; 7 ref. to unknown differences between mice and humans / study is only on mice; 8 treatment is, non-invasive / quick ;
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