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Date May 2010 Marks available 6 Reference code 10M.3.HL.TZ1.9
Level Higher level Paper Paper 3 Time zone Time zone 1
Command term Discuss Question number 9 Adapted from N/A

Question

Discuss methods used in gene therapy, including the risks involved.

Markscheme

somatic cell therapy methods alter the genetic material of somatic cells/nongametes;
could cure the individual treated but disease can still be passed to offspring;
germ-line therapy methods alter the genetic material of sex-cells/gametes/sperm/eggs;
disease would be absent in future offspring;
retroviruses/viruses are used (as vectors);
to insert (normal) gene/allele (in host cells);
verified application, e.g. treatment of SCID (severe combined immunodeficiency);
no fully successful cases since relatively new / technical issues need to be solved e.g. ensure correct amount of gene product/at the right time/in the right place;
cases of gene therapy causing cancer in patients / infect healthy cells causing illness / harm other cell functions / e.g. (two) children treated for SCID developed leukaemia;
immune system may attack newly introduced viruses causing inflammation/toxicity/organ failure;

Examiners report

Points were awarded for use of viruses as vectors and for a possible risk of gene therapy. Some better candidates were able to give one verified example such as SCID. Very few were able to discuss somatic cell therapy and germ-line therapy. Candidates tended to confuse gene therapy with other genetic topics.

Syllabus sections

Option B: Biotechnology and bioinformatics » Option B: Biotechnology and bioinformatics (Additional higher level topics) » B.4 Medicine
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