Biology 9700 · AS & A Level · Genetic technology applied to medicine

Genetic technology applied to medicine — practice question

BRCA2 is a tumour-suppressor gene. Its gene product, BRCA2, helps with DNA repair. If DNA cannot be repaired, BRCA2 also has a function in triggering cell death. BRCA2 occurs in breast tissue cells. If a mutation happens in BRCA2, damaged DNA may fail to be repaired, and this raises the risk of breast cancer. When a double-stranded section of DNA breaks, BRCA2 attaches directly to the damaged DNA and works with the enzyme RAD51 to fix the damage. DNA repair stops further mutations and gene rearrangements from happening, either of which could otherwise result in breast cancer.
(a)[1]

Double-stranded DNA breaks arise naturally in meiosis. State the process that is started because of double-stranded breaks during meiosis.

(b(i))[3]

Suggest and explain how mutation 999del5 leads to a very high proportion of breast cancer cases in Iceland compared with the general global population.

(b(ii))[3]

Outline the advantages of genetic screening for mutations in BRCA2.

(b(iii))[1]

Suggest one advantage to a country of a genetic screening programme for breast cancer that screens for specific mutations in BRCA2 in the population.

(c(i))[2]

Suggest how DNA editing prevented Lcn2 from being expressed in cancer cells.

(c(ii))[1]

Suggest why the expression of only Lcn2 was affected.

(c)

$\textit{Lipocalin 2 (Lcn2)}$ is a cancer-promoting gene (oncogene). If $\textit{Lcn2}$ is expressed, it can lead to breast cancer. Research is being done to test whether gene editing of $\textit{Lcn2}$ could be used to treat breast cancer. Gene editing was used to treat human cancer cells that had been implanted into mice so that a tumour formed. The treatment stopped $\textit{Lcn2}$ from being expressed in the cancer cells and caused a significant decrease in tumour growth. There was no harmful effect in normal tissues.

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