People who become infected with human immunodeficiency virus (HIV) are at risk of developing HIV/AIDs, particularly if antiretroviral therapy (ART) is not available. (d)P.jirovecii can adhere(attach)to squamous epithelial cells of the alveoli and to the network of fibrous proteins that support the alveolar wall,known as the extracellular matrix(ECM). Examples of proteins in the ECM are elastin and collagen. Adhesion(attachment)of $$\(P\)$$ .jirovecii to alveolar epithelial cells and the ECM stimulates the growth of its population. (i)Cell surface glycoproteins known as gpA glycoproteins are essential in allowing P.jirovecii cells to adhere to alveolar epithelial cells and ECM proteins. Suggest how a gpA glycoprotein is able to adhere to alveolar epithelial cells and ECM proteins. ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ................................................................................................................................. [2] (ii)One consequence of the pneumonia that results from P.jirovecii infection is a decrease in the quantity of oxygen that is delivered to body tissues. Explain why a severe $$\(P\)$$ .jirovecii infection results in a decrease in the quantity of oxygen that is delivered to body tissues. ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ....................................................................................................................................... . ................................................................................................................................. [3]
Exam No:9700_w24_qp_22 Year:2024 Question No:2(d)
Answer:


Knowledge points:
4.1.1 describe the fluid mosaic model of membrane structure with reference to the hydrophobic and hydrophilic interactions that account for the formation of the phospholipid bilayer and the arrangement of proteins
4.1.2 describe the arrangement of cholesterol, glycolipids and glycoproteins in cell surface membranes
4.1.3 describe the roles of phospholipids, cholesterol, glycolipids, proteins and glycoproteins in cell surface membranes, with reference to stability, fluidity, permeability, transport (carrier proteins and channel proteins), cell signalling (cell surface receptors) and cell recognition (cell surface antigens – see 11.1.2)
4.1.4.1 secretion of specific chemicals (ligands) from cells
4.1.4.2 transport of ligands to target cells
4.1.4.3 binding of ligands to cell surface receptors on target cells
Solution:
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