Paper 3 June 2025, Question 5 6 marks
Cleft lip and palate (CLP) is a split in the upper lip and/or the roof of the mouth. CLP is present from birth.
CLP can be caused by various genetic and environmental factors.
CDH1 is a gene involved in lip and mouth development in a fetus before a baby is born.
Scientists hypothesised that CLP is caused by a ‘two-hit’ model:
• a ‘genetic hit’ through loss of CDH1 function
• an ‘environmental hit’ leading to CDH1 methylation caused when inflammation affects a fetus.
Inflammation can result from the mother having an infection or diabetes.
Scientists investigated the ‘two-hit’ model using human cells grown in vitro.
They:
• grew normal cells and cells with a loss of CDH1 function
• treated some of each type of cell with a drug to cause inflammation and left some of each type of cell untreated
• measured the percentage CDH1 methylation of the cells.
Figure 4 shows the scientists’ results.
The frequency of live births with CLP is 1 in 700
Despite knowing this frequency, the Hardy–Weinberg equation cannot be used to estimate any allele frequencies for CLP.
Suggest two reasons why.
Reveal mark scheme
Describe one effect methylation could have on CDH1
Reveal mark scheme
Suggest and explain three reasons why the data in Figure 4 might not provide evidence for the ‘two-hit’ model.
Reveal mark scheme