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Antigens, antibodies, B cells and T cells: Edexcel International A Level Biology questions

Edexcel International A Level Biology past-paper questions on 6.3.3 Antigens, antibodies, B cells and T cells, 2019–2025, with mark schemes and examiner’s reports where available.

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  1. Q5(b)(i)

    June 2025 · Unit 4

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  2. Q5(b)(ii)

    June 2025 · Unit 4

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  3. Q5(b)(iii)

    June 2025 · Unit 4

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  4. Q8(e)

    June 2025 · Unit 5

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  5. Q8(b)(iii)

    January 2025 · Unit 4

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  6. The start of question 9

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  7. Q3(c)

    October 2024 · Unit 4

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  8. Q3(d)

    October 2024 · Unit 4

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  9. The start of question 6

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  10. Q7(b)(ii)

    October 2024 · Unit 5

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  11. Q8(g)

    October 2024 · Unit 5

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  12. Q5(c)

    June 2024 · Unit 4

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  13. Q8(b)

    January 2024 · Unit 4

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  14. Q8(c)(ii)

    January 2024 · Unit 4

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  15. Q8(c)(iii)

    January 2024 · Unit 4

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  16. Q8(c)(iv)

    January 2024 · Unit 4

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  17. The start of question 2

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  18. Q7(b)(ii)

    October 2023 · Unit 4

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  19. Q7(c)

    October 2023 · Unit 4

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  20. Q7(d)

    October 2023 · Unit 4

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All 46 questions on Antigens, antibodies, B cells and T cells, as a list
  1. June 2025, Unit 4, Q5(b)(i) (2 marks): Explain why a single antibody had to be made by the scientists. Use the information in the diagrams to support your answer. (2)
  2. June 2025, Unit 4, Q5(b)(ii) (3 marks): Suggest how the scientists could make this single antibody. Use the information in the diagram to support your answer. (3)
  3. June 2025, Unit 4, Q5(b)(iii) (2 marks): Explain how this single antibody helps the body destroy cancer cells. (2)
  4. June 2025, Unit 5, Q8(e) (2 marks): Explain how an antibody could block the effects of an inflammatory signalling molecule (ISM) (paragraphs 7 and 8). (2)
  5. January 2025, Unit 4, Q8(b)(iii) (2 marks): The scientists found that these antibodies also bind to different toxins produced by another type of bacteria. Explain why these antibodies, produced as a resul
  6. January 2025, Unit 4, Q9(c) (5 marks): In cancer cells, the viral envelope proteins are synthesised and incorporated into the cancer cell membrane. Explain why these viral envelope proteins could be
  7. October 2024, Unit 4, Q3(c) (2 marks): Explain why antigens need to be presented to T killer cells in a person’s immune response to viral infections. (2)
  8. October 2024, Unit 4, Q3(d) (3 marks): Explain how the action of T killer cells results in a person recovering from a viral infection. (3)
  9. October 2024, Unit 4, Q6(b) (2 marks): In one trial, people received a new vaccine against RSV. The results showed that this vaccine protected against two subtypes of RSV. Give two reasons why one va
  10. October 2024, Unit 5, Q7(b)(ii) (2 marks): Explain how BVZ antibodies can cause the destruction of cancer cells. (2)
  11. October 2024, Unit 5, Q8(g) (2 marks): Describe what is meant by the term ‘monoclonal antibody’ (Paragraph 31). (2)
  12. June 2024, Unit 4, Q5(c) (4 marks): Using a modified herpes simplex virus activates the immune system. Explain why activation of the immune system would result in destruction of the cancer cells.
  13. January 2024, Unit 4, Q8(b) (2 marks): Vaccination against a virus results in the production of antibodies. Describe how antibodies are produced following activation of T cells. (2)
  14. January 2024, Unit 4, Q8(c)(ii) (2 marks): In group 1, Vac 2 increased the levels of antibody more than Vac 1. Calculate how many times greater this increase was. (2) Answer
  15. January 2024, Unit 4, Q8(c)(iii) (1 mark): Suggest why there is no data on the graph for group 1 before vaccination. (1)
  16. January 2024, Unit 4, Q8(c)(iv) (6 marks): Explain the results of this investigation. (6)
  17. October 2023, Unit 4, Q2(c) (3 marks): The immune response results in the production of antibodies following the first infection with a pathogen and on further infections with the same pathogen. The
  18. October 2023, Unit 4, Q7(b)(ii) (4 marks): Some active anti‑cancer vaccines can contain the mRNA that codes for the neoantigens. Explain how vaccines containing the mRNA coding for neoantigens stimulate
  19. October 2023, Unit 4, Q7(c) (2 marks): Monoclonal antibodies are made in a laboratory. Large numbers of identical antibodies specific to one type of antigen can be made. Explain how these antibodies
  20. October 2023, Unit 4, Q7(d) (2 marks): In adoptive cell therapy, T cells are taken from the patient and large numbers of genetically identical cells are made in the laboratory. These cells are then i
  21. June 2023, Unit 4, Q6(c)(i) (3 marks): Suggest why sporozoites are used in a vaccine against malaria. (3)
  22. June 2023, Unit 4, Q6(c)(iii) (3 marks): Later in the clinical trials, people were infected with one of two strains of sporozoites, three months after the vaccination. One strain was identical to the o
  23. June 2023, Unit 5, Q8(c) (3 marks): “Microorganisms can also enhance the anti-tumor immune effect of drugs by promoting T cell accumulation and transformation.” Explain how microorganisms promote
  24. January 2023, Unit 4, Q8(b) (4 marks): Another group of scientists showed that an extract from the leaves of the papaya plant helped in recovery from dengue virus infection. They showed that the plat
  25. January 2023, Unit 4, Q9(c)(ii) (4 marks): An ELISA is used to detect a specific antigen. The IL‑1β was detected using an ELISA. The diagram shows an ELISA. Step 2: container Step 4: container rinsed wit
  26. October 2022, Unit 4, Q6(b)(i) (2 marks): Explain the phrase: ‘an antibody that is specific for ß‑amyloid’. (2)
  27. October 2022, Unit 4, Q6(b)(ii) (3 marks): Drug ATD reduces the build-up of ß‑amyloid in the brains of people with Alzheimer’s disease. Suggest how drug ATD could result in the reduction of the build‑up
  28. October 2022, Unit 4, Q6(c)(ii) (2 marks): Explain why this drug could be produced only from B memory cells taken from a person who did not have Alzheimer’s disease. (2)
  29. October 2022, Unit 5, Q7(a)(iii) (4 marks): Some patients receiving rHE develop anti-rHE antibodies. Describe how these antibodies may be produced. (4)
  30. June 2022, Unit 4, Q3(c)(ii) (2 marks): Describe the role of macrophages in the immune response of the body to these bacteria. (2)
  31. October 2021, Unit 4, Q3(b)(i) (3 marks): Describe the role of macrophages in the development of natural active immunity to a virus, following infection. (3)
  32. October 2021, Unit 4, Q3(b)(ii) (4 marks): Explain why both T helper cells and T killer cells are needed in the immune response to a virus. (4)
  33. October 2021, Unit 5, Q6(d) (3 marks): T lymphocytes produce different types of cytokine. Some of these cytokines activate T killer cells and some activate B cells. Explain why different cytokines ca
  34. June 2021, Unit 4, Q8(a)(iii) (4 marks): Following the transplant, the patient was given immunosuppressive drugs. Immunosuppressive drugs weaken the immune system. Some of these drugs work by preventin
  35. January 2021, Unit 4, Q3(a) (4 marks): Describe how a vaccine results in active immunity. (4)
  36. January 2021, Unit 5, Q8(b) (4 marks): Explain how ‘our immune systems learn to make another type of protein, called an antibody’ (paragraph 4). (4)
  37. October 2020, Unit 4, Q4(b)(ii) (2 marks): Explain why antibodies to TNF are used in the treatment of rheumatoid arthritis. (2)
  38. October 2020, Unit 4, Q8(a)(i) (1 mark): Which blood type can be used for all blood transfusions? (1) A blood type A B blood type B C blood type AB D blood type O
  39. October 2020, Unit 4, Q8(a)(ii) (4 marks): Explain what will happen if a person with blood type A is given a transfusion of blood type AB. (4)
  40. October 2020, Unit 4, Q8(b)(iii) (2 marks): Explain why this enzyme may be useful in blood transfusions. (2)
  41. October 2020, Unit 5, Q8(b) (4 marks): Explain why ‘tumors ... riddled with different mutations’ are good candidates for immunotherapies (paragraph 6). (4)
  42. October 2020, Unit 5, Q8(d) (2 marks): Checkpoints are a type of protein that prevent the activation of immune cells. Explain why a checkpoint inhibitor was given with the lymphocytes in the immunoth
  43. January 2020, Unit 4, Q8(a) (1 mark): Which row of the table shows the cells that present antigens to each of these T cells? (1) T helper cells T killer cells host-infected cells host-infected cells
  44. January 2020, Unit 4, Q8(b)(ii) (2 marks): Explain why the CAR gene is inserted into the T cells in Step 3. (2)
  45. January 2020, Unit 4, Q8(b)(iv) (3 marks): In Step 1, T cells are removed from a patient with cancer. Explain the advantages of injecting CAR-T cells into the same patient in Step 5. (3)
  46. January 2020, Unit 4, Q8(b)(v) (2 marks): Currently, the use of CAR-T cells has been effective against blood cell cancers only. Suggest why CAR-T cells are not effective against cancer cells in solid tu

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