Carriage of CO2 Flashcards

1
Q

what are the bi- products of metabolism?

A

The bi-products products of metabolism are:
0.16 g H2O / min
1.22 kcal heat / min
200 ml CO2 / min (resting state)
They are considered as ‘waste’ products, but they actually are not.

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2
Q
A

The removal of CO2 (out of the above products) produces the greatest problem
200ml of CO2 equates to 40 ml CO2 / litre of blood
This would have significant impact on blood pH
CO2 is removed through diffusing from the cells its produced in 🡪 capillary blood 🡪 veins 🡪 right heart 🡪 lungs 🡪 excretion

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3
Q
A

CO2 is carried in blood in 3 ways:
Physically dissolved as CO2 (exerting a ‘partial pressure’)
Bound to proteins (in the plasma or Hb in RBC) forming carbamino compounds (NHCOO-)
As bicarbonate ion (HCO3-)

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4
Q
A

Physically dissolved: 5% of total
The amount that is dissolved in blood depends on the partial pressure and solubility coefficient for CO2.
Solubility coefficient (α) for CO2 = 5.20 ml of CO2 L-1 kPa-1 (much greater than for oxygen)
According to Henry’s Law:
At 5 kPa (arterial blood): there are 26 ml of CO2 dissolved per litre of blood
NB arterial blood still has quite a lot of CO2 🡪 helps regulate pH
At 6 kPa (venous blood) there are 31 ml of CO2 dissolved per litre of blood
Bound to terminal amine groups of proteins: 5% of total
7% of the plasma is made up of proteins
RBC are 30% Hb
The amine group of these proteins binds with CO2 🡪 forms carbamino compound

NB. CO2 is bound to α + β chains of globin in RBC
Deoxy-Hb binds more CO2 than oxy-Hb 🡪 Haldane effect see later

As bicarbonate ions: 90% of total
CO2 reacts with water to form carbonic acid (catalysed by carbonic anhydrase)
Carbonic acid (H2CO3) freely dissociates to form bicarbonate ion (HCO3-) + H+

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5
Q
A

The amount that is dissolved in blood depends on the partial pressure and solubility coefficient for CO2.
Solubility coefficient (α) for CO2 = 5.20 ml of CO2 L-1 kPa-1 (much greater than for oxygen)
According to Henry’s Law:
At 5 kPa (arterial blood): there are 26 ml of CO2 dissolved per litre of blood
NB arterial blood still has quite a lot of CO2 🡪 helps regulate pH
At 6 kPa (venous blood) there are 31 ml of CO2 dissolved per litre of blood

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6
Q
A

7% of the plasma is made up of proteins
RBC are 30% Hb
The amine group of these proteins binds with CO2 🡪 forms carbamino compound

NB. CO2 is bound to α + β chains of globin in RBC
Deoxy-Hb binds more CO2 than oxy-Hb 🡪 Haldane effect see later

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7
Q
A

CO2 reacts with water to form carbonic acid (catalysed by carbonic anhydrase)
Carbonic acid (H2CO3) freely dissociates to form bicarbonate ion (HCO3-) + H+

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8
Q
A

Movement of CO2 between the compartments:
There is a higher partial pressure of CO2 inside cells.
Therefore, CO2 diffuses down partial pressure gradient into plasma (some retained in plasma as dissolved CO2).
CO2 then diffuses into RBCs

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9
Q
A

Tissues [CO2 is physically dissolved]
CO2 is formed in cells as product of metabolism
It is dissolved in the solution of the cells
As a result, there is a higher partial pressure of CO2 inside cells.
Therefore, CO2 diffuses down it partial pressure gradient into plasma.
Metabolism in cells requires oxygen:
Therefore, oxygen is diffusing in the opposite direction to CO2 down its own partial pressure gradient
It moves from Oxy-Hb in RBC 🡪 plasma 🡪 then diffuses into cells of the tissue, dissolves and then enters the mitochondria.
Blood plasma [CO2 is in the form of bicarbonate ions and bound to terminal amine groups]
Dissolved in the plasma (very small amount)
As bicarbonate ions
CO2 reacts with water to form carbonic acid:
CO2 + H2O → H2CO3
This is relatively slow + NOT catalysed by enzyme
Carbonic acid readily dissociates easily into bicarbonate ion (HCO3-) + H+:
H2CO3 → HCO3- + H+
Overall: CO2 + H2O → H2CO3 → HCO3- + H+
Bound to terminal amine groups
CO2 can react with terminal amine group R-NH2 of plasma protein to form carbamino compound R-NHCOO-
R-NHCOO- has a negative charge. Therefore, it buffers the H+ present
This prevents the ↓ in pH that otherwise would occur
RBCs [as bicarbonate ions + bound to terminal amine groups]
Dissolved in the cytoplasm (very small amount)
As bicarbonate ions
CO2 reacts with water to form carbonic acid:
CO2 + H2O → H2CO3
But this is catalysed by carbonic anhydrase (↑ rate)
Carbonic acid readily dissociates into bicarbonate ion (HCO3-) + H+:
H2CO3 → HCO3- + H+
The bicarbonate ions (HCO3-) produced in RBC ↑ concentration to the point where HCO3- moves along its chemical gradient out of RBC into plasma
Therefore most of HCO3- (produced as a product of CO2 formation in cells) is located in the plasma
This movement of HCO3- out of RBCs leaves behind an electrical gradient (have lost negatively charged ions)
This gradient is recovered by chloride shift
Chloride shift: Cl- move from the plasma into RBCs
Maintains electrical neutrality across RBC membrane
Bound to terminal amine groups
CO2 can react with terminal amine group R-NH2 on Hb to form carbamino compound R-NHCOO-
R-NHCOO- buffers H+ in RBC
Hb therefore has a role in carrying CO2 + O2, as well as buffering H+ ↑ that would occur otherwise
This whole scenario would come to a natural equilibration if H+ ion was not removed (buffered) from the above reaction occurring in RBC
This buffering of H+ allows reaction to be pulled to the right
Therefore, CO2 in tissues will continue to be pulled across to the right into RBCs
If H+ remained high (not buffered), the rate of bicarbonate reaction would ↓ + rate of CO2 diffusion across from tissues to RBCs would ↓

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10
Q
A

CO2 is formed in cells as product of metabolism
It is dissolved in the solution of the cells
As a result, there is a higher partial pressure of CO2 inside cells.
Therefore, CO2 diffuses down it partial pressure gradient into plasma.
Metabolism in cells requires oxygen:
Therefore, oxygen is diffusing in the opposite direction to CO2 down its own partial pressure gradient
It moves from Oxy-Hb in RBC 🡪 plasma 🡪 then diffuses into cells of the tissue, dissolves and then enters the mitochondria.

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