Gas transport - oxygen Flashcards

1
Q

What kind of ring is haem?

A

Porphyrin ring

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2
Q

Which 3 elements are present in the porphyrin ring of haem?

A

Carbon
Hydrogen
Nitrogen

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3
Q

Describe the structure of haemoglobin.

A

A tetramer – consisting of 2 alpha and 2 beta globin polypeptide chains

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4
Q

What are the 2 main conformations that haemoglobin exists in?

A

Relaxed
Tense

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5
Q

How does the binding of oxygen to one haem subunit change haemoglobin’s conformation state and how does this affect oxygen affinity?

What is this process known as?

A

Binding of oxygen causes haemoglobin to shift from the tense state to the relaxed state, increasing oxygen affinity and allowing for efficient loading of oxygen

Cooperative binding

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6
Q

Describe the affinity of haemoglobin for oxygen as the oxygen dissociation curve shifts left and right.

A

Left shift – increased affinity

Right shift – decreased affinity

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7
Q

List 4 things which shifts the oxygen dissociation curve to the right.

A

Increased temperature

Increased partial pressure of carbon dioxide

Decreased pH (increased acidity)

Increased 2,3-DPG

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8
Q

List 4 things which shifts the oxygen dissociation curve to the left.

A

Decreased temperature

Decreased partial pressure of carbon dioxide

Increased pH

Decreased 2,3-DPG

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9
Q

Which kind of tissues will have acidic / low pH conditions?

A

Metabolising tissues

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10
Q

When is 2,3 diphosphoglycerate produced?

In what way does it change haemoglobin’s affinity for oxygen?

How does it do this?

A

2,3-DPG is produced by red blood cells in response to hypoxia

It decreases haemoglobin’s affinity for oxygen, therefore facilitating offloading

Stabilises its tense state

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11
Q

What is the Bohr effect?

A

Haemoglobins affinity for oxygen decreases in response to lower pH and higher concentrations of carbon dioxide

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12
Q

In regards to the Bohr effect, how does low pH and higher concentrations of carbon dioxide decrease haemoglobins affinity for oxygen?

A

The binding of hydrogen ions and carbon dioxide stabilises haemoglobin in the tense state

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13
Q

How does increasing tissue metabolism affect tissue pH?

A

Tissue pH decreases progressively with increasing metabolism due to increased production of lactic acid and carbon dioxide

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14
Q

What is the value of basal oxygen consumption?

A

250ml / min

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15
Q

How many oxygen molecules can one molecule of haemoglobin bind?

A

4 oxygen molecules (2 O2s)

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16
Q

Haem has what at its centre?

A

Iron (Fe2+) ion

17
Q

Describe haemoglobin’s affinity for oxygen when it is in a relaxed state.

A

High affinity for oxygen

18
Q

Describe haemoglobin’s affinity for oxygen when it is in a tense state.

A

Low affinity for oxygen

19
Q

The oxygen dissociation curve is S-shaped due to what mechanism?

A

Cooperative binding

20
Q

In haemoglobin, what attaches iron to globin?

21
Q

What does the X axis of the oxygen dissociation curve represent?

A

Partial pressure of oxygen (kPa)

22
Q

What does the Y axis of the oxygen dissociation curve represent?

A

Amount of oxygen bound to haemoglobin

23
Q

At how many kPa of oxygen is haemoglobin 50% saturated?

24
Q

What is the value of alveolar PAO2?

25
Q

What is the value of tissue pO2 at rest?

26
Q

If the extracellular partial pressure of oxygen became too low, how would this affect diffusion into cells?

A

Reduce diffusion by means of there being no oxygen concentration gradient for movement from the extracellular space into the intracellular space

27
Q

Tissues with a high density of what can better tolerate greater falls in tissue pO2?

Give 2 reasons why.

A

Capillaries

Shorter diffusion distance
Large surface area

28
Q

Low pH and high temperature shift the oxygen dissociation curve in which direction?

How does this change haemoglobin’s affinity for oxygen?

What is the physiological benefit?

A

Shifts to the right

Decreases haemoglobin’s affinity for oxygen - it’s more easily offloaded

Metabolising tissues (which have low pH due to lactic acid and high temperature due to respiration) have more oxygen delivered to them