Transport of oxygen in the blood Flashcards

1
Q

two forms oxygen is present in in the blood

A

dissolved in plasma and erythrocyte cytosol

reversibly combined w/ hemoglobin molecules in erythrocytes

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2
Q

1 litre blood and oxygen

oxygen carried to tissues

A

3ml o2 physically dissolved (1.5%)
197ml o2 bound to hemoglobin (98.5%)

cardiac output = 5L/min
o2 carried to tissues = 5 x 200 = 1000mL o2/min

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3
Q

henry’s law

A

amount of oxygen dissolved in blood is directly proportional to Po2 of blood

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4
Q

solubility of oxygen

A

low solubility in water

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5
Q

hemoglobin

A

protein
4 subunits bound together
subunit: heme and polypeptide attached to the heme
globin: 4 polypeptides in molecule
molecular oxygen binds to Fe in heme group
single hemoglobin can bind 4 oxygens

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6
Q

two forms of hemoglobin

A

deoxyhemoglobin (Hb)

oxyhemoglobin (HbO2)

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7
Q

percent hemoglobin saturation

A

O2 bound to Hb / maximal capacity of Hb to bind O2

x 100

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8
Q

factors affecting total amount of oxygen carried by hemoglobin

A

% saturation of hemoglobin
how much hemoglobin is in each litre of blood
anemia

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9
Q

factor affecting hemoglobin content in the blood

A

low hematocrit - chronic blood loss or dietary deficiencies affecting erythrocyte production

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10
Q

effect of blood PO2 on hemoglobin saturation

A

increases it

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11
Q

what are globin units held by?

A

globin units of deoxyhemoglobin are tightly held by electrostatic bonds in conformation with low affinity for oxygen

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12
Q

binding of oxygen to heme molecule

A

breaks some of the electrostatic bonds between globin units, so oxygen binding sites are more exposed and the affinity is increased

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13
Q

shape of oxygen-hemoglobin dissociation curve

A

steep slope between 10 and 60mmHg (increase in hemoglobin saturation) and plateau between 70 and 100mmHg (small increase)

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14
Q

importance of plateau

A

high altitude and pulmonary disease - moderate reduction in alveolar and arterial pO2
even if decreased to 60mmHg, hemoglobin saturation is still at 90%
increasing alveolar pO2 by hyperventilation or breathing 100% o2 doesn’t increase blood o2 much (only applies to healthy people - would help unhealthy people)

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15
Q

steep portion of curve

A

ideal for unloading oxygen in tissues

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16
Q

what contributes to pO2 of blood?

A

dissolved oxygen, not oxygen bound to hemoglobin

17
Q

hemoglobin affect on pO2

A

decreases

18
Q

why is the interstitial fluid pO2 always more than that in cells

A

mitochondria in cells are using up oxygen

19
Q

why is the interstitial fluid pO2 always less than that in capillaries?

A

oxygen rapidly diffusing into cells

20
Q

effect of oxygen diffusion on plasma pO2

A

becomes lower than erythrocyte pO2 - diffuses out into plasma - dissociation of oxygen from hemoglobin

21
Q

hemoglobin saturation in resting tissues

A

75% - cells can obtain more oxygen when they increase their activity

22
Q

effects of carbon monoxide on hemoglobin

A

carbon monoxide has an affinity for the oxygen-binding sites on hemoglobin 210 x that of oxygen
reduces amount of oxygen binding by competition
deleterous effect: decreases unloading of oxygen into tissues

23
Q

factors affecting hemoglobin saturation

A

blood pO2, H+ conc, temp, conc of 2,3-diphosphoglycerate, fetal hemoglobin

24
Q

effects of factors affecting hemoglobin saturation

A

increased DPG conc, temp and acidity causes dissociation curve to shift to the right

25
Q

effects of increased Pco2, H+ conc and temp

A

continuously exerted on blood in tissue capillaries, as they’re greater in tissue capillary blood than arterial blood
Pco2 increased due to co2 entering blood from tissues
H+ increased due to elevated Pco2 and release of metabolically produced acids, e.g. lactic acid
temp increased due to heat produced from tissue metabolism
hemoglobin passing through these has less affinity for oxygen, so it gives it up

26
Q

effects of fetal hemoglobin on hemoglobin saturation

A

shifts curve to left

has greater affinity for oxygen, allowing oxygen content from oxygen diffusion from maternal to fetal blood in placenta

27
Q

effects of metabolic activity on Pco2, H+conc, temp

A

increased metabolic activity increases it

28
Q

allosteric modulation of hemoglobin and temp’s effect

A

co2 and H+ bind to globin portion, and alter conformation.

temp reduces affinity for o2

29
Q

DPG

A

produced during glycolysis
reversibly combines with hemoglobin, allosterically causing it to have lower affinity for oxygen
erythrocytes have large amounts of DPG due to them having no mitochondria and relying on glycolysis
important in high altitudes

30
Q

fetal hemoglobin

A

contains subunits coded for by different genes to those expressed postnatally
alter shape of final protein
higher affinity for oxygen
lower arterial Po2
increased oxygen uptake across placental diffusion barrier to supply development