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Gas Transport. Prof. K. Sivapalan. Transport of gases in Blood. Reaction of Oxygen with Haemoglobin. Iron atoms in Hb bind reversibly with O 2 - Oxygination . 4Hb + 4O 2 ↔ Hb 4 O 8 Oxygen dissociation curve illustrates the relation of PO 2 to saturation.
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Gas Transport Prof. K. Sivapalan
Transport of gases in Blood Gas Transport
Reaction of Oxygen with Haemoglobin • Iron atoms in Hb bind reversibly with O2- Oxygination. • 4Hb + 4O2↔ Hb4O8 • Oxygen dissociation curve illustrates the relation of PO2 to saturation. • The sigmoid curve is the result of changing affinity of Hb to oxygen. • When fully saturated, 1 g Hb carries 1.34 ml oxygen Gas Transport
Factors Affecting the Affinity of Haemoglobin to Oxygen • Factors that reduce the affinity [shift the curve to right, increase P50] • Rise in temperature • Fall in pH • Rise in 2,3-biphosphoglycerate • P50- partial pressure at which 50 % haemoglogin is saturated. Gas Transport
Reaction with CO • Carbon monoxide reacts with haemoglobin in the same way as oxygen but the affinity is 250 times more. Gas Transport
2,3- Biphosphoglycerate • It binds to β chain of deoxyhaemoglobin • Alkalinity, thyroid hormone, androgens and growth hormone increase it. • Exercise causes increase in 60 minutes but it may not occur in trained athlets. Gas Transport
Color Changes of Haemoglobin • Haemoglobin is blue • Oxyhaemoglobin is pink • Cyanisis- blue discolorizationduetodeoxigination. • It becomes apperant if deoxyhaemoglobin is more than 5g/dl • Carboxyhaemoglobin is cherry red Gas Transport
Transport of Carbon Dioxide • Considerable amount of CO2 remains dissolved in plasma. • CO2 enters red cells and carbonic anhydrase catalyses formation of Hydrogen and bicarbonate. • CO2 reacts with NH2 in proteins [haemoglobin and plasma proteins] to form carbamino compound. Gas Transport
Bicarbonate Formation and Chloride Shift • The dissociation of carbonic acid formed in red cells as H+ and HCO3- will not proceed unless at least one is removed. • The Hb is a good buffer and takes up H+ and the reaction continues. • The resulted HCO3- concentration rises and difuses into plasma. • The electrical in-equilibrium drags Cl- into red cell. • This increases osmolality and the red cell volume increases. • 70 % of the CO2 is transported as HCO3- Gas Transport
Summary of CO2 in DL blood Gas Transport
Carbon Dioxide Dissociation Curve Gas Transport
Interaction of Oxygen and Carbon Dioxide with Haemoglobin • Increase of CO2 promotes dissociation of O2- Bohr Effect. • Oxygination tends to displace CO2 from blood- Haldane effect. • Oxy haemoglobin is more acidic • Less tendancy to form carbamino compounds. • Less tendancy to accept hydrogen ion. Gas Transport
Summary of Changes in Lungs • Oxygen up take- 250 ml/min. • Carbon dioxide output- 200 ml/min. • Respiratory exchange ratio- • CO2/O2 = 200/250 =0.8 • Oxygen uptake is facilitated by carbon dioxide dissociation and carbon dioxide dissociation is facilitated by oxygenation. Gas Transport
Physiologic Shunt of Venous Blood • Drainage of small amounts of bronchial blood into pulmonary vein • Left ventricular blood draining into the chamber directly. • The result is blood in aorta with 95 % saturation of oxygen. Gas Transport
Exchange in Tissues • The cells are using oxygen and the partial pressure is very low. • The cells are producing carbon dioxide and the partial pressure is high. • The gases diffuse according to the Partial pressure difference through the tissue fluid. • Higher temperature, higher PCO2, more acidity facilitate de-oxigenation and deoxigenation facilitates CO2 reaction with haemoglobin Gas Transport
Supply of Oxygen • When tissue metabolism increases, the tissue partial pressure falls. • Slight fall in partial pressure results in dissociation of more oxygen from haemoglobin. • Myoglobin in muscles releases oxygen when the partial pressure is very low. Gas Transport