Gas Transport in Blood Denver CO

To balance the overall increase in negative charges entering the plasma, chloride ions diffuse in the opposite direction, from the plasma to the red blood cells (chloride shift).

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Oxygen is transported in the blood in two ways:

  • A small amount of O2 (1.5 percent) is carried in the plasma as a dissolved gas.

  • Most oxygen (98.5 percent) carried in the blood is bound to the protein hemoglobin in red blood cells. A fully saturated oxyhemoglobin (HbO2) has four O2 molecules attached. Without oxygen, the molecule is referred to as deoxygemoglobin (Hb).

The ability of hemoglobin to bind to O2 is influenced by the partial pressure of oxygen. The greater the partial pressure of oxygen in the blood, the more readily oxygen binds to Hb. The oxygen-hemoglobin dissociation curve, shown in Figure 1 , shows that as pO2 increases toward 100 mm Hg, Hb saturation approaches 100%. The following four factors decrease the affinity, or strength of attraction, of Hb for O2 and result in a shift of the O2-Hb dissociation curve to the right:





Figure 1

The oxygen-hemoglobin dissociation curve.


  • Increase in temperature.

  • Increase in partial pressure of CO2 (pCO2).

  • Increase in acidity (decrease in pH). The decrease in affinity of Hb for O2, called the Bohr effect, results when H+ binds to Hb.

  • Increase in BPG in red blood cells. BPG (bisphosphoglycerate) is generated in red blood cells when they produce energy from glucose.

Carbon dioxide is transported in the blood in the following ways.

  • A small amount of CO2 (8 percent) is carried in the plasma as a dissolved gas.

  • Some CO2 (25 percent) binds to Hb in red blood cells forming carbaminohemoglobin (HbCO2). (The CO2 binds to a place different from that of O2.)

  • Most CO2 (65 percent) is transported as dissolved bicarbonate ions (HCO3-) in the plasma. The formation of HCO3-, however, occurs in the red blood cells, where the formation of carbonic acid (H2CO3-) is catalyzed by the enzyme carbonic anhydrase, as follows.





Following their formation in the red blood cells, most H+ bind to hemoglobin molecules (causing the Bohr effect) while the remaining H+ diffuse back into the plasma, slightly decreasing the pH of the plasma. The HCO3− ions diffuse back into the plasma as well. To balance the overall increase in negative charges entering the plasma, chloride ions diffuse in the opposite direction, from the plasma to the red blood cells (chloride shift).

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