Page 903 - Fundamentals of anatomy physiology
P. 903

890  Unit 5  Environmental Exchange

          This reaction is completely reversible. In peripheral capil-  Figure 23–22  Carbon Dioxide Transport in Blood.

     laries, it proceeds vigorously, tying up large numbers of CO2      CO2 diffuses                7% remains
     molecules. The reaction continues as carbon dioxide diffuses       into the                    dissolved in
                                                                        bloodstream                 plasma (as CO2)
     out of the interstitial fluids.
                                                                                      93% diffuses
          The hydrogen ions and bicarbonate ions have different                       into RBCs

     fates. Most of the hydrogen ions bind to hemoglobin mol-           23% binds to Hb,            70% converted to
     ecules, forming HbH1. The Hb molecules function as pH buf-         forming                     H2CO3 by carbonic
     fers, tying up the released hydrogen ions before the ions can      carbaminohemoglobin,        anhydrase
                                                                        Hb•CO2
     leave the RBCs and lower the pH of the plasma. The bicarbon-
                                                                            RBC
     ate ions move into the plasma with the aid of a countertrans-
                                                                                     H+ removed
     port mechanism that exchanges intracellular bicarbonate ions                    by buffers,
     (HCO3−) for extracellular chloride ions (Cl2). This exchange                    especially Hb
     trades one anion for another and does not require ATP. The

     result is a mass movement of chloride ions into the RBCs, an
     event known as the chloride shift.

     CO2 Binding to Hemoglobin                                                                      Hin2toCOH3+ dainsdsoHcCiaOte3s_  Cl–
                                                                                                    H+
     About 23 percent of the carbon dioxide carried by blood is
                                                                                                    HCO3– moves
     bound to the protein portions of Hb molecules inside RBCs.                                     out of RBC in
                                                                                                    exchange for
     These CO2 molecules are attached to exposed amino groups                                       CI– (chloride
     (2NH2) of the Hb molecules. The resulting compound is                                          shift)
     called carbaminohemoglobin (kar-BAM-i-no. -he. -mo. -glo. -

     bin), HbCO2. We can summarize the reversible reaction as
     follows: 

                 CO2 + HbNH2 ÷ HbNHCOOH                                 PLASMA
     We can abbreviate this reaction without the amino groups as 

     CO2 + Hb ÷ HbCO2

	23  Transport in Plasma                                                respiratory systems. We consider those levels of control and
                                                                        regulation next.
     Plasma becomes saturated with carbon dioxide quite rapidly.
     Only about 7 percent of the carbon dioxide absorbed at periph-         Checkpoint
     eral capillaries is transported as dissolved gas molecules. RBCs       	25.	 Identify the three ways that carbon dioxide is
     absorb the rest and convert it using carbonic anhydrase or store
     it as carbaminohemoglobin.                                                   transported in the bloodstream.
                                                                            	26.	 As you exercise, hemoglobin releases more oxygen to
          Figure 23–22 summarizes carbon dioxide transport.
                                                                                  active skeletal muscles than it does when those muscles
     Summary: Gas Transport                                                       are at rest. Why?
                                                                            	27.	 How would blockage of the trachea affect blood pH?
     Figure 23–23 summarizes the transport of oxygen and carbon
     dioxide in the respiratory and cardiovascular systems. Note             See the blue Answers tab at the back of the book.
     that the bottom portion of the figure shows the carbon dioxide
     being delivered to the alveoli. The reactions we have just dis-    23-10    Neurons in the medulla
     cussed then proceed in the reverse direction.
                                                                        oblongata and pons, along with
          Gas transport is a dynamic process. It is capable of vary-    respiratory reflexes, control respiration
     ing its responses to meet changing circumstances. Some of the
     responses are automatic and result from the basic chemistry        Learning Outcome  List the factors that influence respiration rate, and
     of the transport mechanisms. Other responses require coordi-       discuss reflex respiratory activity and the brain centers involved in the
     nated adjustments in the activities of the cardiovascular and      control of respiration.
   898   899   900   901   902   903   904   905   906   907   908