Major chemical buffers in the body
Bicarbonate buffer
A
normal adult produces about 300 L of CO2 daily from metabolism. CO2
from tissues enters the capillary blood, where it reacts with water to form H2CO3,
which dissociates instantly to yield H+ and HCO3 –.
Blood
pH would rapidly fall to lethal levels if the H2CO3
formed from CO2 were allowed to accumulate in the body.
Fortunately,
H2CO3 produced from metabolic CO2 is only
formed transiently in the transport of CO2 by the blood and does not
normally accumulate. Instead, it is converted to CO2 and water in
the pulmonary capillaries and the CO2 is expired. As long as CO2
is expired as fast as it is produced, arterial blood CO2 tension, H2CO3
concentration, and pH do not change.
pK
of the HCO3-/CO2 is 6.1.
pH
of plasma is 7.4.
According to
Henderson-Hasselbalch equation
7.4 = 6.1 + log [HCO3-]/
[CO2]
1.3= log [HCO3-]/
[CO2]
20= [HCO3-]/
[CO2]
i.e.
At pH 7.4, concentration of bicarbonate should be 20 times that of Carbon
dioxide.
As
described in the previous post, it is the salt portion that neutralizes
external acids, so a higher concentration of bicarbonate should suffice. This
explains the relative importance of bicarbonate/CO2 buffer over other buffers
because most metabolic end products are acidic in nature.
Concentration of HCO3 -
in plasma or ECF
normally averages 24 mmol/L. CO2
is measured from PCO2 which is about 40 mm Hg and that amounts to
1.2mmol/L of CO2 (0.03* 40) {The solubility coefficient for CO2 in plasma at 37°C is
0.03 mmol CO2/L per mm Hg PCO2 }.
Although the concentration of dissolved CO2 is
lower, metabolism provides a nearly limitless supply. Hence [HCO3-]/
[CO2] = 24/1.2=20 supports the theoretical calculations performed
above using Henderson-Hasselbalch equation.
The
Henderson-Hasselbalch Equation for HCO3_/CO2
In aqueous solutions:
CO2(d) + H2O give H2CO3
(dissolved)
At equilibrium, CO2(d) is
greatly favored; at body temperature, [CO2(d)] : [H2CO3]
is about 400:1 [If [CO2(d)] is 1.2 mmol/L, then [H2CO3]
equals 3 μmol/L].
H2CO3 instantaneously breaks into H+ + HCO3-
The
Henderson-Hasselbalch Equation for the above equation is:
pH= 3.5 + log [HCO3-]/ [H2CO3]
H2CO3 is a
fairly strong acid (pKa = 3.5). Its low concentration in body fluids lessens
its impact on acidity. Because [H2CO3] is so low and hard
to measure so [CO2(d)] is used instead.
pH= 3.5 + log [HCO3-]/
[CO2(d)]/400
pH= 3.5+ log 400 + log [HCO3-]/ [CO2(d)]
pH= 6.1+ log [HCO3-]/ [CO2(d)]
pH= 6.1+ log [HCO3-]/ 0.03*pCO2
pH= 6.1 + log [24]/[1.2]
pH=7.4
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