Published by Patrick Mutisya · 14 days ago
Describe the role of red blood cells (RBCs) in transporting oxygen (O₂) and carbon dioxide (CO₂) with reference to:
RBCs are biconcave, anucleate cells packed with haemoglobin molecules (\overline{270} million per cell). Their large surface‑to‑volume ratio facilitates rapid gas exchange.
Each haemoglobin molecule contains four heme groups, each capable of binding one O₂ molecule. The binding is reversible and cooperative (sigmoidal O₂‑dissociation curve).
Carbonic anhydrase, abundant in the cytoplasm of RBCs, accelerates the reaction:
\$\text{CO}2 + \text{H}2\text{O} \;\xrightleftharpoons[\text{CA}]{\text{catalysed}}\; \text{H}2\text{CO}3 \;\xrightleftharpoons{}\; \text{H}^+ + \text{HCO}_3^-\$
This reaction is essential for the efficient transport of CO₂ as bicarbonate ion (HCO₃⁻) in plasma.
When O₂ binds to haemoglobin in the lungs, the protein undergoes a conformational change that reduces its affinity for H⁺, releasing H⁺ into the cytoplasm:
\$\text{Hb} + \text{O}2 \;\rightleftharpoons\; \text{HbO}2\$
\$\text{HbO}2 + \text{H}^+ \;\rightleftharpoons\; \text{HbH}^+ + \text{O}2\$
In the tissues, where CO₂ is high, the reverse occurs: H⁺ binds to deoxy‑Hb forming Hb‑H⁺, which promotes O₂ release (Bohr effect).
CO₂ can bind directly to the amino groups of the globin chains, forming carbaminohaemoglobin:
\$\text{HbNH}2 + \text{CO}2 \;\rightleftharpoons\; \text{HbNHCOO}^- + \text{H}^+\$
This accounts for \overline{5}‑10 % of CO₂ transport and also contributes to the Bohr effect by stabilising the deoxy‑Hb conformation.
| Location | O₂ Transport | CO₂ Transport |
|---|---|---|
| Lungs (alveoli) | O₂ diffuses into plasma → binds to Hb forming HbO₂ (≈ 98 % of O₂) | CO₂ diffuses from blood → converted to HCO₃⁻ by carbonic anhydrase → HCO₃⁻ exits RBC via Band 3 protein → plasma carries HCO₃⁻ (≈ 70 %) |
| Systemic tissues | HbO₂ releases O₂ → Hb becomes deoxy‑Hb (facilitated by H⁺ and CO₂) | CO₂ produced by metabolism enters RBC → reacts with H₂O (carbonic anhydrase) → H⁺ binds to deoxy‑Hb (forming HbH⁺) and CO₂ binds to Hb (forming Hb‑CO₂) → HCO₃⁻ formed and exchanged for Cl⁻ (Hamburger shift) |
| Return to lungs | Deoxy‑Hb picks up O₂ again | HCO₃⁻ re‑enters RBC, combines with H⁺ → H₂CO₃ → H₂O + CO₂ (catalysed by carbonic anhydrase) → CO₂ expelled in alveoli |