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Long Answer Questions · Q31

Q.Describe the three routes by which carbon dioxide is transported in human blood, with their approximate percentage contributions, and explain the chloride shift.

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Carbon dioxide is transported by three parallel routes of unequal size. The largest, approximately 70%, travels as bicarbonate ions (HCO3-): CO2 diffusing into a red blood cell is rapidly converted by the enzyme carbonic anhydrase, together with water, into carbonic acid, which dissociates into a hydrogen ion (buffered within the cell by haemoglobin) and a bicarbonate ion, which diffuses out into the plasma for transport. A second route, approximately 20-25%, is carbaminohaemoglobin, in which CO2 binds directly to the globin (protein) portion of haemoglobin, at a site distinct from the haem group that binds oxygen, so the two gases do not compete for the same binding site. The remaining, smallest share, approximately 7%, is simply dissolved directly in blood plasma. The chloride shift (Hamburger shift) keeps the red blood cell electrically neutral as the bicarbonate route proceeds: because the outward diffusion of negatively charged HCO3- would otherwise leave the cell with a net positive charge, a chloride ion (Cl-) simultaneously diffuses in from the plasma to …

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