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Carbon dioxide is transported from tissues to the lungs in three ways.
About 7-10% travels dissolved in plasma.
Over 20% is bound to hemoglobin, forming carbaminohemoglobin triggered by a relatively higher PCO2 in the tissues.
Conversely, relatively lower PCO2 in pulmonary capillaries prompts carbaminohemoglobin dissociation, releasing CO2.
The remaining CO2 travels in the blood as bicarbonate ions.
Most CO2 entering Red Blood Cells is catalyzed into carbonic acid by the enzyme carbonic anhydrase. The carbonic acid then dissociates into bicarbonate and hydrogen ions.
The bicarbonate ions quickly diffuse out of the red blood cells.
In exchange, chloride ions enter the Red Blood Cells through the chloride shift to neutralize charges in the Red Blood Cells.
Bicarbonate ions travel with the blood to the lungs, where the low PCO2 triggers their re-entry into the Red Blood Cells. The whole process reverses, releasing the CO2.
Carbon dioxide (CO2) transport in the blood is critical to human physiology. On average, our body cells produce around 200 mL of CO2 per minute, preci…
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