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Regulation of Blood pH in the Human Body

Blood pH regulation in the human body involves several systems working together to maintain a stable environment. The renal system plays a crucial role by excreting hydrogen ions and reabsorbing bicarbonate, with key processes occurring in different parts of the nephron.

Regulation of Blood pH in the Human Body

heavily involves the

Regulation of Blood pH in the Human Body

Acid-Base Disorders (medical applications)

Alkalosis (pH > 7.45)
Metabolic Alkalosis

high HCO₃⁻ or low acid

Acidosis (pH < 7.35)
Metabolic Acidosis

low HCO₃⁻ or high acid

Renal System (Kidneys)

The nephron
Key areas

Collecting Duct

traps H⁺ using NH₃ →NH₄⁺ (pee)

Distal tubule

Proximal tubule

metabolizes glutamine → 2 NH₄⁺ + 2 HCO₃⁻

Mechanisms

Secrete H⁺

Reabsorb HCO₃

slower response (hours–days)
excretion of H⁺ and reabsorption of HCO₃⁻

Respiratory System

CO₂ regulation
Le Chatelier’s Principle

CO₂ decreases, equilibrium shifts left → fewer H⁺ → higher pH

CO₂ increases, equilibrium shifts right → more H⁺ → lower pH

↑CO₂ → ↑H₂CO₃ → ↑H⁺ → ↓pH ↓CO₂ → ↓H⁺ → ↑pH

Hyperventilation (↑ breathing rate):

CO₂ eliminated rapidly

Respiratory Alkalosis

Hypoventilation (↓ breathing rate)

CO₂ accumulates

Respiratory Acidosis

Buffer Systems

solutions that can resist pH change upon the addition of an acidic or basic components.
Ammonia Buffer System (Kidneys)
NH3+H+→NH4+

NH₃ freely diffuses, NH₄⁺ is trapped in urine and excreted

Generates new HCO₃⁻ for each H⁺ secreted

Protein Buffers
Hemoglobin in red blood cells

Reduces Hemoglobin's affinity for O₂ (facilitates delivery)

Bohr effect

Binds H⁺ directly

deoxygenated Hemoglobin binds more CO₂ and H⁺

Haldane Effect

Phosphate Buffer System
Urine & Intracellular Fluid
generate new bicarbonate (Le Chatelier’s Principle)
H2PO4−⇌H++HPO42

excrete H⁺ in kidneys via NaH₂PO₄ (acidic salt)

Bicarbonate Buffer System (Main System in Blood)
Act instantly to resist pH changes
CO2+H2O⇌H2CO3 H2CO3⇌H++HCO3

Sources of acid in the body

Other metabolic acids
Dietary intake or drug metabolism
Ketone bodies

fat metabolism, diabetic ketoacidosis

Lactic acid

anaerobic exercise

Cellular Respiration
CO2+H2O↔H2CO3 H2CO3 ↔H+ +HCO3−

carbonic acid dissociating into bicarbonate and hydrogen ions

Normal Blood pH

7.35 – 7.45 (arterial blood)
Ionization of intermediates in biochemical pathways
Oxygen delivery (Bohr effect)
Enzyme activity