1. Respiratory System
6.4 & H6

2. Partial Pressure
Partial pressure: the pressure exerted by each component in a mixture.
The pressure of a gas in a mixture is the same as the pressure it would exert in the same volume and temperature alone.

3. Oxygen Dissociation Curves
Oxygen binds to hemoglobin of erythrocytes.
(oxyhemoglobin HbO2)
Each hemoglobin can bind a maximum of 4 molecules of oxygen (1 for each heme group)
If the maximum number of oxygen molecules have attached, the hemoglobin is fully saturated.

5. When the pO2 is 100mmHg, the HbO2 is 100% (That means there are 4 O2 bonded to each hemoglobin molecule.

6. The amount of saturation of hemoglobin depends on the concentration of oxygen in the air
pO2 depends on the concentration of oxygen in the air and the air pressure.
If [O2] decreases, the pO2 decreases
If air pressure decreases, pO2 decreases

7. High Altitudes
At higher altitudes, the air pressure decreases, and so does the pO2.
The means that the saturation of hemoglobin is lower
i.e.: less oxygen bonded to hemoglobin and therefore less oxygen transported by the rbcs

8. The reduced air pressure also reduces the rate of diffusion of gases across the respiratory membrane
As a result, less oxygen is available for the body cells
This can cause altitude sickness
SYMPTOMS: shortness of breath, headaches, dizziness, tiredness, nausea, alkalemia (high blood pH)

9. Your body will adjust after a few days.
Increase ventilation rate (shallower, more frequent breaths
The kidneys will excrete akaline urine (to solve the high blood pH issue
Over time, when O2 supply is reduced, the body will secrete the hormone erythropoietin (EPO) which will increases the number of red blood cells in the body.

10. An increase in rbc, means and increase in O2 absorption, which means more O2 for the body cells.
People who permanently live at high altitues will also have a greater lung surface area and larger vital capacity than those living at sea level.

11. Altitude and Athletic Training
Endurance athletes (long-distance runners and triathletes) often train at high altitudes for a few weeks to increase their rbc so they have more O2 and therefore more ATP energy for their event

12. Sea Level At sea level, air pressure is 760 mm Hg ~21% oxygen
pO2 = 0.21 x 760 = 159 mm Hg
pO2 of air in the alveoli is ~100 mm Hg
Because… water vapour added, and
pO2 in active muscles is ~20 mm Hg

13. Oxygen Dissociation Curve
Sigmoid shaped curve (S-shape)
Caused by cooperative binding
When the first oxygen molecule binds, the hemoglobin changes slightly in shape
This makes it easier for the next molecule to bind

15. Fetal Hemoglobin
A pregnant mother and her unborn baby have separate circulatory systems
The fetus’ hemoglobin must be capable of taking oxygen from the mother’s hemoglobin in the placenta.

18. Fetal hemoglobin
Fetal hemoglobin is structurally different from “normal” hemoglobin
This causes it to have a higher affinity for oxygen.
So oxygen will dissociate from maternal hemoglobin and bind to fetal hemoglobin

19. Myoglobin
When oxygen reaches the muscles, the oxygen is taken over and stored by myoglobin.
Therefore, myoglobin must have a higher affinity for oxygen than hemoglobin

20. Myoglobin is made of 1 polypeptide chain (hemoglobin is made of 4)
Therefore, only 1 heme group and therefore myoglobin can only bind one oxygen molecule.
So no cooperative binding
Curve is not sigmoidal

22. The Bohr Effect
The pH of the blood is directly related to the CO2 concentration
As CO2 in the blood increases, pH lowers (gets more acidic)
Why?

23. WHY?
Remember, 70% of CO2 is transported to the lungs as bicarbonate ions.
The formation of bicarbonate produces H+
And an increase in H+ means a more acidic environment
CO2 + H2O  H2CO3 (carbonic acid)
H2CO3  H+ + HCO3-
So more CO2 means more H+ which means more acidic environment (ie lower pH)!!!

24. The Bohr Effect Remember:
A change in pH will change the ionization of a protein
This will change the shape and functionality of the protein
A lower pH will cause the oxygen dissociation curve of hemoglobin to shift to the right (also known as the BOHR SHIFT)

26. Bohr Shift
This means that the saturation of hemoglobin is reduced (does not hold on to O2 as well)
Which means, that more O2 is released from the hemoglobin
So increased CO2 concentration will reduce the saturation of hemoglobin and release more oxygen to the cells

27. Respiratory Diseases
All respiratory diseases and conditions result in insufficient oxygen available to the tissues of the body.
Smoke from cigarette and other tobacco sources is the primary cause of lung disease in Canada

28. Asthma
A chronic, long term inflammation of the lining of the bronchi and bronchioles
Inflammation (swelling) is a protective reaction to eliminate foreign substances; also causes overproduction of mucus

30. The swelling and overproduction of mucus reduces airflow into the lungs.
In many cases, the muscles surrounding the bronchi and bronchioles contract to further narrow the passage.
Symptoms: coughing, wheezing, tightness in chest, shortness in breath

31. Asthma Attack
The sudden worsening of these symptoms is an asthma attack
Triggers: smoke, dust, cold air, physical exertion, allergens (pollution, pollen, dust mites, animal dander)
10% for Canadians suffer from asthma

32. Treatments Avoid the triggers (though sometimes impossible)
Medications: work by dilating the bronchi and bronchioles to increase airflow