2.3 Buffering against pH Changes in Biological Systems

Almost every biological process is pH-dependent; a small change in pH produces a large change in the rate of the process. This is true not only for the many reactions in which the H+upper H Superscript plus ion is a direct participant, but also for those reactions in which there is no apparent role for H+upper H Superscript plus ions. The enzymes that catalyze cellular reactions, and many of the molecules on which they act, contain ionizable groups with characteristic pKap upper K Subscript a Baseline values. The protonated amino and carboxyl groups of amino acids and the phosphate groups of nucleotides, for example, function as weak acids; their ionic state is determined by the pH of the surrounding medium. (When an ionizable group is sequestered in the middle of a protein, away from the aqueous solvent, its pKap upper K Subscript a Baseline, or apparent pKap upper K Subscript a Baseline, can be significantly different from its pKap upper K Subscript a Baseline in water.) As we noted above, ionic interactions are among the forces that stabilize a protein molecule and allow an enzyme to recognize and bind to its substrate.

Cells and organisms maintain a specific and constant cytosolic pH, usually near pH 7, keeping biomolecules in their optimal ionic state. In multicellular organisms, the pH of extracellular fluids is also tightly regulated. Constancy of pH is achieved primarily by biological buffers: mixtures of weak acids and their conjugate bases.

Buffers Are Mixtures of Weak Acids and Their Conjugate Bases

Buffers are aqueous systems that tend to resist changes in pH when small amounts of acid (H+)left-parenthesis upper H Superscript plus Baseline right-parenthesis or base (OH)left-parenthesis OH Superscript minus Baseline right-parenthesis are added. A buffer system consists of a weak acid (the proton donor) and its conjugate base (the proton acceptor). As an example, a mixture of equal concentrations of acetic acid and acetate ion, found at the midpoint of the titration curve in Figure 2-16, is a buffer system. Notice that the titration curve of acetic acid has a relatively flat zone extending about 1 pH unit on either side of its midpoint pH of 4.76. In this zone, a given amount of H+upper H Superscript plus or OHOH Superscript minus added to the system has much less effect on pH than the same amount added outside the zone. This relatively flat zone is the buffering region of the acetic acid–acetate buffer pair. At the midpoint of the buffering region, where the concentration of the proton donor (acetic acid) exactly equals that of the proton acceptor (acetate), the buffering power of the system is maximal; that is, its pH changes least on addition of H+upper H Superscript plus or OHOH Superscript minus. The pH at this point in the titration curve of acetic acid is equal to its apparent pKap upper K Subscript a Baseline. The pH of the acetate buffer system does change slightly when a small amount of H+upper H Superscript plus or OHOH Superscript minus is added, but this change is very small compared with the pH change that would result if the same amount of H+upper H Superscript plus or OHOH Superscript minus were added to pure water or to a solution of the salt of a strong acid and strong base, such as NaCl, which has no buffering power.

Buffering results from two reversible reaction equilibria occurring in a solution of nearly equal concentrations of a proton donor and its conjugate proton acceptor. Figure 2-18 explains how a buffer system works. Whenever H+upper H Superscript plus or OHOH Superscript minus is added to a buffer, the result is a small change in the ratio of the relative concentrations of the weak acid and its anion and thus a small change in pH. The decrease in concentration of one component of the system is balanced exactly by an increase in the other. The sum of the buffer components does not change; only their ratio changes.

A figure shows how acetic acid and acetate interact as a buffer system.

FIGURE 2-18 The acetic acid–acetate pair as a buffer system. The system is capable of absorbing either H+upper H Superscript plus or OHOH Superscript minus through the reversibility of the dissociation of acetic acid. The proton donor, acetic acid (HAc), contains a reserve of bound H+upper H Superscript plus, which can be released to neutralize an addition of OHOH Superscript minus to the system, forming H2Oupper H Subscript 2 Baseline upper O. This happens because the product [H+ ] [OH]left-bracket upper H Superscript plus Baseline right-bracket left-bracket OH Superscript minus Baseline right-bracket transiently exceeds Kw(1×1014 M2)upper K Subscript w Baseline left-parenthesis 1 times 10 Superscript minus Superscript 14 Baseline upper M squared right-parenthesis. The equilibrium quickly adjusts to restore the product to 1×1014 M21 times 10 Superscript minus Superscript 14 Baseline upper M Superscript 2 (at 25 °C25 degree upper C), thus transiently reducing the concentration of H+upper H Superscript plus. But now the quotient [H+] [Ac]/[HAc]left-bracket upper H Superscript plus Baseline right-bracket left-bracket Ac Superscript minus Baseline right-bracket slash left-bracket HAc right-bracket is less than Kaupper K Subscript a, so HAc dissociates further to restore equilibrium. Similarly, the conjugate base, AcAc Superscript minus, can react with H+upper H Superscript plus ions added to the system; again, the two ionization reactions simultaneously come to equilibrium. Thus, a conjugate acid-base pair, such as acetic acid and acetate ion, tends to resist a change in pH when small amounts of acid or base are added. Buffering action is simply the consequence of two reversible reactions taking place simultaneously and reaching their points of equilibrium as governed by their equilibrium constants, Kwupper K Subscript w and Kaupper K Subscript a.

Each conjugate acid-base pair has a characteristic pH zone in which it is an effective buffer (Fig. 2-17). The H2PO4/HPO42upper H Subscript 2 Baseline PO Subscript 4 Superscript minus Baseline slash HPO Subscript 4 Superscript 2 minus pair has a pKap upper K Subscript a Baseline of 6.86 and thus can serve as an effective buffer system between approximately pH 5.9 and pH 7.9; the NH4+/NH3NH Subscript 4 Superscript plus Baseline slash NH Subscript 3 pair, with a pKap upper K Subscript a Baseline of 9.25, can act as a buffer between approximately pH 8.3 and pH 10.3.

The Henderson-Hasselbalch Equation Relates pHbold pH, pKabold p bold-italic upper K Subscript bold a Baseline, and Buffer Concentration

The titration curves of acetic acid, H2PO42,upper H Subscript 2 Baseline PO Subscript 4 Superscript 2 minus Baseline comma and NH4+NH Subscript 4 Superscript plus (Fig. 2-17) have nearly identical shapes, suggesting that these curves reflect a fundamental law or relationship. This is indeed the case. The shape of the titration curve of any weak acid is described by the Henderson-Hasselbalch equation, which is important for understanding buffer action and acid-base balance in the blood and tissues of vertebrates. This equation is simply a useful way of restating the expression for the ionization constant of an acid. For the ionization of a weak acid HA, the Henderson-Hasselbalch equation can be derived as follows:

Ka=[H+]  [A][HA]upper K Subscript a Baseline equals StartFraction left-bracket upper H Superscript plus Baseline right-bracket left-bracket upper A Superscript minus Baseline right-bracket Over left-bracket HA right-bracket EndFraction

First solve for [H+upper H Superscript plus]:

[H+]=Ka[HA][A]left-bracket upper H Superscript plus Baseline right-bracket equals upper K Subscript a Baseline StartFraction left-bracket HA right-bracket Over left-bracket upper A Superscript minus Baseline right-bracket EndFraction

Then take the negative logarithm of both sides:

log [H+]=log Kalog [HA][A]minus log left-bracket upper H Superscript plus Baseline right-bracket equals minus log upper K Subscript a Baseline minus log StartFraction left-bracket HA right-bracket Over left-bracket upper A Superscript minus Baseline right-bracket EndFraction

Substitute pH for log [H+]minus log left-bracket upper H Superscript plus Baseline right-bracket and pKap upper K Subscript a Baseline for log Kaminus log upper K Subscript a Baseline:

pH=pKalog [HA][A]pH equals p upper K Subscript a Baseline minus log StartFraction left-bracket HA right-bracket Over left-bracket upper A Superscript minus Baseline right-bracket EndFraction

Now invert log [HA]/[A]minus log left-bracket HA right-bracket slash left-bracket upper A Superscript minus Baseline right-bracket, which requires changing its sign, to obtain the Henderson-Hasselbalch equation:

pH=pKa+log [A][HA]pH equals p upper K Subscript a Baseline plus log StartFraction left-bracket upper A Superscript minus Baseline right-bracket Over left-bracket HA right-bracket EndFraction

(2-9)

This equation fits the titration curve of all weak acids and enables us to deduce some important quantitative relationships. For example, it shows why the pKap upper K Subscript a Baseline of a weak acid is equal to the pH of the solution at the midpoint of its titration. At that point, [HA]=[A]left-bracket HA right-bracket equals left-bracket upper A Superscript minus Baseline right-bracket, and

pH=pKa+log 1=pKa+0=pKapH equals p upper K Subscript a Baseline plus log 1 equals p upper K Subscript a Baseline plus 0 equals p upper K Subscript a Baseline

The Henderson-Hasselbalch equation also allows us (1) to calculate pKap upper K Subscript a Baseline, given pH and the molar ratio of proton donor and acceptor; (2) to calculate pH, given pKap upper K Subscript a Baseline and the molar ratio of proton donor and acceptor; and (3) to calculate the molar ratio of proton donor and acceptor, given pH and pKap upper K Subscript a Baseline.

Weak Acids or Bases Buffer Cells and Tissues against pH Changes

The intracellular and extracellular fluids of multicellular organisms have a characteristic and nearly constant pH. The organism’s first line of defense against changes in internal pH is provided by buffer systems. The cytoplasm of most cells contains high concentrations of proteins, and these proteins contain many amino acids with functional groups that are weak acids or weak bases. For example, the side chain of histidine (Fig. 2-19) has a pKap upper K Subscript a Baseline of 6.0 and thus can exist in either the protonated form or the unprotonated form near neutral pH. Proteins containing histidine residues therefore buffer effectively near neutral pH.

A figure shows the ionization of histidine during a transition from p H 5 to p H 7.

FIGURE 2-19 Ionization of histidine. The amino acid histidine, a component of proteins, is a weak acid. The pKap upper K Subscript a Baseline of the protonated nitrogen of the side chain is 6.0.

WORKED EXAMPLE 2-4 Ionization of Histidine

Calculate the fraction of histidine that has its imidazole side chain protonated at pH 7.3. The pKap upper K Subscript a Baseline values for histidine are pK1=1.8p upper K 1 equals 1.8, pK2(imidazole)=6.0p upper K 2 left-parenthesis imidazole right-parenthesis equals 6.0, and pK3=9.2p upper K 3 equals 9.2 (see Fig. 3-12b).

SOLUTION:

The three ionizable groups in histidine have sufficiently different pKap upper K Subscript a Baseline values (different by at least 2 pH units) that the first acid (COOH)left-parenthesis em-dash COOH right-parenthesis is almost completely ionized before the second acid (protonated imidazole) begins to dissociate a proton, and the second ionizes almost completely before the third (NH3+)left-parenthesis em-dash NH Subscript 3 Superscript plus Baseline right-parenthesis begins to dissociate its proton. (With the Henderson-Hasselbalch equation, we can easily show that a weak acid goes from 1% ionized at 2 pH units below its pKap upper K Subscript a Baseline to 99% ionized at 2 pH units above its pKap upper K Subscript a Baseline; see also Fig. 3-12b.) At pH 7.3, the carboxyl group of histidine is entirely deprotonated (COO)left-parenthesis em-dash COO Superscript minus Baseline right-parenthesis and the α-amino group is fully protonated (NH3+)left-parenthesis em-dash NH Subscript 3 Superscript plus Baseline right-parenthesis. We can therefore assume that at pH 7.3, the only group that is partially dissociated is the imidazole group, which can be protonated (we’ll abbreviate as HisH+His upper H Superscript plus) or not (His).

We use the Henderson-Hasselbalch equation:

pH=pKa+log [A][HA]pH equals p upper K Subscript a Baseline plus log StartFraction left-bracket upper A Superscript minus Baseline right-bracket Over left-bracket HA right-bracket EndFraction

Substituting pK2=6.0p upper K 2 equals 6.0 and pH = 7.3:

7.3=6.0+log [His][HisH+]1.3=+log [His][HisH+]antilog 1.3=[His][HisH+]=2.0×101StartLayout 1st Row 1st Column 7.3 2nd Column equals 6.0 plus log StartFraction left-bracket His right-bracket Over left-bracket HisH Superscript plus Baseline right-bracket EndFraction 2nd Row 1st Column 1.3 2nd Column equals plus log StartFraction left-bracket His right-bracket Over left-bracket HisH Superscript plus Baseline right-bracket EndFraction 3rd Row 1st Column antilog 1 .3 2nd Column equals StartFraction left-bracket His right-bracket Over left-bracket HisH Superscript plus Baseline right-bracket EndFraction equals 2.0 times 10 Superscript 1 EndLayout

This gives us the ratio of [His] to [HisH+]left-bracket His upper H Superscript plus Baseline right-bracket (20 to 1 in this case). We want to convert this ratio to the fraction of total histidine that is in the unprotonated form (His) at pH 7.3. That fraction is 20/21 (20 parts His per 1 part HisH+His upper H Superscript plus, in a total of 21 parts histidine in either form), or about 95.2%; the remainder (100% minus 95.2%) is protonated—about 5%.

Nucleotides such as ATP, as well as many metabolites of low molecular weight, contain ionizable groups that can contribute buffering power to the cytoplasm. Some highly specialized organelles and extracellular compartments have high concentrations of compounds that contribute buffering capacity: organic acids buffer the vacuoles of plant cells; ammonia buffers urine.

Two especially important biological buffers are the phosphate and bicarbonate systems. The phosphate buffer system, which acts in the cytoplasm of all cells, consists of H2PO4upper H Subscript 2 Baseline PO Subscript 4 Superscript minus as proton donor and HPO42HPO Subscript 4 Superscript 2 minus as proton acceptor:

H2PO4  H++HPO42upper H Subscript 2 Baseline PO Subscript 4 Superscript minus Baseline right harpoon over left harpoon upper H Superscript plus Baseline plus HPO Subscript 4 Superscript 2 minus

The phosphate buffer system is maximally effective at a pH close to its pKap upper K Subscript a Baseline of 6.86 (Figs 2-15, 2-17) and thus tends to resist pH changes in the range between about 5.9 and 7.9. It is therefore an effective buffer in biological fluids; in mammals, for example, extracellular fluids and most cytoplasmic compartments have a pH in the range of 6.9 to 7.4.

WORKED EXAMPLE 2-5 Phosphate Buffers

(a) What is the pH of a mixture of 0.042 M NaH2PO40.042 upper M NaH Subscript 2 Baseline PO Subscript 4 Baseline and 0.058 M Na2HPO40.058 upper M Na Subscript 2 Baseline HPO Subscript 4 Baseline?

SOLUTION:

We use the Henderson-Hasselbalch equation, which we’ll express here as

pH=pKa+log [conjugate base][acid]pH equals p upper K Subscript a Baseline plus log StartFraction left-bracket conjugate base right-bracket Over left-bracket acid right-bracket EndFraction

In this case, the acid (the species that gives up a proton) is H2PO4upper H Subscript 2 Baseline PO Subscript 4 Superscript minus, and the conjugate base (the species that gains a proton) is HPO42HPO Subscript 4 Superscript 2 minus. Substituting the given concentrations of acid and conjugate base and the pKa (6.86)p upper K Subscript a Baseline left-parenthesis 6.86 right-parenthesis results in

pH=6.86+log [0.058][0.042]=6.86+0.14=7.0pH equals 6 .86 plus log StartFraction left-bracket 0.058 right-bracket Over left-bracket 0.042 right-bracket EndFraction equals 6.86 plus 0.14 equals 7.0

We can roughly check this answer. When more conjugate base than acid is present, the acid is more than 50% titrated and thus the pH is above the pKa (6.86)p upper K Subscript a Baseline left-parenthesis 6.86 right-parenthesis, where the acid is exactly 50% titrated.

(b) If 1.0 mL of 10.0 m NaOH is added to a liter of the buffer prepared in (a), how much will the pH change?

SOLUTION:

A liter of the buffer contains 0.042 mol of NaH2PO4NaH Subscript 2 Baseline PO Subscript 4. Adding 1.0 mL of 10.0 m NaOH (0.010 mol) would titrate an equivalent amount (0.010 mol) of NaH2PO4NaH Subscript 2 Baseline PO Subscript 4 to Na2HPO4Na Subscript 2 Baseline HPO Subscript 4, resulting in 0.032 mol of NaH2PO4NaH Subscript 2 Baseline PO Subscript 4 and 0.068 mol of Na2HPO4Na Subscript 2 Baseline HPO Subscript 4. The new pH is

pH=pKa+log [HPO42][H2PO4]=6.86+log 0.0680.032=6.86+0.33=7.2StartLayout 1st Row 1st Column pH 2nd Column equals p upper K Subscript a Baseline plus log StartFraction left-bracket HPO Subscript 4 Superscript 2 minus Baseline right-bracket Over left-bracket upper H Subscript 2 Baseline PO Subscript 4 Superscript minus Baseline right-bracket EndFraction 2nd Row 1st Column Blank 2nd Column equals 6.86 plus log StartFraction 0.068 Over 0.032 EndFraction equals 6.86 plus 0.33 equals 7.2 EndLayout

(c) If 1.0 mL of 10.0 m NaOH is added to a liter of pure water at pH 7.0, what is the final pH? Compare this with the answer in (b).

SOLUTION:

The NaOH dissociates completely into Na+Na Superscript plus and OHOH Superscript minus, giving [OH]=0.010 mol/L=1.0×102 Mleft-bracket OH Superscript minus Baseline right-bracket equals 0.010 mol slash upper L equals 1.0 times 10 Superscript minus squared upper M. We can define a term pOH analogous with pH to express [OH]left-bracket OH Superscript minus Baseline right-bracket of a solution. The pOH is the negative logarithm of [OH]left-bracket OH Superscript minus Baseline right-bracket, so in our example pOH = 2.0. Given that in all solutions, pH + pOH = 14 (see Table 2-5), the pH of the solution is 12. So, an amount of NaOH that increases the pH of water from 7 to 12 increases the pH of a buffered solution, as in (b), from 7.0 to just 7.2. Such is the power of buffering!

Why is pH + pOH = 14?

Kw=1014=[H+]  [OH]upper K Subscript w Baseline equals 10 Superscript negative 14 Baseline equals left-bracket upper H Superscript plus Baseline right-bracket left-bracket OH Superscript minus Baseline right-bracket

Taking the negative log of both sides of the equation gives

log (1014)=log [H+]+log [OH]14=log [H+]+log [OH]14=pH+pOHStartLayout 1st Row minus log left-parenthesis 10 Superscript negative 14 Baseline right-parenthesis equals minus log left-bracket upper H Superscript plus Baseline right-bracket plus minus log left-bracket OH Superscript minus Baseline right-bracket 2nd Row 14 equals minus log left-bracket upper H Superscript plus Baseline right-bracket plus minus log left-bracket OH Superscript minus Baseline right-bracket 3rd Row 14 equals pH plus pOH EndLayout

Blood plasma is buffered in part by the bicarbonate system, consisting of carbonic acid (H2CO3)left-parenthesis upper H Subscript 2 Baseline CO Subscript 3 Baseline right-parenthesis as proton donor and bicarbonate (HCO3)left-parenthesis HCO Subscript 3 Superscript minus Baseline right-parenthesis as proton acceptor (K1upper K 1 is the first of several equilibrium constants in the bicarbonate buffering system):

H2CO3  H++HCO3K1=[H+]  [HCO3][H2CO3]StartLayout 1st Row upper H Subscript 2 Baseline CO Subscript 3 Baseline right harpoon over left harpoon upper H Superscript plus Baseline plus HCO Subscript 3 Superscript minus Baseline 2nd Row upper K 1 equals StartFraction left-bracket upper H Superscript plus Baseline right-bracket left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket Over left-bracket upper H Subscript 2 Baseline CO Subscript 3 Superscript Baseline right-bracket EndFraction EndLayout

This buffer system is more complex than other conjugate acid-base pairs because one of its components, carbonic acid (H2CO3)left-parenthesis upper H Subscript 2 Baseline CO Subscript 3 Baseline right-parenthesis, is formed from dissolved (aq) carbon dioxide and water, in a reversible reaction:

CO2(aq)+H2O H2CO3K2=[H2CO3][CO2(aq)]  [H2O]StartLayout 1st Row CO Subscript 2 Baseline left-parenthesis aq right-parenthesis plus upper H Subscript 2 Baseline upper O right harpoon over left harpoon upper H Subscript 2 Baseline CO Subscript 3 Baseline 2nd Row upper K 2 equals StartFraction left-bracket upper H Subscript 2 Baseline CO Subscript 3 Superscript Baseline right-bracket Over left-bracket CO Subscript 2 Superscript Baseline left-parenthesis aq right-parenthesis right-bracket left-bracket upper H Subscript 2 Baseline upper O right-bracket EndFraction EndLayout

Carbon dioxide is a gas under normal conditions, and CO2CO Subscript 2 dissolved in an aqueous solution is in equilibrium with CO2CO Subscript 2 in the gas (g) phase:

CO2(g)  CO2(aq)Ka=[CO2(aq)][CO2(g)]StartLayout 1st Row CO Subscript 2 Baseline left-parenthesis g right-parenthesis right harpoon over left harpoon CO Subscript 2 Superscript Baseline left-parenthesis aq right-parenthesis 2nd Row upper K Subscript a Baseline equals StartFraction left-bracket CO Subscript 2 Superscript Baseline left-parenthesis aq right-parenthesis right-bracket Over left-bracket CO Subscript 2 Superscript Baseline left-parenthesis g right-parenthesis right-bracket EndFraction EndLayout

The pH of a bicarbonate buffer system depends on the concentrations of H2CO3upper H Subscript 2 Baseline CO Subscript 3 and HCO3HCO Subscript 3 Superscript minus, the proton donor and acceptor components. The concentration of H2CO3upper H Subscript 2 Baseline CO Subscript 3 in turn depends on the concentration of dissolved CO2CO Subscript 2, which in turn depends on the concentration of CO2CO Subscript 2 in the gas phase, or the partial pressure of CO2CO Subscript 2, denoted pCO2pCO Subscript 2. Thus, the pH of a bicarbonate buffer exposed to a gas phase is ultimately determined by the concentration of HCO3HCO Subscript 3 Superscript minus in the aqueous phase and by pCO2pCO Subscript 2 in the gas phase.

The bicarbonate buffer system is an effective physiological buffer near pH 7.4, because the H2CO3upper H Subscript 2 Baseline CO Subscript 3 of blood plasma is in equilibrium with a large reserve capacity of CO2(g)CO Subscript 2 Baseline left-parenthesis g right-parenthesis in the air space of the lungs. As noted above, this buffer system involves three reversible equilibria, in this case between gaseous CO2CO Subscript 2 in the lungs and bicarbonate (HCO3)left-parenthesis HCO Subscript 3 Superscript minus Baseline right-parenthesis in the blood plasma (Fig. 2-20).

A figure shows the reactions of the bicarbonate buffer system in blood in capillaries and air in lungs.

FIGURE 2-20 The bicarbonate buffer system. CO2CO Subscript 2 in the air space of the lungs is in equilibrium with the bicarbonate buffer in the blood plasma passing through the lung capillaries. Because the concentration of dissolved CO2CO Subscript 2 can be adjusted rapidly through changes in the rate of breathing, the bicarbonate buffer system of the blood is in near-equilibrium with a large potential reservoir of CO2CO Subscript 2.

Blood can pick up H+upper H Superscript plus, such as from the lactic acid produced in muscle tissue during vigorous exercise. Alternatively, it can lose H+upper H Superscript plus, such as by protonation of the NH3NH Subscript 3 produced during protein catabolism. When H+upper H Superscript plus is added to blood as it passes through the tissues, reaction 1 in Figure 2-20 proceeds toward a new equilibrium, in which [H2CO3upper H Subscript 2 Baseline CO Subscript 3] is increased. This in turn increases [CO2(aq)CO Subscript 2 Baseline left-parenthesis aq right-parenthesis] in the blood (reaction 2) and thus increases the partial pressure of CO2(g)CO Subscript 2 Baseline left-parenthesis g right-parenthesis in the air space of the lungs (reaction 3); the extra CO2CO Subscript 2 is exhaled. Conversely, when H+upper H Superscript plus is lost from the blood, the opposite events occur: more H2CO3upper H Subscript 2 Baseline CO Subscript 3 dissociates into H+upper H Superscript plus and HCO3HCO Subscript 3 Superscript minus, and thus more CO2(g)CO Subscript 2 Baseline left-parenthesis g right-parenthesis from the lungs dissolves in blood plasma. The rate of respiration—that is, the rate of inhaling and exhaling—can quickly adjust these equilibria to keep the blood pH nearly constant. The rate of respiration is controlled by the brain stem, where detection of an increased blood pCO2pCO Subscript 2 or decreased blood pH triggers deeper and more frequent breathing.

Hyperventilation, the rapid breathing sometimes elicited by stress or anxiety, tips the normal balance of O2upper O Subscript 2 breathed in and CO2CO Subscript 2 breathed out in favor of too much CO2CO Subscript 2 breathed out, raising the blood pH to 7.45 or higher and causing alkalosis. This alkalosis can lead to dizziness, headache, weakness, and fainting. One home remedy for mild alkalosis is to breathe briefly into a paper bag. The air in the bag becomes enriched in CO2CO Subscript 2, and inhaling this air increases the CO2CO Subscript 2 concentration in the body and blood and decreases blood pH.

At the normal pH of blood plasma (7.4), very little H2CO3upper H Subscript 2 Baseline CO Subscript 3 is present relative to HCO3,HCO Subscript 3 Superscript minus Baseline comma and the addition of just a small amount of base (NH3NH Subscript 3 or OHOH Superscript minus) would titrate this H2CO3upper H Subscript 2 Baseline CO Subscript 3, exhausting the buffering capacity. The important role of H2CO3 (pKa=3.57upper H Subscript 2 Baseline CO Subscript 3 Baseline left-parenthesis p upper K Subscript a Baseline equals 3.57 at 37 °C37 degree upper C) in buffering blood plasma (pH ∼ 7.4) seems inconsistent with our earlier statement that a buffer is most effective in the range of 1 pH unit above and below its pKap upper K Subscript a Baseline. The explanation for this apparent paradox is the large reservoir of CO2CO Subscript 2 dissolved in blood, which we refer to as CO2(aq)CO Subscript 2 Baseline left-parenthesis aq right-parenthesis. Its rapid equilibration with H2CO3upper H Subscript 2 Baseline CO Subscript 3 results in the formation of additional H2CO3upper H Subscript 2 Baseline CO Subscript 3:

CO2(aq)+H2 H2CO3CO Subscript 2 Baseline left-parenthesis aq right-parenthesis plus upper H Subscript 2 Baseline upper O right harpoon over left harpoon upper H Subscript 2 Baseline CO Subscript 3 Superscript

It is useful in clinical medicine to have a simple expression for blood pH in terms of CO2(aq)CO Subscript 2 Baseline left-parenthesis aq right-parenthesis, which is commonly monitored along with other blood gases. We can define a constant, Khupper K Subscript h, which is the equilibrium constant for the hydration of CO2CO Subscript 2 to form H2CO3upper H Subscript 2 Baseline CO Subscript 3:

Kh=[H2CO3][CO2(aq)]upper K Subscript h Baseline equals StartFraction left-bracket upper H Subscript 2 Baseline CO Subscript 3 Superscript Baseline right-bracket Over left-bracket CO Subscript 2 Superscript Baseline left-parenthesis aq right-parenthesis right-bracket EndFraction

(The concentration of water is so high (55.5 m) that dissolving CO2CO Subscript 2 doesn’t change [H2O]left-bracket upper H Subscript 2 Baseline upper O right-bracket appreciably, so [H2O]left-bracket upper H Subscript 2 Baseline upper O right-bracket is made part of the constant Khupper K Subscript h.) Then, to take the CO2(aq)CO Subscript 2 Baseline left-parenthesis aq right-parenthesis reservoir into account, we can express [H2CO3]left-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket as Kh[CO2(aq)]upper K Subscript h Baseline left-bracket CO Subscript 2 Baseline left-parenthesis aq right-parenthesis right-bracket and substitute this expression for [H2CO3]left-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket in the equation for the acid dissociation of H2CO3upper H Subscript 2 Baseline CO Subscript 3:

Ka=[H+]  [HCO3][H2CO3]=[H+]  [HCO3]Kh[CO2(aq)]upper K Subscript a Baseline equals StartFraction left-bracket upper H Superscript plus Baseline right-bracket left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket Over left-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket EndFraction equals StartFraction left-bracket upper H Superscript plus Baseline right-bracket left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket Over upper K Subscript h Baseline left-bracket CO Subscript 2 Baseline left-parenthesis aq right-parenthesis right-bracket EndFraction

Now, the overall equilibrium for dissociation of H2CO3upper H Subscript 2 Baseline CO Subscript 3 can be expressed in these terms:

KhKa=Kcombined=[H+]  [HCO3][CO2(aq)]upper K Subscript h Baseline upper K Subscript a Baseline equals upper K Subscript combined Baseline equals StartFraction left-bracket upper H Superscript plus Baseline right-bracket left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket Over left-bracket CO Subscript 2 Baseline left-parenthesis aq right-parenthesis right-bracket EndFraction

We can calculate the value of the new constant, Kcombinedupper K Subscript combined, and the corresponding apparent pK, or pKcombinedp upper K Subscript combined Baseline, from the experimentally determined values of Kh(3.0×103 M)upper K Subscript h Baseline left-parenthesis 3.0 times 10 Superscript negative 3 Baseline upper M right-parenthesis and Ka(2.7×104 M)upper K Subscript a Baseline left-parenthesis 2.7 times 10 Superscript negative 4 Baseline upper M right-parenthesis at 37 °C37 Superscript degree Baseline upper C:

Kcombined=(3.0×103 M)(2.7×104 M)=8.1×107 M2pKcombined=6.1StartLayout 1st Row 1st Column upper K Subscript combined 2nd Column equals left-parenthesis 3.0 times 10 Superscript negative 3 Baseline upper M right-parenthesis left-parenthesis 2.7 times 10 Superscript negative 4 Baseline upper M right-parenthesis 2nd Row 1st Column Blank 2nd Column equals 8.1 times 10 Superscript negative 7 Baseline upper M squared 3rd Row 1st Column p upper K Subscript combined Baseline 2nd Column equals 6.1 EndLayout

In clinical medicine, it is common to refer to CO2(aq)CO Subscript 2 Baseline left-parenthesis aq right-parenthesis as the conjugate acid and to use the apparent, or combined, pKap upper K Subscript a Baseline of 6.1 to simplify calculation of pH from [CO2(aq)]left-bracket CO Subscript 2 Baseline left-parenthesis aq right-parenthesis right-bracket. The concentration of dissolved CO2CO Subscript 2 is a function of pCO2pCO Subscript 2, which in the lung is about 4.8 kilopascals (kPa), corresponding to [H2CO3]1.2 mMleft-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket almost-equals 1.2 mM. Plasma [HCO3]left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket is normally about 24 mm, so [HCO3]/[H2CO3]left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket slash left-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket is about 20, and the blood pH is 6.1 + log 20 ≈ 7.4.

Untreated Diabetes Produces Life-Threatening Acidosis

Many of the enzymes that function in the blood have evolved to have maximal activity between pH 7.35 and 7.45, the normal pH range of human blood plasma. Enzymes typically show maximal catalytic activity at a characteristic pH, called the optimum pH (Fig. 2-21). On either side of this optimum pH, catalytic activity often declines sharply. Thus, a small change in pH can make a large difference in the rate of some crucial enzyme-catalyzed reactions. Biological control of the pH of cells and body fluids is therefore of central importance in all aspects of metabolism and cellular activities, and changes in blood pH have marked physiological consequences, as we know from the alarming experiments described in Box 2-1.

A graph plotting percent maximum activity against p H compares the p H optima of pepsin and trypsin.

FIGURE 2-21 The pH optima of two enzymes. Pepsin is a digestive enzyme secreted into gastric juice, which has a pH of ∼1.5, allowing pepsin to act optimally. Trypsin, a digestive enzyme that acts in the small intestine, has a pH optimum that matches the neutral pH in the lumen of the small intestine.

In individuals with untreated diabetes mellitus, the lack of insulin, or insensitivity to insulin, disrupts the uptake of glucose from blood into the tissues and forces the tissues to use stored fatty acids as their primary fuel. For reasons we describe in detail later in the book (see Chapter 23), this dependence on fatty acids results in acidosis, the accumulation of high concentrations of two carboxylic acids, β-hydroxybutyric acid and acetoacetic acid (a combined blood plasma level of 90 mg/100 mL, compared with <3 mg/100 mL in control (healthy) individuals; urinary excretion of 5 g/24 h, compared with <125 mg/24 h in controls). Dissociation of these acids lowers the pH of blood plasma to less than 7.35. Severe acidosis (characterized by low blood pH) produces headache, drowsiness, nausea, vomiting, and diarrhea, followed by stupor, coma, and convulsions, presumably because, at the lower pH, some enzyme(s) do not function optimally. When a patient is found to have high blood glucose, low plasma pH, and high levels of β-hydroxybutyric acid and acetoacetic acid in blood and urine, diabetes mellitus is the likely diagnosis.

Other conditions can also produce acidosis. For example, fasting and starvation force the use of stored fatty acids as fuel, with the same consequences as for diabetes. Very heavy exertion, such as a sprint by runners or cyclists, leads to temporary accumulation of lactic acid in the blood. Kidney failure results in a diminished capacity to regulate bicarbonate levels. Lung diseases (such as emphysema, pneumonia, and asthma) reduce the capacity to dispose of the CO2CO Subscript 2 produced by fuel oxidation in the tissues, with the resulting accumulation of H2CO3upper H Subscript 2 Baseline CO Subscript 3.

Acidosis is treated by dealing with the underlying condition—administering insulin to people with diabetes, and steroids or antibiotics to people with lung disease. Severe acidosis can be reversed by administering bicarbonate solution intravenously.

WORKED EXAMPLE 2-6 Treatment of Acidosis with Bicarbonate

Why does intravenous administration of a bicarbonate solution raise the plasma pH?

SOLUTION:

The ratio of [HCO3]left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket to [CO2(aq)]left-bracket CO Subscript 2 Baseline left-parenthesis aq right-parenthesis right-bracket determines the pH of the bicarbonate buffer, according to the equation

pH=6.1+log [HCO3]H2CO3pH equals 6.1 plus log StartFraction left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket Over upper H Subscript 2 Baseline CO Subscript 3 Superscript Baseline EndFraction

where [H2CO3]left-bracket upper H Subscript 2 Baseline CO Subscript 3 Baseline right-bracket is directly related to pCO2pCO Subscript 2, the partial pressure of CO2CO Subscript 2. So, if [HCO3]left-bracket HCO Subscript 3 Superscript minus Baseline right-bracket is increased with no change in pCO2pCO Subscript 2, the blood pH will rise.

SUMMARY 2.3 Buffering against pH Changes in Biological Systems
  • A mixture of a weak acid (or base) and its salt resists changes in pH caused by the addition of H+upper H Superscript plus or OHOH Superscript minus. The mixture thus functions as a buffer.
  • The pH of a solution of a weak acid (or base) and its salt is given by the Henderson-Hasselbalch equation:
    pH=pKa+log [A][HA]pH equals p upper K Subscript a Baseline plus log StartFraction left-bracket upper A Superscript minus Baseline right-bracket Over left-bracket HA right-bracket EndFraction
  • In cells and tissues, phosphate and bicarbonate buffer systems maintain intracellular and extracellular fluids near pH 7.4. Enzymes generally work optimally near this physiological pH.

  • Medical conditions such as untreated diabetes that lower the pH of blood, causing acidosis, or raise it, causing alkalosis, can be life-threatening.