Chloride shift

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Chloride Shift

Diagram illustrating the chloride shift in red blood cells.

The chloride shift, also known as the Hamburger phenomenon, is a process that occurs in red blood cells (RBCs) during the exchange of gases in the respiratory system. It involves the movement of chloride ions (Cl_) into and out of the red blood cells to maintain electrical neutrality as carbon dioxide (CO_) is converted to bicarbonate (HCO__) and vice versa.

Mechanism

The chloride shift occurs primarily in the capillaries of the systemic circulation and the pulmonary circulation.

Systemic Circulation

In the systemic circulation, CO_ produced by cellular respiration diffuses into the red blood cells. Inside the RBCs, CO_ is rapidly converted to carbonic acid (H_CO_) by the enzyme carbonic anhydrase. Carbonic acid then dissociates into bicarbonate (HCO__) and hydrogen ions (H_).

To maintain electrical neutrality, the bicarbonate ions are transported out of the RBCs into the plasma in exchange for chloride ions, which move into the RBCs. This exchange is facilitated by the anion exchanger protein, also known as band 3 protein.

Pulmonary Circulation

In the pulmonary circulation, the process is reversed. Bicarbonate ions re-enter the RBCs in exchange for chloride ions moving out. Inside the RBCs, bicarbonate combines with hydrogen ions to form carbonic acid, which is then converted back to CO_ and water by carbonic anhydrase. The CO_ diffuses out of the RBCs into the alveoli to be exhaled.

Importance

The chloride shift is crucial for efficient CO_ transport and pH balance in the blood. By facilitating the conversion of CO_ to bicarbonate, it allows for the transport of CO_ in a more soluble form. Additionally, the exchange of ions helps to buffer the blood, maintaining a stable pH.

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Contributors: Prab R. Tumpati, MD