Hlastala M P, Woodson R D
J Appl Physiol Respir Environ Exerc Physiol. 1983 Sep;55(3):1002-7. doi: 10.1152/jappl.1983.55.3.1002.
The oxygen dissociation curve (ODC) and Bohr effect of human blood were measured over a wide range of acid-base conditions and blood-O2 saturations at normal and low 2,3-diphosphoglycerate (DPG) concentrations. The fixed-acid Bohr factor (H+ titration) was relatively constant as a function of O2 saturation. At normal DPG levels, the H+ Bohr factor was not dependent on PCO2 except for a modest increase (in absolute magnitude) at very low PCO2 (7 Torr). For low DPG blood, the H+ Bohr factor decreased markedly with increasing PCO2 such that at PCO2 101 Torr, delta log PO2/delta pH varied between 0 and -0.13. The CO2 Bohr factor (CO2 titration) was strongly dependent on O2 saturation, being greatest at low O2 saturation. For normal DPG blood, this factor did not differ significantly at base excess (BE) +0.1 and +19.5 mmol/l, but decreased slightly at BE -20.3 mmol/l. For low DPG blood this factor showed a modest decrease with BE from -0.5 to +19.5 mmol/l but increased appreciably at BE -18.6 mmol/l. The data indicate that the Bohr factor may vary from unmeasurable levels to -0.93 under physiological and pathophysiological conditions. Results allow calculation of the shape and position of the ODC under the diverse conditions which may attend gas exchange.
在正常和低2,3 - 二磷酸甘油酸(DPG)浓度下,在广泛的酸碱条件和血液氧饱和度范围内测量了人体血液的氧解离曲线(ODC)和波尔效应。固定酸波尔因子(H⁺滴定)作为氧饱和度的函数相对恒定。在正常DPG水平下,H⁺波尔因子除了在极低的PCO₂(7托)时略有增加(绝对值)外,不依赖于PCO₂。对于低DPG血液,H⁺波尔因子随着PCO₂的增加而显著下降,以至于在PCO₂为101托时,δlogPO₂/δpH在0至 -0.13之间变化。CO₂波尔因子(CO₂滴定)强烈依赖于氧饱和度,在低氧饱和度时最大。对于正常DPG血液,该因子在碱剩余(BE)为 +0.1和 +19.5 mmol/L时无显著差异,但在BE为 -20.3 mmol/L时略有下降。对于低DPG血液,该因子在BE从 -0.5至 +19.5 mmol/L时略有下降,但在BE为 -18.6 mmol/L时明显增加。数据表明,在生理和病理生理条件下,波尔因子可能从未可测量水平变化到 -0.93。结果允许计算在可能伴随气体交换的各种条件下ODC的形状和位置。