1B 2

The Roles of the Blood

How haemoglobin loads and unloads oxygen, assists carbon dioxide transport, and responds to changing conditions in tissues.

YOUR SPECIFICATION

What you need to know

  • 1.9(i)The role of in oxygen and carbon dioxide transport.
  • 1.9(ii)Oxygen dissociation curves, the Bohr effect and fetal haemoglobin.
Pearson specification · Issue 2, p. 16

Blood components provide context for transport. The clotting sequence is covered in 1B5 (1.11); detailed immune responses belong later in the course.

By the end, you should be able to…

  • Explain reversible oxygen binding and the sigmoid dissociation curve.
  • Explain carbon dioxide transport and haemoglobin’s buffering role.
  • Compare adult and fetal haemoglobin and explain the Bohr effect.
SPECIFICATION-ALIGNED LEARNING

Build your understanding

A fluid carrying specialised cells

is the liquid component of blood. Its water transports dissolved substances, including nutrients, and hydrogen carbonate ions. Red blood cells contain ; white blood cells contribute to defence; are cell fragments involved in clotting.

Mature mammalian red blood cells have no , leaving more space for haemoglobin. Their biconcave shape gives a large surface-area-to-volume ratio and a short . Their flexibility helps them pass through narrow . These features support rapid gas exchange.

Loading and unloading oxygen

Haemoglobin has four haem groups, each capable of binding one oxygen molecule reversibly. Binding produces oxyhaemoglobin. At the high partial pressure of oxygen in the lungs, haemoglobin becomes highly saturated; in tissues with lower oxygen partial pressure, oxygen dissociates and can diffuse into cells.

An oxygen dissociation curve plots percentage haemoglobin saturation on the vertical axis against oxygen partial pressure, usually in kPa, on the horizontal axis. Saturation describes the proportion of available oxygen-binding sites occupied, not the amount of haemoglobin in the sample.

Loading and unloading oxygen (continued)

Graph of percentage saturation against partial pressure of oxygen. A sigmoid curve, with a dashed second curve shifted to the right labelled more CO₂ (Bohr shift).02468101214020406080100steep part: a small fall inpO2 unloads much O2plateau:loads in the lungsnormalmore CO2 (Bohr shift)Partial pressure of O2 / kPaSaturation of haemoglobin / %
The S-shaped curve: a plateau where haemoglobin loads in the lungs and a steep part where a small fall in pO₂ unloads a lot of oxygen. More CO₂ shifts the curve to the right (Bohr shift). Shape is illustrative.

The curve is sigmoid, or S-shaped. Binding the first oxygen molecule changes haemoglobin’s shape, making subsequent oxygen binding easier: this is cooperative binding. The steep region allows a relatively small fall in oxygen partial pressure to cause substantial oxygen unloading. The plateau allows high loading across a range of high oxygen partial pressures.

Carbon dioxide and the Bohr effect

Some carbon dioxide is dissolved in plasma and some binds to the globin part of haemoglobin, forming carbaminohaemoglobin. Most is transported as hydrogen carbonate ions. In red blood cells, carbonic anhydrase catalyses the reaction of carbon dioxide with water to form carbonic acid, which dissociates into hydrogen ions and hydrogen carbonate ions.

Haemoglobin binds hydrogen ions, helping buffer changes in . Hydrogen carbonate ions move into plasma; chloride ions enter red blood cells to help maintain charge balance. At the lungs, the reactions reverse, regenerating carbon dioxide that diffuses into the alveoli and is exhaled.

Actively respiring tissues produce more carbon dioxide. The associated increase in hydrogen ions lowers pH and reduces haemoglobin’s oxygen affinity. At the same oxygen partial pressure, haemoglobin is less saturated and unloads more oxygen. This rightward shift of the oxygen dissociation curve is the Bohr effect: it helps supply oxygen where demand is greatest.

Fetal haemoglobin has a different affinity

Two sigmoid oxygen dissociation curves. The fetal haemoglobin curve is to the left of the adult haemoglobin curve.02468101214020406080100fetal Hbadult HbPartial pressure of O2 / kPaSaturation of haemoglobin / %
The fetal haemoglobin curve lies to the left: at the same partial pressure of oxygen it is more saturated. Shape is illustrative.

Fetal haemoglobin has a higher affinity for oxygen than adult haemoglobin under comparable conditions. Its dissociation curve lies to the left: at a given oxygen partial pressure, fetal haemoglobin is more saturated.

At the placenta, oxygen diffuses from maternal blood to fetal blood. The higher affinity of fetal haemoglobin helps it bind oxygen at the relatively low partial pressures there. Maternal and fetal blood normally remain in separate circulations; oxygen crosses the exchange barrier rather than the two blood supplies mixing.

At high oxygen partial pressure in the lungs, haemoglobin loads oxygen. At lower oxygen partial pressure in tissues it unloads. Most carbon dioxide is converted by carbonic anhydrase to hydrogen carbonate. Haemoglobin binds the hydrogen ions. More carbon dioxide shifts the dissociation curve right, the Bohr effect. More CO₂ lowers haemoglobin’s affinity for oxygenCompare saturation at the same partial pressure of oxygen: the Bohr effect.04812050100partial pressure of oxygen, pO2​ / kPasaturation of haemoglobin / %lower CO2​higher CO2​curve shifts rightsame pO2​: lower saturation,so more O2​ is unloadedInside a red blood cellCO2​ inCO2​ + H2​Ocarbonic anhydraseH2​CO3​H+​ + HCO3​−​H+​ binds Hb,releasing O2​HCO3​−​ leavesinto plasmaThe Bohr effect lowers affinity: haemoglobin unloads more O₂ in active tissue, not binds more.

NOT: the Bohr effect does not make haemoglobin bind more O₂ in active tissues.

  1. Right shift: lower affinity, more unloading at the same pO₂
  2. Fetal haemoglobin sits to the left: higher affinity
  3. Some CO₂ binds globin: carbaminohaemoglobin
  4. That is not carboxyhaemoglobin, which involves carbon monoxide

Two traps this diagram blocks

  • Compare curves at the same oxygen partial pressure. A left curve means higher affinity, not “more carbon dioxide”.
  • Saturation is the proportion of binding sites occupied, not the volume of oxygen in the blood.

From the diagram alone

Question

Explain how increased carbon dioxide production in an active muscle increases oxygen unloading. [4]

Show a model answer

More carbon dioxide forms more carbonic acid and more hydrogen ions, so pH falls. Haemoglobin’s affinity for oxygen decreases and the dissociation curve shifts to the right. At the same oxygen partial pressure, percentage saturation is lower, so more oxygen dissociates and can diffuse into the muscle cells.

Three illustrative S-shaped curves. Fetal haemoglobin is left of adult haemoglobin. Adult haemoglobin at higher carbon dioxide is right of adult haemoglobin at the reference condition. At the same oxygen partial pressure, the left curve has higher saturation.
Illustrative model curves, not experimental or clinical measurements. Compare saturation at the same oxygen partial pressure: a left shift indicates higher affinity; a right shift indicates lower affinity. The exact values are not facts to memorise. Open full-size figure
Reading a curve comparison at the same oxygen partial pressure
ComparisonSaturationInterpretation
Adult haemoglobin at higher CO₂: curve shifts rightLowerLower oxygen affinity; greater unloading
Fetal versus adult haemoglobin: curve lies leftHigherHigher oxygen affinity; loading at lower partial pressure
EXAM TIPS & ADVICE

Make your reasoning visible

Compare at the same x-value

To compare affinities, use the same oxygen partial pressure on both curves. Read the corresponding saturations, then explain the biological consequence. A curve further left indicates higher affinity.

Saturation is not oxygen content

Two samples can have the same percentage saturation but different total oxygen contents if their concentrations differ. State what the graph actually measures.

Keep the two carbon-containing compounds separate

Carbon dioxide forms carbaminohaemoglobin by binding to globin. Do not confuse this with carboxyhaemoglobin, which involves carbon monoxide.

Avoid this misconception

The claim: The Bohr effect means haemoglobin binds more oxygen in tissues with more carbon dioxide.

The correction: Higher carbon dioxide lowers oxygen affinity. At the same oxygen partial pressure, more oxygen is released to the tissues.

SPECIFICATION 1.9 · MODEL

The oxygen dissociation curve

Drag a tissue marker along the curve to see how much oxygen haemoglobin releases, shift the curve with carbon dioxide (the Bohr effect), and compare fetal with adult haemoglobin at the placenta. Illustrative model curves, not clinical values.

What you see
  • Percentage saturation of haemoglobin against the partial pressure of oxygen (kPa). The reference adult curve is blue; the tissue curve after a Bohr shift is red and dashed; fetal haemoglobin is purple.
  • Markers for the lungs and a tissue, with lines to both axes, and a bracket for the fall in saturation.
  • A haemoglobin glyph with four haem groups showing about how many O₂ are bound at each marker.
How to use it
  • Drag the tissue marker along the curve (or use the pO₂ slider). Pick a preset: resting tissue, exercising muscle.
  • Raise tissue CO₂ to shift the curve right. Halve the haemoglobin to compare oxygen content with saturation.
  • Switch to the placenta view to compare maternal and fetal haemoglobin at the same pO₂.
What it shows
  • The sigmoid shape from cooperative binding: a plateau for loading in the lungs and a steep section for unloading in tissues.
  • The Bohr effect: more CO₂ lowers affinity, so more oxygen is released at the same pO₂.
  • Fetal haemoglobin has a higher affinity (curve to the left), so it loads oxygen at the placenta.
Limits of the model
  • The curves are a Hill-equation model (n = 2.8, adult P₅₀ 3.5 kPa, fetal 2.5 kPa) with a simple pH-based Bohr shift: illustrative, not clinical values.
  • Temperature, 2,3-BPG and carbon monoxide also shift real curves; they are not modelled.
  • Oxygen content ignores dissolved oxygen and assumes 1.34 cm³ O₂ per g of haemoglobin.

Guided tour · step 1 of 7

What to do
  1. Drag the tissue marker on the graph in the simulator, or in Tissue, just below these steps, drag Tissue pO₂ (0.5–13.5 kPa).
  2. Move it from the lungs (13.3 kPa) down to resting tissue, about 5 kPa.
  3. Watch the saturation and the haemoglobin glyph.
Why

At the high pO₂ in the lungs haemoglobin is almost fully saturated; at the lower pO₂ in respiring tissue some oxygen dissociates.

Tissue

View
Tissue preset
13.30 kPa
5.3 kPa

More CO₂ → more H⁺ → lower pH → lower affinity.

Readings

Lungs98 %
Tissue98 %
Fall0 points
Share released0 %
Haemoglobin concentration
O₂ at lungs19.6 cm³
O₂ at tissue19.6 cm³
O₂ released0.0 cm³

Oxygen content per 100 cm³ of blood = 1.34 × haemoglobin × saturation (bound oxygen only).

Lesson dataset

Blood arrives at a tissue at 98 % saturation and leaves at 63 % (illustrative). Make the tissue read 63 % with CO₂ at 5.3 kPa, then calculate the fall.

Explain

Why does fetal haemoglobin load oxygen at the placenta?
RETRIEVE · APPLY · CHECK

Check your understanding

Try each question before opening the suggested answer.

  1. Practice question

    Retrieval and explanation · suggested answer

    Explain how increased carbon dioxide production in muscle helps supply that muscle with oxygen.

    Show suggested answer

    More carbon dioxide leads to more hydrogen ions and lower pH. Haemoglobin’s oxygen affinity falls, shifting its dissociation curve to the right. At the same oxygen partial pressure, haemoglobin releases more oxygen, which can diffuse into the muscle cells.

  2. Practice question

    Retrieval and explanation · suggested answer

    In an illustrative dataset, blood arrives at a tissue at 98% saturation and leaves at 63%. Calculate the fall in saturation, and explain why this is not a volume of oxygen.

    Show suggested answer

    The fall is 35 percentage points. Saturation is the proportion of haemoglobin binding sites occupied. To calculate an oxygen volume, we would also need information such as the amount of haemoglobin and the volume of blood.

  3. Practice question

    Retrieval and explanation · suggested answer

    Explain how fetal haemoglobin assists oxygen transfer at the placenta.

    Show suggested answer

    Fetal haemoglobin has higher oxygen affinity than adult haemoglobin, so it binds oxygen at the relatively low partial pressure in the placenta. This supports oxygen transfer from maternal blood across the placental exchange barrier into the separate fetal circulation.

STRETCH QUESTION

Take the idea further

Apply the same specification knowledge to an unfamiliar problem. Any extra assumptions are supplied in the question.

Stretch question

Two equal-volume blood samples have the same saturation. Sample B has half the haemoglobin concentration of sample A. Assume equal oxygen capacity per haemoglobin molecule and ignore dissolved oxygen. Compare their oxygen contents and explain the implication.

Show a hint

Distinguish how full the carriers are from how many carriers there are.

Explore the reasoning

Sample B carries half as much haemoglobin-bound oxygen as sample A. The same fraction of sites is occupied, but there are half as many sites. A saturation reading alone therefore does not establish how much oxygen a blood sample carries.

RECALL

Recall this lesson

Lesson recall questions

5 of 17 recall questions for 1.90 of 5 rated0 secure

Question 1 of 5: Explain, in causal order, the Bohr effect when CO₂ and H⁺ rise in an active tissue.

011.9Causal chain

Haemoglobin, dissociation and the Bohr effect

Practice question

Retrieval and explanation · suggested answer

Explain, in causal order, the Bohr effect when CO₂ and H⁺ rise in an active tissue.

Build the sequence from memory first. Then reveal the model order.

Tap the steps in the order you recall. Tap a placed step to send it back.

  1. 01Next step
  2. 02Waiting
  3. 03Waiting

Tap to place

Practise more of these specification points

Beyond the classroom

Put your biology to work

Explore where these ideas appear in the world. Enrichment, not extra required recall.

CareersMedicine

Why donated blood is separated

1B · The Roles of the BloodNHS Blood and Transplant manufacturing teams separate donations into components including red cells, platelets and plasma. Understanding what each component does is part of making blood products useful…Specification 1.9(i)Read & use the scienceClose article

Why this matters

NHS Blood and Transplant manufacturing teams separate donations into components including red cells, platelets and plasma. Understanding what each component does is part of making blood products useful for different clinical needs. Separation allows a clinical team to match a component to a particular need. Red cells contribute oxygen-carrying capacity; platelets contribute to clot formation; plasma contains dissolved substances and proteins. Those functions are related but not interchangeable. A laboratory scientist must therefore identify and handle the appropriate component rather than treat all red fluid as equivalent. The Unit 1 link is structure and function: a transfusion decision depends on which biological role needs support, alongside compatibility and other clinical checks.

Back to the specification

Pearson Edexcel IAL Biology · Issue 2, February 2021 · Unit 1, pp. 15–18. The application extends beyond required recall.

  • 1.9(i) understand the role of haemoglobin in the transport of oxygen and carbon dioxide
Read the Pearson specification

Use the science

Why would a bag of plasma not have the same oxygen-carrying capacity as a red-cell preparation of equal volume?

Explore a possible response

Plasma lacks the large amount of haemoglobin inside red cells. Although a small amount of oxygen can dissolve in fluid, haemoglobin provides much greater oxygen-carrying capacity.

Explore the source

MedicineResearchPop Culture

What does an oxygen reading really measure?

1B · The Roles of the BloodA pulse oximeter estimates the proportion of haemoglobin carrying oxygen using light. That useful number is not a direct measurement of how much oxygen reaches every tissue. Haemoglobin…Specification 1.9(i) · 1.16Read & use the scienceClose article

Why this matters

A pulse oximeter estimates the proportion of haemoglobin carrying oxygen using light. That useful number is not a direct measurement of how much oxygen reaches every tissue. Haemoglobin concentration and blood flow also influence delivery. Research has additionally found differences in measurement performance across skin pigmentation, prompting the FDA’s 2025 proposals for improved validation studies. This connects the biology of oxygen transport with the design of fair medical technologies. A device should be tested in people representative of those who will use it, and an apparently precise display should not hide uncertainty about the measurement.

Back to the specification

Pearson Edexcel IAL Biology · Issue 2, February 2021 · Unit 1, pp. 15–18. The application extends beyond required recall.

  • 1.9(i) understand the role of haemoglobin in the transport of oxygen and carbon dioxide
  • 1.16 be able to evaluate the design of studies used to determine health risk factors, including sample selection and sample size used to collect data that is both valid and reliable
Read the Pearson specification

Use the science

Two samples have the same oxygen saturation but different haemoglobin concentrations. Would equal volumes necessarily carry the same amount of oxygen? Explain.

Explore a possible response

No. The same fraction of a smaller amount of haemoglobin carries less bound oxygen; saturation alone does not specify oxygen content.

Explore the source

Browse all Unit 1 connections →
END OF THE LESSON

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