Carbonic Anhydrase, Bicarbonate and the Chloride Shift

Biology · Breathing and Exchange of Gases · NEET

Most carbon dioxide (about 70%) travels in your blood as bicarbonate ions (HCO3-). Inside the RBC, an enzyme called carbonic anhydrase quickly joins CO2 and water to make carbonic acid, which splits into H+ and HCO3-. Memory hook: think "CA speeds CO2 into HCO3-" — the enzyme is a fast taxi that turns CO2 into bicarbonate at the tissues and turns it back into CO2 at the lungs.
CO2 transport as bicarbonate (inside an RBC)RBCCO2 + H2OcarbonicanhydraseH2CO3H+ + HCO3-PlasmaHCO3- goes OUT -->Cl- comes IN <--(chloride shift)
At the tissues, carbonic anhydrase in the RBC turns CO2 into H2CO3, which splits into H+ and HCO3-. HCO3- leaves for the plasma while Cl- enters the RBC (chloride shift). At the alveoli this whole set of steps runs in reverse to release CO2.

Your doubts, answered

What percentage of CO2 is carried as bicarbonate, and what carries the rest?

NCERT is exact here. About 70% of CO2 is carried as bicarbonate (HCO3-) in the plasma. About 20-25% is carried by RBCs as carbamino-haemoglobin. About 7% is carried dissolved in the plasma. For NEET, remember the order: bicarbonate is the biggest share, dissolved is the smallest.

What exactly does carbonic anhydrase do?

Carbonic anhydrase is an enzyme present in very high concentration inside RBCs (and in tiny amounts in plasma). It speeds up the reaction CO2 + H2O -> H2CO3 (carbonic acid). Without the enzyme this reaction is very slow — only about 200 molecules of H2CO3 form per hour. The enzyme makes it happen almost instantly, so blood can pick up and release CO2 fast enough.

Why does the same enzyme work in both directions?

Carbonic anhydrase does not decide direction; the direction depends on the partial pressure of CO2 (pCO2). At the tissues pCO2 is high, so the reaction goes forward: CO2 + H2O -> H2CO3 -> H+ + HCO3-. At the alveoli pCO2 is low, so it runs in reverse: HCO3- + H+ -> H2CO3 -> CO2 + H2O, and CO2 is breathed out. The enzyme simply speeds up whichever way the conditions push.

What is the chloride shift (Hamburger phenomenon)?

When HCO3- forms inside the RBC, a lot of it moves out into the plasma. To keep electrical balance, chloride ions (Cl-) move into the RBC. This inward movement of Cl- to replace the outgoing HCO3- is called the chloride shift or Hamburger's phenomenon. Note: the chloride shift is NOT written in the NCERT Class 11 text as a named term, but it is a classic NEET add-on that examiners include, so learn it.

How is bicarbonate transport different from carbamino-haemoglobin?

Bicarbonate transport = CO2 changed chemically into HCO3- ions carried in plasma (about 70%), and it depends on carbonic anhydrase and pCO2. Carbamino-haemoglobin = CO2 bound directly to the globin part of haemoglobin (about 20-25%), and it depends on both pCO2 and pO2. Both release CO2 at the alveoli where pCO2 is low.

⚠️ The NEET trap
CO2 is mostly carried bound to haemoglobin (as carbamino-haemoglobin).
CO2 is mostly (about 70%) carried as bicarbonate in plasma; only about 20-25% is carbamino-haemoglobin and about 7% is dissolved.
🧠 Compare with oxygen: O2 is mostly carried by haemoglobin, but CO2 is mostly carried as bicarbonate. Students swap the two. For CO2 the biggest carrier is bicarbonate, not haemoglobin.

Solved Breathing and Exchange of Gases NEET PYQs

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Frequently asked

Where is carbonic anhydrase found?

In very high concentration inside RBCs, and in minute quantities in the plasma.

What is the full sequence at the tissues?

CO2 diffuses into blood, carbonic anhydrase makes CO2 + H2O -> H2CO3, which dissociates into H+ and HCO3-. The HCO3- moves to plasma and Cl- moves into the RBC (chloride shift).

Where does the bicarbonate reaction reverse?

At the alveoli, where pCO2 is low. HCO3- and H+ recombine to form CO2 and H2O, and the CO2 is breathed out.

Is the chloride shift in NCERT?

The named term chloride shift is not printed in the Class 11 NCERT chapter, but the idea is important for NEET; many previous questions expect you to know it.

Why is carbonic anhydrase important for NEET?

It explains how CO2 is loaded and unloaded quickly, and it links to the 70% bicarbonate figure — a common one-liner and assertion-reason source in the exam.