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Stable Isotopes in Medicine

Mathematical Modelling of the Role of Intra- and Extracellular Activity of Carbonic Anhydrase and Membrane Permeabilities of HCO3, H2O and CO2 in 18O Exchange

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Pages 197-205 | Received 18 Nov 1996, Accepted 30 Jan 1997, Published online: 24 Sep 2006
 

Abstract

Numerical simulation of 18O exchange between CO2, H2O and HCO3 explains the ratio mass 46/mass 44 (=C18O16O/C16O2) measured by mass spectrometry to approximately 1% relative mean difference. In the presence of intact red blood cells the reaction takes place extra- and intracellularly at different reaction rates. Because CO2 hydration/dehydration is accelerated intracellularly by carbonic anhydrase, a difference in intra- and extracellular concentration of labelled reactants occurs. The ensuing transfer of reactants across the cell membrane depends on their membrane permeabilities which are approximately PCO 2 ≅ 2 cm/s, PH 2 O ≅ 0.002 cm/s and PHCO 3 ≅ 0.00015 cm/s (values from the literature). We found that the numerical simulation is affected most by PHCO 3 . The influence of the other permeabilities is at least ten times less. Therefore within the range of normal literature values, PHCO 3 is the only permeability that has a rate limiting effect on 18O exchange. This is why, in turn, PHCO 3 can be derived from an experimentally determined time course of mass 46/mass 44 by a fitting procedure. Another crucial parameter that can be estimated from the experimental results is the intraerythrocytic carbonic anhydrase activity Ai .

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