Introduction
To maintain homeostasis, humans regulate their pH levels between 7.35 and 7.45. (Much lower pH values, ≈ 4.5, are found in the lysosome.) Lower pH values are associated with metabolic and respiratory acidosis, while higher pH values are characteristic of metabolic and respiratory alkalosis. pH is maintained by buffering systems that consist of a weak acid and a base. If you understand the Henderson-Hasselbalch equation from the previous section, buffer systems become easy to understand.
\begin{equation}
\mathrm{pH}=\mathrm{pK}_{\mathrm{a}}+\log \frac{\left[\mathrm{A}^{-}\right]}{\lceil\mathrm{HA}\rceil}
\end{equation}
At the curve's inflection point, pH = pKa; at this pH, the system is most resistant to changes in pH when adding either acid or base. At this pH, [HA]=[A-].
If a bit of a strong acid is added, it will react with the strongest base in the solution, which would be the conjugate base of the weak acid:
HCl + A- → HA + Cl-
The reaction goes from a strong acid, HCl, to a weak acid, HA. Its concentration would increase slightly, but it will only ionize to a small extent since it's a weak acid. The [HA] in the Henderson-Hasselbalch equation increases slightly, but not enough to significantly change the pH. If the same amount of HCl were added to pure water, it would react completely, forming an equal amount of H3O+, significantly altering the pH of pure water (7.0).
If a bit of a strong base is added, it will react with the strongest acid in the solution, which would be HA:
HA + OH- → H2O + A-
The reaction goes from a strong base to a weak base A-. Its concentration would increase slightly, but it wouldn't significantly affect the pH since it's a weak base. The [A-] in the Henderson-Hasselbalch equations increases slightly but not enough to change the pH significantly. If the same amount of NaOH were added to pure water, it would react, making the solution basic and significantly altering its pH (7.0).
To review, buffer solutions contain a weak acid and its conjugate base. They have a maximal buffering capacity at a pH equal to the weak acid's pKa. Generally, a buffered solution can best withstand a change in pH of only + 1 pH unit from the pKa.
Biological Buffering Agents
The most relevant biological systems are the carbonic acid/carbonate buffering system, which controls blood and cell pH, and the phosphate buffering system. Proteins with many weak acid and base functional groups can also act as buffering agents.
Carbonic acid/carbonate buffering system: At first glance, the reaction of carbonic acid, H2CO3, with water can be written as follows:
\begin{equation}
\mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_3 \mathrm{O}^{+}(\mathrm{aq})+\mathrm{HCO}_3^{-}(\mathrm{aq}) \quad \mathrm{pKa}=3.6
\end{equation}
where H2CO3 (carbonic acid) is the weak oxyacid, and HCO3-(aq) (bicarbonate aka hydrogen carbonate) is its weak conjugate base.
However, this system is more complex since we must add to it another reaction for the formation of H2CO3 (aq) in the blood:
\begin{equation}
\mathrm{CO}_2(\mathrm{~g}) \leftrightarrow \mathrm{CO}_2(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq})
\end{equation}
The [CO2(aq)] >> [H2CO3 (aq)] and their ratio is around 340/1. This makes sense since CO2 is a very stable molecule. CO2 in the aqueous form can be readily transported through the blood. Combine the reactions to give the equation below:
\begin{equation}
\mathrm{CO}_2(\mathrm{~g}) \leftrightarrow \mathrm{CO}_2(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_3 \mathrm{O}^{+}(\mathrm{aq})+\mathrm{HCO}_3^{-}(\mathrm{aq})
\end{equation}
How can carbonic acid, with a pKa of 3.6, buffer an aqueous solution at pH 7.5 in the blood and cells? An astute student might have picked up this conundrum. The solution to this problem involves re-examining the complete set of reactions for the components of the buffer system. Let's simplify Equation 2.3.4 since there would be no free "gas bubbles" in blood, so CO2 (g) = CO2(aq):
\begin{equation}
\mathrm{CO}_2(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_3 \mathrm{O}^{+}(\mathrm{aq})+\mathrm{HCO}_3^{-}(\mathrm{aq})
\end{equation}
H2CO3(aq) participates in two distinct reactions.
Rightwards from H2CO3 (aq) :
\begin{equation}
\mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l}) \leftrightarrow \mathrm{H}_3 \mathrm{O}^{+}(\mathrm{aq})+\mathrm{HCO}_3^{-}(\mathrm{aq})
\end{equation}
Using the simplified equation with H+ gives
\begin{equation}
\mathrm{K}_{\mathrm{a}}=\frac{\left[\mathrm{H}^{+}\right]\left[\mathrm{HCO}_3^{-}\right]}{\left[\mathrm{H}_2 \mathrm{CO}_3\right]}
\end{equation}
Hence,
\begin{equation}
\left[\mathrm{H}_2 \mathrm{CO}_3\right]=\frac{\left[\mathrm{H}^{+}\right]\left[\mathrm{HCO}_3^{-}\right]}{K_a}
\end{equation}
Leftwards from H2CO3 (aq) :
\begin{equation}
\mathrm{H}_2 \mathrm{CO}_3(\mathrm{aq}) \leftrightarrow \mathrm{CO}_2(\mathrm{aq})+\mathrm{H}_2 \mathrm{O}(\mathrm{l})
\end{equation}
\begin{equation}
\mathrm{K}_2=\frac{\left[\mathrm{CO}_2\right]}{\left[\mathrm{H}_2 \mathrm{CO}_3\right]}
\end{equation}
so
\begin{equation}
\left[\mathrm{H}_2 \mathrm{CO}_3\right]=\frac{\left[\mathrm{CO}_2\right]}{K_2}
\end{equation}
Since there can be only 1 H2CO3 concentration, set Equations 2.3.8 and 2.3.11 equal to each:
\begin{equation}
\left[\mathrm{H}_2 \mathrm{CO}_3\right]=\frac{\left[\mathrm{H}^{+}\right]\left[\mathrm{HCO}_3^{-}\right]}{K_a}=\frac{\left[\mathrm{CO}_2\right]}{K_2}
\end{equation}
Solving for [H+] gives:
\begin{equation}
\left[H^{+}\right]=\frac{\left[\mathrm{CO}_2\right]\left(K_a\right)}{\left[H C O_3^{-}\right]\left(K_2\right)}
\end{equation}
Now take the -log of each side to produce an equation similar to the Henderson-Hasselbalch equation.
\begin{equation}
-\log \left[\mathrm{H}^{+}\right]=-\log \left(\frac{\left[\mathrm{CO}_2\right]}{\left[\mathrm{HCO}_3^{-}\right]}\right)-\log \left(\frac{\mathrm{K}_{\mathrm{a}}}{\mathrm{K}_2}\right)
\end{equation}
where
\begin{equation}
K_{a E F F E C T I V E}=\frac{K_a}{K_2}
\end{equation}
This Henderson-Hasselbalch-like equation indicates that pH is determined by the \(K_a/K_2\) ratio. pKa EFFECTIVE = 6.3. This gives a ratio of \(CO_2/HCO_3^{-}\) of 0.08 = 8/100. There is effectively 12-13 times as much HCO3-(aq) as CO2, making the system primed to react with acid produced metabolically. Yet a second conundrum exists. The pH of the blood (7.4) is outside the optimal range for a buffer system (in this case, +1 pH unit from the pKa, which is 6.3). Again, the system is primed to react with acid, as this would move the pH closer to the optimal buffering pH of 6.3. Other biological systems also must be involved in maintaining pH.
The respiratory system can quickly adjust pH by increasing CO2 exhalation. The kidneys can respond more slowly to remove H3O+ and retain HCO3-. The carbonic acid/bicarbonate buffering system can help us understand how shifting equilibria caused by excessive CO2 released during rapid, deep breathing or decreased CO2 release associated with pulmonary disease or shallow, rapid breathing can lead to respiratory alkalosis and acidosis, respectively.
- Respiratory alkalosis can be caused by “hyperventilation” or breathing rapidly. This can lead to breathing out (removing) too much CO2, shifting the above equilibrium to the left, consuming H3O+, and increasing pH, making the blood more alkaline. To increase your CO2 levels, you could breathe into a bag.
- Respiratory acidosis is caused by increased CO2, which can occur when the lungs aren’t working well and you can’t get rid of the CO2 you produce during respiration. Respiratory acidosis can occur with asthma, pneumonia, lung disease, or any condition that decreases the respiratory rate.
Inhaling CO2 can lead to panic. This makes sense as it would mimic suffocation, which is lethal to humans. A suffocation response follows. High CO2 would drive the equilibrium to the right, leading to H3O+ production. An acid-sensing ion channel-1a (ASIC1a) in the amygdala, a center of emotion regulation in the brain, has been identified and appears to mediate panic. Panic attacks are sometimes associated with hyperventilation, which leads to alkalosis, not acidosis. Less noted is that when some people panic, they take short, shallow breaths (in a way, almost stopping their breath). This would lead to a buildup of CO2, as it wouldn’t be released during exhalation. The acid channel in the amygdala would be activated, and a panic response would ensue.
Phosphate buffering system: Phosphates, specifically dihydrogen (H2PO4-) and monohydrogen phosphate (HPO42-), are also present in the blood. Given the pKa of HPO42-, why is PO43- not present to any significant degree? Since the concentration of phosphates in blood is low, this system plays a minor role in blood.
Proteins: Proteins are found in all cellular and extracellular fluids and, with their weak acid substituents, act as buffer components. Proteins contain two amino acids, aspartic acid and glutamic acid, that contain carboxylic acid side chains. Each comprises about 6% of the proteins. In blood, hemoglobin is the most abundant protein by far. Its role in buffering and in O2 and CO2 will be discussed in a subsequent chapter.
Summary
(Summary written by Claude, Sonnet 4.6, Anthropic)
This chapter applies the acid-base equilibrium framework developed in the previous section to the physiologically and experimentally critical problem of pH regulation, examining buffer systems at the molecular, organismal homeostasis, and laboratory practice levels.
A buffer is a solution containing a weak acid and its conjugate base in comparable concentrations. Its resistance to pH change rests on the capacity of the conjugate base to neutralize added strong acid (converting it to the weak acid) and of the weak acid to neutralize added strong base (converting it to the conjugate base). In both cases, a strong acid or base is replaced by a weak one, producing only modest changes in the [A⁻]/[HA] ratio and, consequently, in pH. Maximum buffering capacity occurs at pH = pKa, where [HA] = [A⁻] and the Henderson-Hasselbalch equation predicts the smallest change in the log ratio per mole of acid or base added. Effective buffering is generally confined to ±1 pH unit around the pKa.
The carbonic acid/bicarbonate system is the dominant buffer of blood and interstitial fluid, but its operation requires careful treatment. Because [CO₂(aq)] >> [H₂CO₃(aq)] by a ratio of approximately 340:1, the relevant acid is effectively dissolved CO₂ rather than carbonic acid itself. Combining the equilibria for CO₂ hydration and H₂CO₃ dissociation yields an effective pKa of 6.3 — the value that actually governs blood pH — and a Henderson-Hasselbalch-like equation in which the [HCO₃⁻]/[CO₂] ratio determines pH. At a blood pH of 7.4, this ratio is approximately 12:1, positioning the system well above its optimal buffering pH, with a large bicarbonate reservoir available to neutralize metabolic acids. This design trades buffering efficiency for capacity. The respiratory system provides rapid pH correction by adjusting the rate of CO₂ exhalation: hyperventilation reduces CO₂, shifts equilibrium toward HCO₃⁻ consumption, and raises pH (respiratory alkalosis); hypoventilation or pulmonary disease retains CO₂, drives H₃O⁺ production, and lowers pH (respiratory acidosis). The kidneys provide slower, sustained correction by excreting H₃O⁺ and retaining HCO₃⁻. The CO₂/amygdala acid-sensing channel axis also connects blood CO₂ levels to panic responses, illustrating how pH homeostasis intersects with neurological function. The phosphate buffer system (H₂PO₄⁻/HPO₄²⁻, pKa 7.21) contributes secondarily in blood due to its low concentration, though it is important intracellularly, and proteins — especially the highly abundant hemoglobin — contribute buffering capacity through their numerous ionizable carboxylic acid and amine side chains.
For laboratory applications, buffer selection requires matching the buffer's pKa to the desired experimental pH (within ±1 unit), while also considering temperature sensitivity, potential to chelate divalent cations, and biological compatibility. A standardized table of biochemical buffers — including MES, PIPES, HEPES, MOPS, and Tris — covers the physiologically relevant range from pH 6.1 to 10.4. Three practical preparation strategies are available: calculated mixing of weak acid and conjugate base solutions using the Henderson-Hasselbalch equation; pH-meter-guided mixing of the two components; and pH-meter-guided titration of a single component with concentrated HCl or NaOH, the last of which introduces counter-ions that may be undesirable in certain applications. The chapter closes by connecting the CO₂/HCO₃⁻/CO₃²⁻ equilibrium system to the global carbon cycle, ocean acidification, and the biochemical dimensions of climate change — extending acid-base chemistry from the scale of a cell to that of the biosphere.