Abstract
The key concepts concerning exchange of gases in the lungs over the past 150 years, in my opinion, have been: first, the hypothesis of secretion versus diffusion of 02 from alveolar air to blood; second, the importance of chemical reactions and transport within the capillary blood; and third, nonuniformity of parameters of the lung, particularly of alveolar ventilation, alveolar blood flow, and capillary blood volume, which melds with diffusion of gases in the air-filled volumes of the lung. The third concept will not be addressed completely here because it is covered in Chapter 5. This chapter centers on development since 1940, a period in which I was at least an observer, because there are already several excellent reviews of the earlier period (2, 22, 63, 84) that include the famous controversy between August Krogh and Sir Joseph Barcroft on one side, and Christian Bohr and J. S. Haldane on the other. The questions our scientific forbears asked were important; they simply did not have the methods available to answer them correctly.
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References
Adaro F., P. Scheid, J. Teichmann, and J. Piiper. A rebreathing method for estimating pulmonary Doe: theory and measurements in dog lungs. Respir. Physiol 18:43–63, 1973.
Astrup P. and J. W. Severinghaus. The History of Blood Gases, Acids and Bases. Copenhagen: Munksgaard, 1986, pp. 96.
Austrian R., J. H. McClement, A. D. Renzetti Jr., K. W. Donald, R. L. Riley, and A. Cournand. Clinical and physiologic features of some types of pulmonary diseases with impairment of alveolar-capillary diffusion. The syndrome of “alveolar-capillary block.” Am. J. Med. 11: 667–685, 1951.
Bates D. V. The uptake of carbon monoxide in health and in emphysema. Clin. Sci. 11: 21–32, 1952.
Bidani A., E. D. Crandall, and R. E. Forster. Analysis of post-capillary pH changes in blood after gas exchange. J. Appl. Physiol.44:770–781, 1978.
Bohr C. Über die spezifische Tätigkeit der Lungen bei der respiratorischen Gasaufnahme. Skand. Arch. Physiol. 22: 221–280, 1909.
Bohr C. Über die Lungenathmung. Skand. Arch. Physiol. 2: 236–268, 1891.
Borland C. D. R. and T. W. Higenbottam. A simultaneous single breath measurement of pulmonary diffusing capacity with nitric oxide and carbon monoxide. Eur. Respir. J. 2: 5663, 1989.
Cain S. M. and A. B. Otis. Carbon dioxide transport in anesthetized dogs during inhibition of carbonic anhydrase. J. Appl. Physiol. 16: 1023–1028, 1961.
Carlsen E. and J. H. Comroe Jr. The uptake of carbon monoxide and of nitric oxide by normal human erythrocytes and experimentally produced spherocytes. J. Gen. Physiol. 42: 83–107, 1958.
Clark L. Ç. Jr. Monitoring and control of blood and tissue 02 tensions. Trans. Am. Soc. Artif. Intern. Organs. 2: 41, 1956.
Coburn R. F., W. S. Blakemore, and R. E. Forster. Endogenous carbon monoxide production in man. J. Clin. Invest. 42: 1172–1178, 1963.
Comroe J. H. Jr., editor. In: Pulmonary Function Tests: Methods in Medical Research, vol.I1. Chicago: Yearbook Publishers, 1950.
Cotes J. E. Lung Function. 4th Edition, ch. 2. London: Blackwell, 1979, pp. 239–250.
Dalziel, K. An apparatus for the spectrokinetic study of rapid reactions. Biochem. J. 55: 79–93, 1953.
Davenport H. W. The early days of research on carbonic anhydrase. In: Biology and Chemistry of the Carbonic Anhydrases, edited by R. E. Tashian and D. Hewett-Emmett. Ann. N.Y. Acad. Sci.429:4–9, 1984.
Faurholt T. C. Études sur les solutions acqueuses de carbaminates et de carbonates. J. Chim. Phy. 21: 400–1924; 22: 1–44, 1925.
Filley G. F., D. J. Maclntosh, and G. W. Wright. Carbon monoxide uptake and pulmonary diffusing capacity in normal subjects at rest and during exercise. J. Clin. Invest. 33: 530–539, 1954.
Forbes W. H., F. Sargent, and F. J. W. Roughton. The rate of carbon monoxide uptake by normal men. Am. J. Physiol. 143: 594–608, 1945.
Forster R. E., W. S. Fowler, D. V. Bates, and B. Van Lingen. The absorption of carbon monoxide by the lungs during breath holding. J. Clin. Invest. 33: 1128–1134, 1954.
Forster R. E., J. E. Cohn, W. A. Briscoe, W. A. Blakemore, and R. L. Riley. A modification of the Krogh carbon monoxide breath holding technique for estimating the diffusion capacity of the lung; a comparison with three other methods. J. Clin. Invest. 34: 1417 1426, 1955.
Forster, R. E. Exchange of gases between alveolar air and pulmonary capillary blood: pulmonary diffusing capacity. Physiol. Rev. 37: 391–452, 1957.
Forster R. E., F. J. W. Roughton, F. Kreuzer, and W. A. Briscoe. Photocolorimetric determination of rate of uptake of CO and 02 by reduced human red cell suspension at 37°C J. Appl. Physiol. 11: 260–268, 1957a.
Forster R. E., F. J. W. Roughton, L. Cander, W. A. Briscoe, and F. Kreuzer. Apparent pulmonary diffusing capacity for CO at varying alveolar 02 tensions. J. Appl. Physiol. 11: 277–289, 1957b.
Forster R. E. and G. H. Gurtner. Can alveolar Pco2 exceed pulmonary end-capillary CO2. J. Appl. Physiol. 42: 323–328, 1977.
Gibson Q. H., F. Kreuzer, E. Meda, and F. J. W. Roughton. The kinetics of human haemoglobin in solution and in the red cell at 37°C. J. Physiol. 129: 65–89, 1955.
Gibson Q. H. and F. J. W. Roughton. The kinetics and equilibria of the reactions of nitric oxide with sheep haemoglobin. J. Physiol. 136: 507–526, 1957.
Gibson Q. H. Francis John Worsley Roughton. 1899–1972. Biographical Memoirs of Fellows of the Royal Society. 19: 562–582, 1973.
Gilson J. C. and P. Hugh-Jones. Lung function in coalworkers’ pneumoconiosis. Medical Research Council special report series no. 290. London, Her Majesty’s Stationery Office, 1955.
Green J. F., M. Sheldon, and G. Gurtner. Alveolar-to-arterial PcoZ differences. J. Appl. Physiol. 54: 349–354, 1983.
Guénard H., V. Varène, and P. Vaida. Determination of lung capillary blood volume and membrane diffusing capacity in man by the measurements of NO and CO transfer. Respir. Physiol. 70: 113–120, 1987.
Gurtner G. H., S. H. Song, and L. E. Fahri. Alveolar to mixed venous Pco2 difference under conditions of no gas exchange. Respir. Physiol. 7: 173–187, 1969.
Haldane J. S. and J. L. Smith. The oxygen tension of arterial blood. J. Physiol. 20: 497520, 1896.
Haldane J. S. Respiration. Oxford: Clarendon Press, 1936.
Hartridge H. A spectroscopic method of estimating carbon monoxide. J. Physiol. 44: 1–4, 1912a.
Hartridge H. Experiments on oxygen secretion in the lung of man by the carbon monoxide method. J. Physiol. 45: 170–191, 1912b.
Hartridge, H. and F. J. W. Roughton. The velocity with which carbon monoxide displaces oxygen from combination with haemoglobin. I. Proc. R. Soc. Lond. B 94: 336–367, 1923a.
Hartridge H. and F. J. W. Roughton. A method of measuring the velocity of very rapid chemical reactions. Proc. R. Soc. Lond. A 104: 376–394, 1923b.
Hartridge H. and F. J. W. Roughton. The rate of distribution of dissolved gases between the red blood corpuscle and its fluid environment. I. The rate of uptake of oxygen and carbon monoxide by sheep’s corpuscles. J. Physiol., Lond. 62: 232–242, 1927.
Hasselbalch K. A. Wasserstoffzahl and Sauerstoffbindung des Blutes. Biochem. Z. 82: 282–288, 1917.
Henriques O. M. Die Bindungsweise des Kohlendioxids im Blute. Biochem.Z 200:1–4, 4–9, 10–17, 18–21, 22–24, 1928.
Hlastala M. P. and H. T. Robertson. Evidence for active elimination from the lung. In: Pulmonary Gas Exchange, edited by J. B. West. Vol.II. New York; Academic, 1980. pp. 241–273.
Hyde R. W., R. E. Forster, G. G. Power, J. Nairn, and R. Rynes. Measurement of 02 diffusing capacity of the lungs with a stable 02 isotope. J. Clin. Invest. 45: 1178–1193, 1966.
Jennings D. B. and C. C Chen. Negative arterial mixed expired Pco2 gradient during acute and chronic hypercapnia. J. Appl. Physiol. 38: 382–388, 1975.
Jones N. L., E. J. M. Campbell, R. H. T. Edwards, and W. G. Wilkoff. Alveolar-to-blood Pco2 differences during rebreathing in exercise. J. Appl. Physiol. 23: 311–327, 1967.
Keilin D. and T. Mann. Carbonic anhydrase. Purification and nature of the enzyme. Biochem. J. 34: 1163–1176, 1940.
Kety S. S. The theory and applications of the exchange of inert gas at the lungs and tissues. Pharmacol. Rev. 3: 1–41, 1951.
Krogh A. and M. Krogh. On the tension of gases in the arterial blood. The mechanism of gas-exchange. I. Skand. Arch. Physiol. 23: 179–192, 1910a.
Krogh A. and M. Krogh. On the rate of diffusion of carbonic oxide into the lungs of man. The mechanism of gas-exchange. VI. Skand. Arch. Physiol. 23: 236–247, 1910b.
Krogh A. and J. Lindhard. The volume of the “dead space” in breathing. J. Physiol. 47: 30–43, 1913.
Krogh M. Diffusion of gases through the lungs of man. J. Physiol. 49: 271–300, 1914.
Kruheffer P. Studies on the lung diffusion coefficient for carbon monoxide in normal human subjects by means of l4CO. Acta Physiol. Skand. 32: 106–123, 1954.
Lambertsen C. J. Attempt at direct measurement of values required for calculating the pulmonary diffusing coefficient for oxygen. Fed. Proc. 8: 90, 1949.
Lawson W. H. Jr. and R. E. Forster. Oxygen tension gradients in peripheral capillary blood. J. Appl. Physiol. 22: 970–973, 1967.
Lilienthal J. L Jr., R. L. Riley, D. D. Proemmel, and R. E. Franke. An experimental analysis in man of the 02 pressure gradient from alveolar air to arterial blood during rest and exercise at sea level and at altitude. Am. J. Physiol. 147: 199–126, 1946a.
Lilienthal J. L. Jr., R. L. Riley, D. D. Proemmel, and R. E. Franke. Relationships between CO, 02 and hemoglobin in blood of man at altitude. Am. J. Physiol. 145: 351–358, 1946b.
Meldrum N. U. and F. J. W. Roughton. Carbonic anhydrase. Its preparation and properties. J. Physiol. Lond. 80: 113–142, 1933.
Mendoza C., H. Peavey, B. Burns, and G. Gurtner. Saturation kinetics for steady-state pulmonary CO transfer. J. Appl. Physiol. 43: 880–884, 1977.
Meyer M., K. D. Schuster, H. Schulz, M. Mohr, and J. Piiper. Pulmonary diffusing capacities for nitric oxide and carbon monoxide determined by rebreathing in dogs. J. Appl. Physiol. 68: 2344–2357, 1990.
Millikan G. A. A simple photoelectric colorimeter. J. Physiol. 79:152–157, 1933a. The kinetics of blood pigments: haemocyanin and haemoglobin. J. Physiol. 79: 158–179, 1933b.
Nicloux M. L’oxyde de carbone et l’intoxication oxycarbonique. Paris: Masson et Cie, 1925.
Ogilvie C. M., R. E. Forster, W. S. Blakemore, and J. W. Morton. A standardized breath holding technique for the clinical measurement of the diffusing capacity of the lung for carbon monoxide. J. Clin. Invest. 36: 1–17, 1957.
Perkins J. F. Historical development of respiratory physiology. In: Handbook of Physiology. Respiration vol. I. edited by W. O. Fenn and H. Rahn. Washington, D. C.: American Physiological Society, 1964, pp. 1–62.
Piiper, J., P. Haab, and H. Rahn. Unequal distribution of pulmonary diffusing capacity in the anesthetized dog. J. Appl. Physiol. 16: 499–506, 1961.
Piiper J., R. E. Canfield, and H. Rahn. Absorption of various inert gases from subcutaneous gas pockets in rats. J. Appl. Physiol. 17: 268–274, 1962.
Piiper, J. Search for diffusion limitation in pulmonary gas exchange. In: The Pulmonary Circulation and Gas Exchange, edited by W. W. Wagner Jr. and E. K. Weir. Armonk, NY: Futura Publishing, 1994, pp. 125–145.
Rahn H. A concept of mean alveolar air and the ventilation-bloodflow relationships during pulmonary gas exchange. Am. J. Physiol. 158: 21–30, 1949.
Reeves R. B., D. W. Rennie, and J. R. Pappenheimer. Oxygen tension of urine and its significance. Fed. Proc. 16: 693, 1957.
Riley R. L., D. D. Proemmel, and R. E. Franke. Direct method for the determination of oxygen and carbon dioxide tensions in blood. J. Biol. Chem. 161: 621–633, 1945.
Riley R. L. and A. Cournand. Analysis of factors affecting partial pressures of oxygen and carbon dioxide in gas and blood of lungs:theory. J. Appl. Physiol.4: 77–100, 1951a.
Riley R. L., A. Cournand, and K. W. Donald. Analysis of factors affecting partial pressures of oxygen and carbon dioxide in gas and blood of lungs:methods. J. Appl. Physio1.4:102–120, 1951b.
Rossier P. H. and A. Bühlmann. Respiratory dead space. Physiol. Rev. 35: 860–871, 1955.
Roughton F. J. W. The Kinetics of Oxygen and Carbon Monoxide in Blood. Thesis submitted for the Ph.D. degree for the University of Cambridge. 1925.
Roughton F. J. W. Recent work on the transport of carbon dioxide by blood. Physiol Rev. 15: 241–296, 1935.
Roughton F. J. W. and R F. Scholander. Micro gasometric estimation of the blood gases. I Oxygen. II Carbon monoxide. VI Carbon dioxide. J. Biol. Chem.148:541–550, 551–563, 573–580, 1943.
Roughton F. J. W. The average time spent by the blood in the human lung capillary and its relation to the rates of CO uptake and elimination in man. Am. J. Physiol. 143: 62 1633, 1945.
Roughton F. J. W. Tribute to Sir Joseph Barcroft. In: Haemoglobin. A Symposium, edited by F. J. W. Roughton and J. C. Kendrew. London: Butterworth, 1949, pp. 26–31.
Roughton F. J. W., R. E. Forster, and L. Cander. Rate at which carbon monoxide replaces oxygen from combination with human hemoglobin in solution and in the red cell. J. Appl. Physiol. 11: 269–276, 1957a.
Roughton F. J. W. and R. E. Forster. Relative importance of diffusion and chemical reaction rates in determining rate of exchange of gases in the human lung, with special reference to true diffusing capacity of pulmonary membrane and volume of blood in the lung capillaries, J. Appl. Physiol. 11:290–302, 1957.b.
Roughton F. J. W. Diffusion and simultaneous chemical reaction velocity in haemoglobin solutions and red cell suspensions. Progress Biophysics Biophysical Chem. 9: 55–104, 1959.
Roughton F. J. W. Transport of oxygen and carbon dioxide. Handbook of Physiology, section 3: Respiration, vol. I. Edited by W. O. Fenn and H. Rahn. Washington, D.C.: American Physiological Society, 1964, pp. 767–825.
Schäfer E. A. Textbook of Physiology, vol. 1. London: Macmillan, 1898.
Scheid P., J. Teichmann, F. Adaro, and J. Piiper. Blood/gas equilibrium of carbon dioxide in lungs-a critical review. Respir. Physiol. 39: 1–31, 1980.
Schmidt-Nielsen B. August and Marie Krogh and respiratory physiology. J. Appl. Physiol. 57: 293–303, 1984.
Sjöstrand T. Endogenous formation of carbon monoxide in man under normal and pathological conditions. Scand. J. Clin. Lab. Invest. 1: 201–214, 1949.
Stadie W. C. and H. O’Brien. The catalysis of the hydration of carbon dioxide and the dehydration of carbonic acid by an enzyme isolated from red blood cells. J. Biol. Chem. 103: 521–529, 1933.
Verma A., D. J. Hirsch, C. E. Glatt, G. V. Ronnett, and S. H. Snyder. Carbon monoxide. A putative neural messenger. Science 259: 381–384, 1993.
Wagner R. D., H. A. Salzman, and J. B. West. Measurement of continuous distributions of ventilation-perfusion ratios:theory. J. Appl. Physiol. 36: 588–599, 1974.
Weibel E. R. The Pathway for Oxygen Structure and Function in the Mammalian Respiratory System. Cambridge, MA: Harvard University Press, 1984.
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Forster, R.E. (1996). Transfer of Gas by Diffusion and Chemical Reaction in Pulmonary Capillaries. In: West, J.B. (eds) Respiratory Physiology. People and Ideas. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7520-0_2
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