Oxygen Affinity and Electrolyte Distribution of Human Blood: Changes Induced by Propranolol
A. Agostoni 1,
C. Berfasconi 1,
G. C. Gerli 1,
M. Luzzana 2, and
L. Rossi-Bernardi 2
1 Instituto di Patologia Medica, University of Milan, Milan, Italy
2 Cattedra di Enzimologia, University of Milan
Propranolol causes a massive leakage of potassium ions from red cells, which results in an alteration of the Gibbs-Donnan equilibrium across the red cell membrane. According to such a mechanism, the presence of propranolol significantly increases the hydrogen ion activity of the interior of the red cell, causing a decreased oxygen affinity of hemoglobin according to the classical Bohr effect. No release of 2,3-diphosphoglycerate which may be bound to the membrane is thus necessary to explain the effect of propranolol on the oxygen dissociation curve of blood.