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Acid content and buffer-capacity: a charge-balance perspective.
Troels Ring1, Stephen Edward Rees2, Sebastian Frische1
1Department of Biomedicine, Aarhus University, Aarhus, Denmark.
Understanding acid-base balance requires quantifying acid content in fluids. This study links charge balance, buffer capacity, and strong ion difference (SID) to define titratable acidity, offering a new framework for modeling acid balance.
Area of Science:
- Physiological chemistry
- Biophysical chemistry
Background:
- Accurate diagnosis of acid-base disorders necessitates quantitative understanding of acid-base generation and dissipation.
- Quantifying acid content in biological fluids is crucial for this understanding.
Purpose of the Study:
- To demonstrate how the charge-balance model inherently defines pH-dependent buffer capacity.
- To reframe acid transport in physiological terms as a change in the strong ion difference (SID).
- To establish a novel framework for modeling acid balance based on titratable acidity and SID.
Main Methods:
- Utilizing principles of physical chemistry, electroneutrality, and mass conservation.
- Applying Brønsted-Lowry theory to define titratable acidity.
- Developing a novel graphical representation of acid-base status.
Main Results:
- The charge-balance model directly yields pH-dependent buffer capacity.
- Acid transport is equivalent to changes in the strong ion difference (ΔSID).
- Titratable acidity is defined as SIDref - SID, where SIDref is the SID at pH 7.4.
- A new framework represents acid-base status as a curve of titratable acidity versus pH, demonstrating path invariance.
Conclusions:
- A unified framework for acid-base modeling is established based on first principles.
- This framework integrates buffer capacity, acid transport, and titratable acidity.
- The model provides a novel method for analyzing acid balance across various biological scales.

