Water, pH and biological buffers
Water is the dominant molecular environment of human cells. Its bent geometry and unequal sharing of electrons make it polar, allowing water molecules to form hydrogen bonds with one another and with charged or polar solutes. This explains why ions and many polar compounds dissolve readily, why hydrophobic groups tend to cluster away from water, and why water participates directly in hydrolysis and condensation reactions. Water's high specific heat also buffers rapid temperature change, an important property in a metabolically active organism.
pH is the negative logarithmic expression of hydrogen-ion activity, so a small numerical change in pH represents a substantial proportional change in hydrogen-ion concentration. Weak acids partially dissociate and establish an equilibrium between protonated and deprotonated forms. The Henderson–Hasselbalch relationship connects pH, pKa and the ratio of conjugate base to weak acid. It is most useful as a reasoning tool: when pH equals pKa, acid and conjugate base are present in equal proportions; when pH rises above pKa, the deprotonated form predominates.
Buffers resist abrupt pH change by reversibly accepting or donating hydrogen ions. Bicarbonate is especially important extracellularly because its components are linked to lungs and kidneys: ventilation regulates carbon dioxide, while renal processes regulate bicarbonate and net acid excretion. Proteins and phosphate also contribute buffering. A buffer does not destroy an acid load; definitive acid-base balance requires physiological removal or generation of relevant components.
Without looking back, reconstruct the mechanism in your own words and identify the regulated step, required substrate/cofactor, major product and one clinically important consequence of failure.
