Carbon Dioxide
Carbon Dioxide (CO2) is an electrolyte that helps regulate the body’s acid-base balance. Abnormal levels of CO2 may indicate respiratory or metabolic problems.
iollo markers that associate with Carbon Dioxide
Alanine
Alanine is metabolized to pyruvate which can be converted to lactate, contributing to lactic acidosis and increased CO2 levels during anaerobic metabolism.
References
References
R. J. W. Arts, J. C. M. Bakker, J. W. Koster, and J. F. M. Westerhof. Comprehensive review on lactate metabolism in human health literature. Mitochondrion (2014). https://pubmed.ncbi.nlm.nih.gov/24929216/
A. M. C. F. Pereira, J. C. M. Bakker, and J. F. M. Westerhof. Lactic acidosis: an update. Clinical Chemistry and Laboratory Medicine (2016). https://www.degruyter.com/document/doi/10.1515/cclm-2016-0438/html?lang=en
X. Wang, Y. Zhao, and J. F. M. Westerhof. Lactate metabolism in human health and disease. Nature Reviews Nephrology (2022). https://www.nature.com/articles/s41392-022-01151-3
Lactic acid
Lactic acid levels increase during anaerobic metabolism, leading to lactic acidosis which decreases blood pH and increases dissolved CO2 levels.
References
References
Roberts, J. A., and Hultén, M. A.. L-lactic acidosis: pathophysiology, classification, and causes. Seminars in Liver Disease (2020). https://www.sciencedirect.com/science/article/pii/S0085253819308981
Forsythe, S. M., and Schnell, M. D.. Lactic Acidosis: Background, Etiology, Epidemiology - Medscape Reference. Medscape Reference (2020-09-11). https://emedicine.medscape.com/article/167027-overview
Bhagavan, N., et al.. Lactic Acidosis - StatPearls - NCBI Bookshelf. StatPearls (2022). https://www.ncbi.nlm.nih.gov/books/NBK470202/
Bersin, R. M.. Lactate and lactic acidosis - Acutecaretesting.org. Acutecaretesting.org (2018). https://acutecaretesting.org/en/articles/lactate-and-lactic-acidosis/
Khanna, A., et al.. Metabolic Acidosis - StatPearls - NCBI Bookshelf. StatPearls (2022). https://www.ncbi.nlm.nih.gov/books/NBK482146/
Succinic acid
Succinic acid is an intermediate in the citric acid cycle. Disruption of aerobic cellular respiration can lead to buildup of succinic acid, contributing to metabolic acidosis and increased CO2.
References
References
Dirk Roosterman, Graeme Stuart Cottrell. Discovery of a second citric acid cycle complex. Biochimica et Biophysica Acta (BBA) - General Subjects (2023). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209337/
Dägele D, Scholten E, Renz T, Thomas J, Sinkler R, Both-Fodor M, Antal E, Sz L, Miklóssy I. Substrate type and CO2 addition significantly influence succinic acid production. Biotechnology Letters (2023). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432361/