NCERT grounding
NCERT Class XI Biology, Chapter 14, Section 14.4.1 (Transport of Oxygen) is the syllabus anchor. The text states the headline distribution that NEET examiners repeatedly target: about 97 per cent of O2 is transported by RBCs in the blood as oxyhaemoglobin, while the remaining 3 per cent of O2 is carried in a dissolved state through the plasma. Haemoglobin is described as a red, iron-containing pigment present in RBCs that binds O2 reversibly; each molecule carries a maximum of four molecules of O2. The curve plotting percentage saturation against pO2 is named the oxygen dissociation curve and is explicitly called sigmoid. NIOS Lesson 14 reinforces the same numbers and writes the reaction as Hb + 4 O2 ⇌ Hb(O2)4, emphasising reversibility.
In the alveoli, where there is high pO2, low pCO2, lesser H+ concentration and lower temperature, the factors are all favourable for the formation of oxyhaemoglobin; in the tissues, where low pO2, high pCO2, high H+ concentration and higher temperature exist, the conditions are favourable for dissociation of oxygen from oxyhaemoglobin.
NCERT Class XI · Section 14.4.1
Mechanism of oxygen transport
Oxygen has a low solubility in plasma — only about 0.3 mL of O2 dissolves per 100 mL of blood at an alveolar pO2 of 104 mm Hg. If transport depended on physical solution alone, cardiac output would need to be more than twenty times its present value to meet resting metabolic demand. Haemoglobin solves this problem by acting as a reversible chemical reservoir for oxygen, multiplying the carrying capacity of every 100 mL of blood from ~0.3 mL to roughly 20 mL.
Each adult haemoglobin (HbA) molecule is a tetramer of two α-globin and two β-globin chains, each wrapped around one haem prosthetic group. The haem is a porphyrin ring with a central ferrous iron (Fe2+) atom; it is this iron that reversibly binds molecular O2. Four haem groups give four binding sites per molecule — the NCERT-stated upper limit of "four molecules of O2" per haemoglobin.
Because the binding is reversible and non-oxidative (the iron stays as Fe2+; if it were truly oxidised to Fe3+, methaemoglobin would result, which cannot carry O2), the same molecule can repeatedly load O2 at the lungs and unload it at the tissues during its 120-day RBC lifespan.
NCERT distribution — O2 transport
About 97 per cent of O2 is transported by RBCs as oxyhaemoglobin; the remaining 3 per cent is carried in a dissolved state through the plasma. Every 100 mL of oxygenated blood delivers ~5 mL of O2 to the tissues under normal physiological conditions (NEET 2022).
The reversible reaction
The combined statement of the binding reaction is written, following NIOS, as:
Hb + 4 O2 ⇌ Hb(O2)4
(deoxyhaemoglobin) (oxyhaemoglobin)
The forward direction dominates at the alveolus (loading); the reverse direction dominates at the tissue (unloading). NCERT lists four factors that drive this equilibrium — pO2, pCO2, H+ concentration and temperature — and explicitly notes that "binding of oxygen with haemoglobin is primarily related to partial pressure of O2". The other three are modulators that interfere with the binding.
One Hb · two destinations · four O2
-
Step 1
Alveolus (loading)
pO2 104 mm Hg, low pCO2, low H+, lower T → curve shifts left.
Hb saturation ≈ 97–98 % -
Step 2
Arterial transit
Oxygenated blood (pO2 ≈ 95 mm Hg) flows to systemic capillaries; Hb stays nearly saturated.
~20 mL O2 / 100 mL -
Step 3
Tissue (unloading)
pO2 40 mm Hg, high pCO2, high H+, higher T → curve shifts right; O2 dissociates.
Delivers ~5 mL O2 per 100 mL -
Step 4
Venous return
Deoxygenated blood (pO2 ≈ 40 mm Hg, Hb saturation ≈ 75 %) returns to the lungs to reload.
Cycle repeats
The sigmoid dissociation curve
When percentage saturation of haemoglobin with O2 (y-axis) is plotted against pO2 in mm Hg (x-axis), the result is not a straight line and not a simple hyperbola — it is an S-shape, called a sigmoid or sigmoidal curve. The lower portion (pO2 0–20 mm Hg) is shallow; the middle portion (20–60 mm Hg) is steep; and the upper portion (above 60 mm Hg) is a plateau approaching 100 % saturation.
The biological reason for the S-shape is cooperative binding (positive cooperativity). When the first O2 molecule binds to one of the four haem sites, it triggers a small conformational change in the globin chains — Hb transitions from the low-affinity "T" (tense) state toward the high-affinity "R" (relaxed) state. The remaining three sites now bind O2 far more easily than the first. The fourth O2 binds about 300 times more readily than the first. NEET does not test the T/R nomenclature, but it does test the consequence: the curve is sigmoidal because each Hb has four interacting binding sites.
Figure 1. The oxygen-haemoglobin dissociation curve under normal physiological conditions (pH 7.4, 37 °C, normal 2,3-BPG). The plateau above pO2 ≈ 60 mm Hg protects arterial saturation against modest falls in alveolar pO2; the steep middle portion (10–40 mm Hg) maximises O2 unloading for small drops in tissue pO2. P50 — the pO2 at 50 % saturation — is ~26 mm Hg for normal adult HbA.
Why the S-shape is biologically perfect
The shape is not an accident — it is the curve that does the most physiological work. In the lungs the alveolar pO2 of 104 mm Hg sits well into the flat upper plateau. Saturation is therefore ~97–98 %, and even if alveolar pO2 drops to 80 mm Hg (mild hypoventilation, modest altitude), saturation falls only marginally to ~95 %. The plateau makes arterial oxygen content remarkably insensitive to small breathing changes.
At the tissue, by contrast, pO2 sits on the steep middle of the curve (40 mm Hg → ~75 % saturation; 20 mm Hg → ~32 % saturation). A small fall in tissue pO2 — exactly what happens when a muscle starts working — causes a large fall in Hb saturation and therefore a large release of O2. The steep middle makes tissue unloading remarkably sensitive to small demand changes.
Bohr effect and curve shifts
The position of the sigmoid is not fixed. It slides left or right depending on chemical conditions in the local environment. The Bohr effect — discovered by Christian Bohr in 1904 — names the observation that rising pCO2 and rising H+ (falling pH) shift the curve to the right, lowering Hb's affinity for O2 and increasing release at the tissues. The opposite changes (low pCO2, low H+) shift it left at the lungs.
Four physiological modulators are tested by NEET:
pCO2
↑ pCO2
Tissue site
High pCO2 at metabolising tissues shifts curve right; O2 released.
Low pCO2 in alveoli shifts curve left; O2 loaded.
NEET 2024 Q.176H+ concentration (pH)
↑ H+ / ↓ pH
Tissue site
More H+ (acidic) at tissues shifts curve right; O2 dissociates.
Less H+ (alkaline) in alveoli shifts curve left; O2 binds.
NEET 2021 Q.185Temperature
↑ T
Tissue site
Higher T (working muscle) shifts curve right; O2 released.
Lower T (lungs / cool periphery) shifts curve left.
NEET 2020 Q.12,3-BPG
↑ 2,3-BPG
RBC modulator
2,3-bisphosphoglycerate from RBC glycolysis binds Hb and shifts curve right.
Elevated in chronic hypoxia (altitude), anaemia, lung disease.
Beyond NCERT — for completenessThe four right-shifters at the tissue can be remembered as the "hot, acidic, panting" muscle mnemonic: high temperature, high H+, high pCO2, plus high 2,3-BPG over the long term. Together they unload more oxygen exactly where catabolism needs it. The four opposing left-shifters at the alveolus — cool, alkaline, low pCO2, low 2,3-BPG — favour loading.
At the alveoli — curve shifts left
Loading
Hb saturation ≈ 97–98 %
- High pO2 (104 mm Hg)
- Low pCO2 (40 mm Hg)
- Lesser H+ concentration (higher pH)
- Lower temperature
- Net effect: O2 binds → oxyhaemoglobin
At the tissues — curve shifts right (Bohr)
Unloading
~5 mL O2 delivered / 100 mL blood
- Low pO2 (40 mm Hg)
- High pCO2 (45 mm Hg)
- High H+ concentration (lower pH)
- Higher temperature
- Net effect: O2 dissociates → free O2 to mitochondria
P50 — a number for the curve's position
P50 is defined as the partial pressure of oxygen at which haemoglobin is exactly 50 per cent saturated. For normal adult HbA at pH 7.4, 37 °C, with normal 2,3-BPG, P50 is approximately 26–27 mm Hg. A right-shifted curve has a higher P50 (Hb releases O2 more easily — for example P50 ≈ 30 mm Hg in a hot, acidic muscle). A left-shifted curve has a lower P50 (Hb holds O2 more tightly — for example foetal Hb has a P50 of ~19 mm Hg). NEET stems sometimes describe the shift verbally ("greater affinity / lesser affinity") rather than naming P50, but the underlying logic is the same.
Foetal Hb and myoglobin — two diagnostic comparisons
The position and shape of the curve change when the binding protein itself changes. Two comparisons are useful for NEET-level understanding: foetal versus adult haemoglobin, and haemoglobin versus myoglobin.
Foetal haemoglobin (HbF)
Foetal haemoglobin replaces the two adult β-chains with two γ-chains (α2γ2). The γ-chains bind 2,3-bisphosphoglycerate (2,3-BPG) much less effectively than β-chains. Because 2,3-BPG normally lowers Hb's affinity for O2, foetal Hb — which is largely "unaffected" by 2,3-BPG — retains a higher intrinsic affinity for O2. Its dissociation curve sits to the left of the adult curve (lower P50, ~19 mm Hg). Across the placenta, where maternal pO2 in the intervillous space is only ~30–35 mm Hg, foetal Hb can still load O2 efficiently — extracting it from the maternal HbA that releases it on its own (right-of-foetal) curve.
Myoglobin (Mb)
Myoglobin is a single-subunit globin found in cardiac and skeletal muscle. It has only one haem and one O2-binding site, so there is no cooperativity. Its dissociation curve is therefore a steep hyperbola, not a sigmoid, and sits far to the left of haemoglobin's curve (P50 ~2.7 mm Hg). Myoglobin is essentially saturated at any normal tissue pO2; it only gives up O2 when local pO2 falls very low — making it an oxygen storage / buffer molecule for muscle during intense exercise, not a transport molecule.
Figure 2. Three oxygen-binding proteins compared. Myoglobin (purple) is a hyperbola, far left — one site, no cooperativity, a tissue O2 store. Foetal Hb (amber) is a sigmoid shifted left of the adult curve — higher affinity, useful for placental loading. Adult Hb (teal) is the reference sigmoid (P50 ≈ 26 mm Hg).
Worked examples
Q. Under normal physiological conditions, every 100 mL of oxygenated blood delivers approximately how much O2 to the tissues?
A. The NCERT-stated value is 5 mL. Although every 100 mL of fully oxygenated blood carries roughly 20 mL of O2, only the difference between arterial saturation (~97 %) and venous saturation (~75 %) is actually unloaded — a difference of ~25 % of the 20 mL, i.e. ~5 mL. The matching figure for CO2 delivery from tissues to alveoli per 100 mL of deoxygenated blood is ~4 mL. NEET 2022 Q.155 tested this exact number.
Q. Which set of conditions favours the formation of oxyhaemoglobin at the alveoli?
A. High pO2, low pCO2, lesser H+ concentration, and lower temperature. All four favour loading by shifting the curve left. The reciprocal set — low pO2, high pCO2, high H+, high temperature — favours dissociation at the tissues. NEET 2021 Q.185 and NEET 2024 Q.176 both rest on this four-factor checklist.
Q. If 100 mL of blood is fully saturated (~20 mL O2) and venous blood returning to the lungs is at ~75 % saturation, how much O2 has been unloaded?
A. Loaded O2 in arterial blood ≈ 0.97 × 20 ≈ 19.4 mL. Remaining in venous blood at 75 % saturation ≈ 0.75 × 20 ≈ 15 mL. Difference ≈ 19.4 − 15 ≈ 4.4–5 mL, which matches the NCERT statement that 100 mL of oxygenated blood delivers ~5 mL of O2 to the tissues. This explains why arterial blood is bright red and venous blood is darker — Hb is still ~75 % saturated when it returns to the lung.
Q. The oxygen dissociation curve is sigmoidal. Suggest a reason.
A. Each haemoglobin tetramer has four haem groups, and the binding of O2 to one site increases the affinity of the remaining three sites for O2 (positive cooperative binding). The first O2 binds slowly (shallow lower portion of the curve), but binding becomes progressively easier (steep middle portion), and finally saturates (upper plateau). A single-site oxygen carrier such as myoglobin shows no cooperativity and therefore gives a hyperbolic, not sigmoid, curve. This is the underlying answer to NCERT Exercise 11.
Common confusion & NEET traps
Three confusion clusters generate the bulk of negative marking on this subtopic. NEET often phrases the trap as a "wrong statement" or "incorrect option" prompt — the candidate must spot the inversion.