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FIGURE 11-28 Carbon dioxide transport in blood requires a Cl/HCO3 antiporter. (a) In systemic capillaries, carbon dioxide gas diffuses across the erythrocyte plasma membrane and is converted into soluble HCO3 by the enzyme carbonic anhydrase; at the same time, oxygen leaves the cell and hemoglobin binds a proton. The anion antiporter AE1 (purple) catalyzes the reversible exchange of Cl and HCO3 ions across the membrane. The overall reaction causes HCO3 to be released from the cell, which is essential for maximal CO2 transport from the tissues to the lungs and for maintaining pH neutrality in the erythrocyte. (b) In the lungs, where carbon dioxide is excreted, the overall reaction is reversed. See text for additional discussion.