The respiratory system tries to maintain precise oxygen and carbon dioxide levels in the blood despite constantly changing external conditions, like when we are exercising, climbing mountains, or diving underwater.
Even small shifts in gaseous levels in the body from the normal ranges can significantly affect energy production (ATP), enzyme, and cell function, leading to organ failure.
To prevent this, the respiratory system continuously detects and corrects imbalances in blood gases, pH, and other variables through homeostasis.

These variables controlled by the respiratory system are tightly controlled by homeostasis.
Sl.No | Feature | Range | Mechanism |
---|---|---|---|
1 | Blood pH | 7.35-7.45 | CO₂ removal affects H⁺ levels. |
2 | Oxygen (PaO₂) | 80–100 mmHg | Increased or decreased breathing rate and depth |
3 | Carbon Dioxide (PaCO₂) | 35-45 mmHg | Excess CO2 removal |
4 | Bicarbonate buffer | 22-26 mEq/L | CO2 expulsion |
5 | Temperature (via breath) | ~37°C (internal body temp) | Breathing dissipates heat; faster breathing increases heat loss. |
6 | Water (Respiratory loss) | ~300–400 mL/day via vapor | Reduced breathing rate conserves water |
7 | Potassium (K⁺) levels | ~3.5–5.0 mEq/L | Changes in pH alter K⁺ movement across cells (indirect regulation) |
8 | Calcium ions (Ca²⁺) | ~1.1–1.3 mmol/L | Affected by alkalosis from hyperventilation (indirect effect) |
9 | Blood pressure | Systolic: 90–120 mmHg Diastolic: 60–80 mmHg | Lungs produce ACE, which converts angiotensin I to angiotensin II, a vasoconstrictor that raises BP. |
How Does the Respiratory System Maintain Balance?
The respiratory system relies on the following to control the system.
- Sensors: To detect changes in gases like oxygen or carbon dioxide.
- Control centers: In the brain, they process the received information.
- Effectors (majorly respiratory muscles): adjust the breathing rate or depth.
- Feedback: ensures that any changes are corrected and conditions return to normal.
Let’s explore the mechanisms in more detail
1. Acid-Base Balance (pH Control)
- In a healthy human, the blood pH is between 7.35 and 7.45. Any change in this range can affect the enzyme function and alter cellular metabolism.
- So, a constant pH range is essential, and the respiratory system works to keep pH inside this range.
- The most important job of the respiratory system in homeostasis is to keep the blood pH between 7.35 and 7.45.
- If the pH goes outside this range, cells can’t function properly.
How it works:
- Too much CO₂ makes the blood acidic (lowers pH, i.e., < 7).
- Too little CO₂ makes it more alkaline (higher pH, i.e,> 7).
The body adjusts breathing to fix this:
- If blood is too acidic, breathing is faster to remove more CO₂.
- If blood is too alkaline, breathing is slower to retain more CO₂.
This change is as shown in the equation below
CO₂ + H₂O ⇌ H₂CO₃ ⇌ H⁺ + HCO₃⁻
- The CO₂ and bicarbonate ions keep changing with the rate and extent of breathing.
- If CO2 expulsion is high, bicarbonate ions and H+ ions decrease, and vice versa.
Example:
In conditions like diabetic ketoacidosis, acid builds up in the blood. The body responds with deep, fast breathing (called Kussmaul breathing) to remove CO₂ and bring the pH closer to normal.
2. Oxygen Regulation
Oxygen is vital for energy production in the cells through carbohydrate metabolism. This energy is produced as ATP by oxidative phosphorylation in the mitochondria of the cell.
For this body maintains
- Arterial PO₂: 80–100 mmHg
- Oxygen saturation: 95–100%
When oxygen levels drop (like at high altitudes or during illness), sensors in the neck arteries detect the change. The brain responds by:
- Increasing breathing rate
- Redirecting blood to better-ventilated parts of the lungs for higher oxygenation.
- Besides, over time, it triggers erythropoiesis to produce more red blood cells to carry oxygen (via the Erythropoietin hormone)
Special note:
Unlike CO₂, oxygen regulation involves both negative and positive feedback regulation.
- For example, low oxygen can trigger more breathing, leading to more acid buildup (from lactic acid).
- This excess lactic acid decreases pH and triggers excess breathing to expel CO2 —a positive feedback loop.
3. Temperature Control
- Every breath carries away some body heat.
- So, breathing also helps cool the body. This is especially useful when you’re overheated or exercising.
When it’s hot:
- You breathe faster and shallower (panting), losing more heat.
When it’s cold:
- Breathing slows down to conserve heat.
This effect, though small, is still important as up to 10% of body heat is lost through breathing.
4. Water Balance
Breathing also causes some water loss. Each breath releases 300–400 mL of water daily as vapor.
In dry environments, your nose works harder to recapture water from the air you breathe out. The body also:
- Adjusts breathing to reduce water loss
- Uses hormones like ADH (antidiuretic hormone) to retain water in the kidneys
Triggers thirst to restore lost fluids.
5. Electrolyte Balance (Indirectly)
The respiratory system indirectly affects electrolyte levels by changing the pH:
- Respiratory alkalosis due to overbreathing pushes potassium into cells, lowering its level in the blood.
- It also causes more calcium to bind to proteins, lowering ionized calcium, which can cause muscle cramps or tingling.
Example:
During a panic attack, rapid breathing leads to alkalosis, causing symptoms like dizziness, tingling, or lightheadedness due to these electrolyte shifts.
6. Ventilation-Perfusion Matching
For efficient gas exchange, the lungs must match the air going in (ventilation) with the blood flowing through the lungs (perfusion). The body adjusts this using:
- Local sensors in the lungs that detect oxygen levels
- Pulmonary blood vessels that constrict when oxygen is low, redirecting blood to better-ventilated areas
This helps prevent wasted blood flow to poorly oxygenated parts of the lungs and improves overall oxygen delivery.
7. Blood Pressure
- Blood pressure is an essential feature that helps distribute blood to all the organs from the heart through the arteries.

- The enzyme ACE (angiotensin-converting enzyme) helps convert angiotensin I, a protein, to angiotensin II, which helps to enhance blood pressure.
- This enzyme, ACE, is produced in the lungs to a large extent and thus indirectly participates in blood pressure regulation.
8. Adapting to Pressure Changes
When we go to high altitudes or dive underwater, the air pressure changes. The respiratory system helps the body adapt:
- At high altitudes, oxygen levels are lower. The body increases breathing, produces more red blood cells, and changes blood flow patterns.
- During diving, it adjusts breathing to manage increased pressure and CO₂ buildup.
9. Immune Defense in the Airways
The respiratory system isn’t just about gases—it also protects us from infections:
- Airway linings produce mucus to trap dust and germs.
- Cilia (tiny hair-like structures) push this mucus out.
- Immune cells in the lungs respond to harmful substances or microbes.
This balance is crucial: too little response means infections; too much leads to inflammation, like in asthma or chronic bronchitis.
10. Nervous System Integration
Breathing is tightly linked to the brain’s control systems.
- The medulla oblongata in the brainstem adjusts breathing based on signals from sensors and other body systems.
- This allows your breathing to change automatically when you’re asleep, stressed, exercising, or sick, without you thinking about it.
11. Coupling with the Cardiovascular System
- Finally, the lungs and heart work closely together to remove excess CO2 and intake sufficient oxygen.
When breathing changes, so do blood pressure and heart rate.
- During inhalation, chest pressure drops, helping blood return to the heart.
- This synchronization supports steady oxygen delivery and CO₂ removal.
Conclusion
The respiratory system does far more than just bring in oxygen and remove carbon dioxide. It is a key player in keeping your body’s internal environment stable, no matter what challenges you face outside.
By regulating pH, oxygen, water, heat, and even helping with immunity, the lungs are one of your most powerful tools for staying balanced and healthy.