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Approximately 30 hemoglobin (Hb) α-chain variants may entail chronic hemolytic anemia (CHA).[1][1],[2][2] In some, interaction between heme and globin is hampered, leading to an unstable Hb. In others, the change affects the domain which binds AHSP and associates with the β-chain partner.[3][3]

Chronic hemolytic anemia due to novel -globin chain variants: critical location of the mutation within the gene sequence for a dominant effect