Types of Hb chains and combinations
1)HbA1; 2 alpha and 2 beta->majority, 95-98% of total Hb
2)HbA2; 2 alpha and 2 delta->minor, 2% of total Hb-16weeks after birth and increases in beta thalassaemias.
3)HbF; 2 alpha and 2 gamma->mostly in fetal development and infants- binds to O2 with lower tension than HbA hence higher affinity.
4)Hb-gower 1; 2 epsilon and 2 epsilon-> <5weeks embryogenic
5)Hb-gower 2; 2 alpha and 2 epsilon-> 4-13 weeks embryonic
6)Hb-Portland; 2 epsilon and 2 gamma->h
7)HbS; GAG to GTG hence Glu to Val leading to sickle cell shape.
8) HbA1C; glycated Hb and increases in DM.