“…Increased hemolysis may be caused by dysfunction of RBCs correlated with (I) defects of Hb (hemoglobinopathies) (18, 94, 161, 199), including alterations in structure and function of Hb chains; (II) defects of cytoskeletal proteins such as spectrin and ankyrin, which are essential for maintaining cell shape and integrity (19, 134, 149, 169); (III) defects in metabolic enzymes catalyzing the pentose phosphate cycle (126, 147) such as deficiency of G6PDH; (IV) redox dysregulation and defects of antioxidant enzymes (63, 84); (V) presence of antibodies directed against surface antigens on RBCs, such as antibodies anti-A, or anti-B blood group antigens (formed as a consequence of transfusion of allogenic blood from the wrong blood group), or autoimmune antibodies resulting in enhanced damage of RBC membranes (14, 92, 124, 160, 164, 178); (VI) chronic inflammation, disorders of cytokine production, and chronic diseases (97, 105, 154); (VII) side effects of drug/poisoning (32); (VIII) other genetic defects (155, 187); or (IX) RBC extrinsic factors (102, 108, 113, 142, 180). Another important cause of anemia is the loss of RBCs due to acute or chronic bleeding (59).…”