If you are getting examined in this I would be a little bit elaborate :-).
Originally Posted by kite718
doesn't the changes in the secondary and tertiary structure affect the quaternary structure?
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In general changes at a low structural level propagate upwards (so that the higher levels also are changed), but not necessarily much. Some structures are very sensitive to certain single-residue substitutions, while many such substitutions will produce only negligible changes in the higher level structures. It seems to me that the Glutamate-Valine substitution in Hemoglobin is one substitution that pretty much preserves the secondary and tertiary structure.
The hydrophobic path created by the Valine (or probably more importantly by the removal of Glutamate) causes the area around this residue to interact favorably with another hydrophobic path of other Hemoglobins, causing the "clumping togheter" that you describe. So the mutation does affects the higher order structure of the Hemoglobin(s), although the secondary and tertiary level is not much changed (I am not sure whether it is correct to refer to aggregation as quaternary structure, but it is definitely a form of high-order structure).