Initially, α satellite DNA (
αSAT) was isolated from a highly repetitive fraction present in the African green monkey genome [
53]. Subsequently, α satellite repeats were shown to be present in all human centromeres and to be composed of tandem repeats of an AT-rich 171 bp-long monomer [
54,
55,
56,
57]. Alphoid monomers can form HORs composed of nmer repeats (being
n the number of monomers) or be organized in a non-HOR manner as simple monomeric repeats [
28]. HORs can be formed by 2 to 34 monomers [
28,
56,
58,
59]. Some monomers within α satellite HORs have a 17 bp sequence motif called the Centromere Protein B (CENP-B) box because of the ability of CENP-B to recognize and bind to these regions [
60]. The CENP-B box location is structurally related to the chromosome-specific HOR array (varying accordingly) [
5]. Moreover, the CENP-B box is present with high degree of conservation in other mammal genomes [
61]. Studies show that an active CENP-B box is required for de novo centromere assembly in humans, acting in the recruitment of the Centromere Protein A (CENP-A) and stabilization of the Centromere Protein C (CENP-C) [
62], both related to an active kinetochore and proper chromosome segregation, which might explain its retention in different genomes. Each human chromosome contains one or more exclusive α HOR array, except for chromosomes 13/21 and 14/22, which share the same HOR array [
46,
50,
63]. Regarding acrocentric chromosomes, a variety of α satellite subfamilies can be found in the vicinity of the centromere: pTRA-1, pTRA-2, pTRA-4, and pTRA-7, all of them present in chromosomes 13, 14, and 21 [
46,
64]. These subfamilies are part of a catalog of 28 clone-isolated α subfamilies from all human chromosomes [
64], although, presently, an accurate genomic analysis is still required to avoid redundant classifications.
α satellite soon became the model for the hierarchical HOR organization [
29]. Alphoid sequences are deeply related to proper cell division (being the foundation for kinetochore formation); the occurrence of active centromeres; and, therefore, centromere identity. It is possible to distinguish human centromeres based on their α HOR specificity-conferring composition, namely, by the number and order of monomers (that share 50–70% of identity) [
65]. By defining α monomer consensus sequences, it is possible to discern five suprachromosomal groups or subfamilies, based on the possible monomer combinations [
65,
66] (reviewed in [
5,
66]). The main suprachromosomal subfamilies (SF1-3) correspond to the kinetochore formation region and are associated with centromere functionality [
67,
68]. Hybridization studies performed at high stringency allow the mapping of individual HORs to specific chromosomes [
56] because of sequence polymorphisms found between them [
5]. At low stringency, subsets of HOR arrays co-hybridize, allowing one to study how suprachromosomal subfamilies relate to each other [
58,
69]. Beyond the occurrence of α HORs, α monomeric repeats are present in transitory, array-adjacent pericentromeric regions, feasibly evolving non-homogeneously from homogenous HORs [
59,
70]. The relative mutation rate of centromeric α satellite sequences (accelerated comparing to unique genomic portions) lines up with a layered and symmetric evolution in the following direction: active HOR repeats-ancient HOR repeats-monomeric repeats [
71]. In fact, closeness to the functional core centromere is a determining factor for HOR homogenization, as distant monomers are considered older, more variable, and a trace of centromere primate evolution [
72]. Therefore, HOR array chromosome specificity results from intrachromosomal homogenization [
13].