For a massless Dirac fermion,
The local gauge symmetry gives the vector current . The global chiral transformation gives the classical axial current
Using the massless Dirac equation and gives classically.
Quantum mechanically, a gauge-invariant regulator for the fermion measure is not invariant under the axial rotation. In the Fujikawa form, its infinitesimal Jacobian contains
The first nonzero term in the heat kernel expansion is quadratic in . Using
and the Gaussian momentum integral gives the chiral anomaly
The overall sign follows the gamma-matrix, charge, and Levi-Civita conventions stated in the question. The same coefficient is obtained from the one-loop axial-vector-vector triangle diagram.
The matrix anticommutes with every Dirac matrix. Moving through each power in the exponential series gives
Under the chiral transformation
Hermiticity of and its anticommutation with imply
Consequently
so the action is invariant. The corresponding classical axial current is
For the chiral transformation , one also has . The massless kinetic and vector-current terms are invariant because . Since commutes with , the Pauli bilinear transforms with and is not invariant. Thus the continuous classical axial symmetry requires .
A fermion mass also breaks the symmetry, so in the massive theory one additionally needs , which contradicts a genuinely massive fermion. Making local produces . No choice of the vector coupling or Pauli coupling cancels this term; gauging it requires an axial gauge field, and at the quantum level one must also address the chiral anomaly.