Amerikanische Gesellschaft für Hirudotherapie

From haemadin to haemanorm: Synthesis and characterization of full-length haemadin from the leech Haemadipsa sylvestris and of a novel bivalent, highly potent thrombin inhibitor (haemanorm)

Basic science published in Protein Sci (2023)

Zuletzt aktualisiert: June 18, 2026Geprüft von: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportArzneimittelentwicklungSpeichel-PharmakologieAcquasaliente L et al. · Protein science, 2023

Abstract

Hirudin from Hirudo medicinalis is a bivalent α-Thrombin (αT) inhibitor, targeting the enzyme active site and exosite-I, and is currently used in anticoagulant therapy along with its simplified analogue hirulog. Haemadin, a small protein (57 amino acids) isolated from the land-living leech Haemadipsa sylvestris, selectively inhibits αT with a potency identical to that of recombinant hirudin (KI  = 0.2 pM), with which it shares a common disulfide topology and overall fold. At variance with hirudin, haemadin targets exosite-II and therefore (besides the free protease) it also blocks thrombomodulin-bound αT without inhibiting the active intermediate meizothrombin, thus offering potential advantages over hirudin. Here, we produced in reasonably high yields and pharmaceutical purity (>98%) wild-type haemadin and the oxidation resistant Met5 → nor-Leucine analogue, both inhibiting αT with a KI of 0.2 pM. Thereafter, we used site-directed mutagenesis, spectroscopic, ligand-displacement, and Hydrogen/Deuterium Exchange-Mass Spectrometry techniques to map the αT regions relevant for the interaction with full-length haemadin and with the synthetic N- and C-terminal peptides Haem(1-10) and Haem(45-57). Haem(1-10) competitively binds to/inhibits αT active site (KI  = 1.9 μM) and its potency was enhanced by 10-fold after Phe3 → β-Naphthylalanine exchange. Conversely to full-length haemadin, haem(45-57) displays intrinsic affinity for exosite-I (KD  = 1.6 μM). Hence, we synthesized a peptide in which the sequences 1-9 and 45-57 were joined together through a 3-Glycine spacer to yield haemanorm, a highly potent (KI  = 0.8 nM) inhibitor targeting αT active site and exosite-I. Haemanorm can be regarded as a novel class of hirulog-like αT inhibitors with potential pharmacological applications.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleResearch Support, Non-U.S. Gov't
Indexed MeSH termsHirudinsThrombinAmino Acid SequencePeptidesHemeInvertebrate Hormones

Zusammenfassung

Synthetic haemadin from Haemadipsa sylvestris (57-aa) inhibits alpha-thrombin (Ki 0.2 pM) at active site + exosite-II, plus engineered haemanorm hybrid peptide (Ki 0.8 nM) targets active site + exosite-I.

Warum dies für die Hirudotherapie relevant ist

This study reports the synthesis and characterization of haemadin, a 57-amino-acid thrombin inhibitor naturally isolated from the land-living leech Haemadipsa sylvestris, and the rational design of a novel bivalent inhibitor termed haemanorm. Haemadin potently inhibits α-thrombin (Ki = 0.2 pM) — matching recombinant hirudin — but uniquely targets exosite-II rather than exosite-I, allowing it to block thrombomodulin-bound thrombin without inhibiting meizothrombin, a property the authors suggest may offer pharmacological advantages over hirudin. The authors further mapped functional domains and engineered haemanorm (Ki = 0.8 nM), joining N- and C-terminal haemadin sequences via a glycine spacer to create a hirulog-like molecule targeting both the active site and exosite-I. This work is directly relevant to ASH's domain, as it characterizes a leech-derived anticoagulant protein and derives a potential new drug candidate from its structure. However, these are biochemical and in-vitro findings; no animal or clinical data are presented, and pharmacological application claims remain preliminary.

Zitation

From haemadin to haemanorm: Synthesis and characterization of full-length haemadin from the leech Haemadipsa sylvestris and of a novel bivalent, highly potent thrombin inhibitor (haemanorm).

Acquasaliente L et al. · Protein science, 2023

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