Medicinal leech therapy-an overall perspective
Research article published in Integrative medicine research (2017)
Hirudopedia
Evidenzgrad: NIEDRIG- Studiendesign
- Narrative Übersichtsarbeit
- Stichprobengröße
- —
- Population
- Multi-disease overview — inflammatory, osteoarthritis, post-surgical applications
- Intervention
- Medicinal leech therapy as complementary/integrative intervention
- Primärer Endpunkt
- Synthesis of bioactive substance catalog and indication-specific evidence
- Ergebnis
- Catalog of >20 bioactive substances (antistasin, eglins, guamerin, hirudin, saratin, bdellins, complement inhibitors, carboxypeptidase inhibitors); MLT positioned as multidisciplinary complement, not stand-alone alternative
- Anmerkungen
- Educational review; useful as orientation but not direct evidence for any specific indication. Cited from PubMed.
Abstract: Overall perspective on medicinal leech therapy with bioactive substance catalog and indication summary. MLT framed as complementary/integrative adjunct within multidisciplinary clinical pathways.
Abstract
Complementary medicine methods have a long history, but modern medicine has just recently focused on their possible modes of action. Medicinal leech therapy (MLT) or hirudotherapy, an old technique, has been studied by many researchers for possible effects on various diseases such as inflammatory diseases, osteoarthritis, and after different surgeries. Hirudo medicinalis has widest therapeutic usage among the leeches, but worldwide, many different species were tested and studied. Leeches secrete more than 20 identified bioactive substances such as antistasin, eglins, guamerin, hirudin, saratin, bdellins, complement, and carboxypeptidase inhibitors. They have analgesic, anti-inflammatory, platelet inhibitory, anticoagulant, and thrombin regulatory functions, as well as extracellular matrix degradative and antimicrobial effects, but with further studies, the spectrum of effects may widen. The technique is cheap, effective, easy to apply, and its modes of action have been elucidated for certain diseases. In conclusion, for treatment of some diseases, MLT is not an alternative, but is a complementary and/or integrative choice. MLT is a part of multidisciplinary treatments, and secretes various bioactive substances. These substances vary among species and different species should be evaluated for both treatment capability and their particular secreted molecules. There is huge potential for novel substances and these could be future therapeutics.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Zusammenfassung
Complementary medicine methods have a long history, but modern medicine has just recently focused on their possible modes of action. Medicinal leech therapy (MLT) or hirudotherapy, an old technique, has been studied by many researchers for possible effects on various diseases such as inflammatory diseases, osteoarthritis, and after different sur...
Warum dies für die Hirudotherapie relevant ist
Dieser Übersichtsartikel bietet einen Überblick über die medizinische Blutegeltherapie (Hirudotherapie) und behandelt die mehr als 20 identifizierten, von Blutegeln sezernierten bioaktiven Substanzen – darunter Hirudin, Antistasin, Eglins, Saratin, Bdelline und Carboxypeptidase-Inhibitoren – sowie deren berichtete analgetische, antiinflammatorische, antikoagulatorische, thrombozytenhemmende und antimikrobielle Wirkungen. Der Artikel ist unmittelbar relevant für das Speichelsekretom des Blutegels und den Zuständigkeitsbereich von ASH und hebt hervor, dass bioaktive Moleküle zwischen den Blutegelarten variieren und dass diese Sekrete eine vielversprechende, aber noch unvollständig charakterisierte Quelle potenzieller zukünftiger Therapeutika darstellen. Als Übersichtsarbeit synthetisiert er vorhandenes Wissen, ohne eigene experimentelle Daten, quantitative Ergebnisvergleiche oder neue Befunde zu präsentieren; spezifische klinische oder mechanistische Aussagen sollten auf die jeweils zitierten Primärstudien zurückverfolgt werden.
Zitation
Medicinal leech therapy-an overall perspective.
Sig A et al. · Integrative medicine research, 2017
Verwandter klinischer Kontext
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