American Society of Hirudotherapy

Decorsin

RGD-containing peptide inhibiting platelet GP IIb/IIIa receptor — eptifibatide ancestor.

Preclinical / mechanisticLast updated: 2026-05-26 · Reviewed by ASH Editorial Board
Molecular weight of Decorsin compared with other characterized leech-derived compoundsHementerin80 kDaHementin80 kDaHementin-Like Protein (HLP-1)80 kDaLeech Collagenase70 kDaHaemadipsa yanyuanensis Progr…70 kDaLeech Apyrase67 kDaCalin65 kDaHyaluronidase60 kDaAntithrombin III binding prot…58 kDaCollagenolytic Fibrinolysin55 kDaLeech Thrombospondin-Like Pro…50 kDaDecorsin4.4 kDa
Molecular weight (kilodaltons) of Decorsin (highlighted) alongside other characterized leech salivary compounds. Smaller proteins/peptides generally diffuse and act faster.

Mechanistic Evidence Box

Preclinical / mechanistic
Page type
Compound profile
Evidence type
RGD-containing peptide inhibiting platelet GP IIb/IIIa receptor — eptifibatide ancestor.
Evidence level
In vitro
Drug vs leech
Purified natural compound
Safety domains
Bleeding

Clinical translation limit

Decorsin itself is NOT an FDA-approved drug. The synthetic peptidomimetic eptifibatide draws partial structural inspiration from decorsin and snake-venom disintegrins, but is a chemically distinct compound with its own clinical evidence base. Decorsin's preclinical mechanism does NOT establish clinical efficacy of whole-leech therapy.

Molecular Profile

Category
Antiplatelet
Evidence tier
Tier A — FDA-approved derivative
Molecular weight
4,400 Da
Source species
Macrobdella decora (North American leech)
Discovered
1990 · Seymour et al.
Derived FDA-approved drug
Conceptual ancestor: eptifibatide (Integrilin)
Decorsin molecular structure

Biological Targets

  • platelet integrin αIIbβ3 (GP IIb/IIIa)

Key Citations

  1. Seymour JL et al. (1990), J Biol Chem

External Resources

    Related Antiplatelet Compounds

    This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.