American Society of Hirudotherapy

Duplicated Antistasin-Like Anticoagulant

Four-domain antistasin-like recombinant anticoagulant from H. medicinalis (Brovina 2026) — inhibits intrinsic + extrinsic + common pathway via aPTT / PT / TT.

Preclinical / mechanisticLast updated: 2026-05-27 · Reviewed by ASH Editorial Board
Molecular weight of Duplicated Antistasin-Like Anticoagulant 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 kDaDuplicated Antistasin-Like An…25 kDa
Molecular weight (kilodaltons) of Duplicated Antistasin-Like Anticoagulant (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
Four-domain antistasin-like recombinant anticoagulant from H. medicinalis (Brovina 2026) — inhibits intrinsic + extrinsic + common pathway via aPTT / PT / TT.
Evidence level
In vitro
Drug vs leech
Recombinant (genetically expressed)
Safety domains
Bleeding

Clinical translation limit

The duplicated antistasin-like protein's in vitro broad coagulation inhibition does NOT establish clinical efficacy. No FDA-approved derivative exists; characterization remains at recombinant expression / clotting-assay stage.

Molecular Profile

Category
Anticoagulant
Evidence tier
Preclinical
Molecular weight
25,000 Da
Source species
Hirudo medicinalis
Discovered
2026 · Brovina KA et al.
Duplicated Antistasin-Like Anticoagulant molecular structure

Biological Targets

  • intrinsic pathway
  • extrinsic pathway
  • common pathway

Key Citations

  1. Brovina KA et al. (2026), Biomolecules · PMID 41594695

External Resources

    Related Anticoagulant 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.