American Society of Hirudotherapy

Eglin C CTRL-Resistance Determinants

Structural determinants (Gln192, Lys218) explaining why eglin C, a classical broad-spectrum chymotrypsin / elastase inhibitor, poorly inhibits human chymotrypsin-like protease — Németh 2024.

Preclinical / mechanisticLast updated: 2026-05-28 · Reviewed by ASH Editorial Board

Mechanistic Evidence Box

Preclinical / mechanistic
Page type
Compound profile
Evidence type
Structural determinants (Gln192, Lys218) explaining why eglin C, a classical broad-spectrum chymotrypsin / elastase inhibitor, poorly inhibits human chymotrypsin-like protease — Németh 2024.
Evidence level
Mechanistic discussion
Drug vs leech
Purified natural compound

Clinical translation limit

Eglin C-CTRL structural finding refines protease-target selectivity but does NOT directly translate to clinical therapeutic effect. No FDA-approved eglin C derivative.

Molecular Profile

Category
Proteinase Inhibitor
Evidence tier
Preclinical
Source species
Hirudo medicinalis (eglin C)
Discovered
2024 · Németh BZ et al.
Eglin C CTRL-Resistance Determinants molecular structure

Biological Targets

  • chymotrypsin (CTRA, broad); chymotrypsin-like protease (CTRL, weak); pancreatic elastase

Key Citations

  1. Németh BZ et al. (2024), Proteins · PMID 39301701

External Resources

    Related Proteinase Inhibitor 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.