American Society of Hirudotherapy

Leech Elastase Inhibitor

Salivary inhibitor of neutrophil elastase — modulates inflammatory tissue damage.

Preclinical / mechanisticLast updated: 2026-05-26 · Reviewed by ASH Editorial Board
Molecular weight of Leech Elastase Inhibitor 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 kDaLeech Elastase Inhibitor8.2 kDa
Molecular weight (kilodaltons) of Leech Elastase Inhibitor (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
Salivary inhibitor of neutrophil elastase — modulates inflammatory tissue damage.
Evidence level
In vitro
Drug vs leech
Purified natural compound

Clinical translation limit

Leech elastase inhibitor is documented mechanistically only; no human evidence. In vitro inhibition of neutrophil elastase does NOT establish clinical anti-inflammatory efficacy, and no FDA-approved derivative from this homolog exists.

Molecular Profile

Category
Proteinase Inhibitor
Evidence tier
Preclinical
Molecular weight
8,200 Da
Source species
Hirudo medicinalis
Discovered
2007
Leech Elastase Inhibitor molecular structure

Biological Targets

  • neutrophil elastase
  • cathepsin G

Key Citations

  1. Liu Z et al. (2019), Parasit Vectors

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.