American Society of Hirudotherapy

Hyaluronidase

Enzyme that degrades hyaluronic acid in extracellular matrix — 'spreading factor' enhancing diffusion of other SGS compounds.

Preclinical / mechanisticLast updated: 2026-05-26 · Reviewed by ASH Editorial Board
Molecular weight of Hyaluronidase 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 kDaLHyal (Leech Hyaluronidase)50 kDa
Molecular weight (kilodaltons) of Hyaluronidase (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
Enzyme that degrades hyaluronic acid in extracellular matrix — 'spreading factor' enhancing diffusion of other SGS compounds.
Evidence level
Mechanistic discussion
Drug vs leech
Leech-derived crude extract

Clinical translation limit

Leech hyaluronidase is mechanistically related to (but distinct from) the human recombinant hyaluronidase product Hylenex, which is an FDA-approved separate pharmaceutical with its own evidence base. Leech-derived hyaluronidase has no independent FDA approval and its 'spreading factor' role is preclinical/mechanistic only.

Molecular Profile

Category
ECM Enzyme
Evidence tier
Tier A — FDA-approved derivative
Molecular weight
60,000 Da
Source species
Hirudo medicinalis
Derived FDA-approved drug
Conceptual relative: human recombinant hyaluronidase (Hylenex)
Hyaluronidase molecular structure

Biological Targets

  • hyaluronic acid (extracellular matrix)

Key Citations

  1. Hovingh P, Linker A (1999), Comp Biochem Physiol

External Resources

    Related ECM Enzyme 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.