American Society of Hirudotherapy

LDTI (Leech-Derived Tryptase Inhibitor)

Selective inhibitor of human mast cell tryptase — anti-inflammatory pathway.

Preclinical / mechanisticLast updated: 2026-05-26 · Reviewed by ASH Editorial Board
Molecular weight of LDTI (Leech-Derived Tryptase 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 kDaLDTI (Leech-Derived Tryptase …5 kDa
Molecular weight (kilodaltons) of LDTI (Leech-Derived Tryptase 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
Selective inhibitor of human mast cell tryptase — anti-inflammatory pathway.
Evidence level
In vitro
Drug vs leech
Purified natural compound

Clinical translation limit

LDTI's in vitro inhibition of mast cell tryptase does not establish clinical anti-inflammatory or anti-allergic efficacy. No FDA-approved derivative exists. Mechanism is preclinical/biochemical only.

Molecular Profile

Category
Proteinase Inhibitor
Evidence tier
Preclinical
Molecular weight
5,000 Da
Source species
Hirudo medicinalis
Discovered
1994 · Sommerhoff et al.
PDB structures
1AN1
LDTI (Leech-Derived Tryptase Inhibitor) molecular structure

Biological Targets

  • mast cell tryptase

Key Citations

  1. Sommerhoff CP et al. (1994), Biol Chem Hoppe-Seyler

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.