American Society of Hirudotherapy

RK22 Antimicrobial Peptide (MRSA-Active)

11-mer antimicrobial peptide RK22 from Hirudinaria manillensis salivary-gland transcriptome — Lu 2023 demonstrates MRSA killing + biofilm eradication.

Preclinical / mechanisticLast updated: 2026-05-28 · Reviewed by ASH Editorial Board
Molecular weight of RK22 Antimicrobial Peptide (MRSA-Active) 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 kDaRK22 Antimicrobial Peptide (M…1.4 kDa
Molecular weight (kilodaltons) of RK22 Antimicrobial Peptide (MRSA-Active) (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
11-mer antimicrobial peptide RK22 from Hirudinaria manillensis salivary-gland transcriptome — Lu 2023 demonstrates MRSA killing + biofilm eradication.
Evidence level
Preclinical (animal)
Drug vs leech
Synthetic analog
Safety domains
Antibiotic stewardship · Aeromonas infection

Clinical translation limit

RK22's antimicrobial activity in vitro + animal MRSA model does NOT establish clinical efficacy in humans. No FDA-approved derivative; H. manillensis is not on the FDA K040187 cleared device species list.

Molecular Profile

Category
Antimicrobial
Evidence tier
Preclinical
Molecular weight
1,400 Da
Source species
Hirudinaria manillensis
Discovered
2023 · Lu X et al.
RK22 Antimicrobial Peptide (MRSA-Active) molecular structure

Biological Targets

  • Staphylococcus aureus (incl. methicillin-resistant strains); biofilm matrix

Key Citations

  1. Lu X et al. (2023), Int J Mol Sci · PMID 37686259

External Resources

    Related Antimicrobial 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.