American Society of Hirudotherapy

Manuvera 2024 H. medicinalis Antistasin Homolog

Recombinant E. coli–expressed Hirudo medicinalis novel anticoagulant protein, 28 % antistasin-identical, exceeding hirudin in aPTT inhibition — Manuvera 2024.

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

Mechanistic Evidence Box

Preclinical / mechanistic
Page type
Compound profile
Evidence type
Recombinant E. coli–expressed Hirudo medicinalis novel anticoagulant protein, 28 % antistasin-identical, exceeding hirudin in aPTT inhibition — Manuvera 2024.
Evidence level
In vitro
Drug vs leech
Recombinant (genetically expressed)
Safety domains
Bleeding

Clinical translation limit

Recombinant antistasin homolog's in vitro coagulation inhibition does NOT establish clinical efficacy. No FDA-approved derivative; pharmacokinetics and immunogenicity not characterized.

Molecular Profile

Category
Anticoagulant
Evidence tier
Preclinical
Source species
Hirudo medicinalis
Discovered
2024 · Manuvera VA et al.
Manuvera 2024 H. medicinalis Antistasin Homolog molecular structure

Biological Targets

  • thrombin (direct); Factor Xa (clotting assay only); other coagulation cascade proteases

Key Citations

  1. Manuvera VA et al. (2024), Biochem Biophys Res Commun · PMID 38241814

External Resources

    Related Anticoagulant 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.