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Compounds
200Hirudin
The most potent natural thrombin inhibitor — and the molecular template for three FDA-approved direct thrombin inhibitor drugs.
Calin
Anti-platelet adhesion protein that blocks von Willebrand factor–collagen binding.
Saratin
Anti-platelet adhesion protein blocking collagen-mediated platelet activation.
Destabilase
Lysozyme with isopeptidase activity that dissolves stabilized fibrin clots — including aged thrombi resistant to tPA.
Hirustasin
Serine proteinase inhibitor targeting tissue kallikrein — anti-inflammatory pathway.
Eglin C
Potent inhibitor of human leukocyte elastase and cathepsin G — anti-inflammatory protein widely used as research tool.
Bdellin B3
Kazal-type proteinase inhibitor targeting trypsin and plasmin — modulates inflammatory cascade.
Antistasin
Factor Xa inhibitor from the Mexican leech (1987) — used in early animal studies of factor Xa as a target; the DOAC drugs are synthetic and not derived from it.
Decorsin
RGD-containing peptide that inhibits the platelet GP IIb/IIIa receptor; the drug eptifibatide was modelled on snake-venom barbourin, not on decorsin.
Ornatin
RGD-peptide GP IIb/IIIa antagonist — sister molecule to decorsin from a different leech species.
Theromacin
Cationic, cysteine-rich antimicrobial peptide (75 amino acids) active against Gram-positive bacteria — part of the leech's innate immunity.
Theromyzin
Linear anionic antimicrobial peptide (86 amino acids) active against Gram-positive bacteria — the first anionic antimicrobial peptide described in invertebrates.
Hementerin
Direct fibrinogenolytic enzyme — degrades fibrinogen independently of plasmin.
Ghilanten
Factor Xa inhibitor with anti-metastatic activity in animal cancer models — translational dual-use compound.
Lefaxin
Factor Xa inhibitor with anti-inflammatory properties.
LDTI (Leech-Derived Tryptase Inhibitor)
Selective inhibitor of human mast cell tryptase — anti-inflammatory pathway.
Hirudin-PA
Hirudin variant from Hirudinaria manillensis with distinct kinetics.
Hirullin P18
Synthetic hirudin variant with improved oral pharmacokinetics — preclinical anticoagulant.
LCI (Leech Carboxypeptidase Inhibitor)
Inhibitor of TAFI (thrombin-activatable fibrinolysis inhibitor) — synergizes with hirudin's anticoagulant action.
Hyaluronidase
Enzyme that degrades hyaluronic acid in extracellular matrix — 'spreading factor' enhancing diffusion of other SGS compounds.
Bivalirudin
Synthetic 20-amino-acid hirudin analog — FDA-approved direct thrombin inhibitor for PCI anticoagulation ($636M peak revenue).
Lepirudin
First-generation recombinant hirudin — FDA-approved 1998 for heparin-induced thrombocytopenia (HIT). Withdrawn 2012 by Bayer for commercial reasons.
Desirudin
Recombinant hirudin variant — FDA-approved 2003 for prophylaxis of DVT after hip replacement surgery.
Dabigatran
Oral direct thrombin inhibitor — FDA approved 2010 for stroke prevention in atrial fibrillation. Synthetic; designed from the inhibitor NAPAP, not derived from hirudin.
Argatroban
Synthetic small-molecule direct thrombin inhibitor — FDA approved 2000 for HIT, later also for PCI in patients with or at risk of HIT. Derived from arginine, not from hirudin.
Rivaroxaban
Oral Factor Xa inhibitor — FDA approved 2011. Synthetic (Bayer, oxazolidinone series); shares its target with the leech protein antistasin but is not derived from it.
Apixaban
Oral Factor Xa inhibitor — FDA approved 2012. Synthetic; shares its target with the leech protein antistasin but is not derived from it.
Edoxaban
Oral Factor Xa inhibitor — FDA approved 2015. Synthetic; shares its target with the leech protein antistasin but is not derived from it.
Eptifibatide
Cyclic heptapeptide GP IIb/IIIa receptor antagonist — FDA approved 1998. Designed from snake-venom barbourin; not derived from the leech.
Hementin
Direct fibrinogenolytic enzyme cleaving fibrinogen alpha-chain at unique sites — independent of plasmin.
Antithrombin III binding protein
Leech-derived inhibitor that potentiates host antithrombin III activity — synergistic anticoagulation.
Guamerin
Selective elastase inhibitor from Korean leech — anti-inflammatory potential in COPD and emphysema research.
Piguamerin
Plasma kallikrein and trypsin inhibitor from Korean leech — anti-inflammatory and antithrombotic research.
Therostasin
Factor Xa inhibitor from Theromyzon tessulatum — Kunitz-domain analog with novel selectivity profile.
Haemadin
Picomolar-affinity thrombin inhibitor from Indian buffalo leech — distinct mechanism from hirudin.
Granulin (leech-derived)
Growth factor and wound-healing modulator — promotes angiogenesis and tissue regeneration.
Macrostomin
Antimicrobial peptide active against Gram-positive bacteria — amphipathic alpha-helix.
Hirunipins
Newly-characterized antimicrobial peptide family (Kumar 2025) — candidate next-generation antibiotics against AMR pathogens.
Bdellastasin
Trypsin and plasmin inhibitor; closely related to bdellins — anti-fibrinolytic modulation.
Tridegin
Factor XIIIa inhibitor — blocks fibrin cross-linking; novel mechanism distinct from hirudin.
Ixodegrin (leech homolog)
Platelet GP IIb/IIIa antagonist family member — RGD-motif containing.
Leech C1 Inhibitor (LCi)
Complement system modulator targeting C1q activation — immunological homeostasis.
Leech Kallikrein Inhibitor
Plasma kallikrein-kinin system modulator — anti-inflammatory pathway distinct from cyclooxygenase.
Leech Nitric Oxide Synthase Modulator
Modulates host NOS activity at bite site — contributes to vasodilation phase of feeding.
Leech Histamine-like Vasodilator
Histamine-receptor-acting compound — contributes to local vasodilation at feeding site.
Leech Acetylcholine
Cholinergic vasodilator contributing to feeding-site vascular dilation.
Bdellin A
Trypsin-plasmin inhibitor of Kazal-type family — sister to Bdellin B3.
Bdellin B1
Plasmin inhibitor of Kazal-type family — anti-fibrinolytic.
Destabilase Isopeptidase Activity
Isopeptidase domain of destabilase that cleaves cross-linked fibrin — distinct from lysozyme domain.
Destabilase Lysozyme Activity
Lysozyme domain of destabilase — antimicrobial activity against peptidoglycan-containing bacteria.
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