American Society of Hirudotherapy

Studies on the anticoagulant, antimetastatic and heparin-binding properties of ghilanten-related inhibitors

Comparative study published in Blood Coagul Fibrinolysis (1991)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Observational studySalivary PharmacologyDrug DevelopmentBrankamp RG et al. · Blood Coagul Fibrinolysis, 1991

Abstract

The purpose of this study was to investigate the structure-activity relationships of ghilanten, an anticoagulant-antimetastatic protein of the South American leech Haementeria ghilianii. Five sequence-related variants of ghilanten, termed P1-P5, were purified and were shown to potently block the active-site hydrolysis of methoxycarbonyl-D-cyclohexylglycyl-glycyl-arginine-p-nitroanilide acetate by the human blood coagulation enzyme factor Xa; inhibition was rapid and stoichiometric. The amino acid sequence of P5 revealed a consensus sequence for heparin-binding at the carboxy-terminus. A synthetic peptide homologous to this region (93P-N-G-L-K-R-D-K-L-G-C-E-Y-C-E-C-R-P-K-R-K-L-I-P-R-L-S119) bound 125I-labelled heparin maximally at physiological pH and salt concentration. When administered intravenously to mice, the peptide suppressed lung metastases although less potentially than whole ghilanten. These findings suggest that the carboxy-terminal heparin-binding region may play a role in the antimetastatic action of the inhibitor.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeComparative StudyJournal Article
Indexed MeSH termsAmino Acid SequenceAnimalsAntineoplastic AgentsBinding SitesBlood ProteinsConsensus SequenceDrug SynergismFactor XaFactor Xa InhibitorsHeparinHumansInvertebrate HormonesLeechesLung NeoplasmsMelanoma, ExperimentalMiceMice, Inbred C57BLMolecular Sequence DataNeoplasm TransplantationPeptide FragmentsSequence Homology, Nucleic Acid

Summary

Five variants of ghilanten, an anticoagulant-antimetastatic protein from the leech Haementeria ghilianii, potently and stoichiometrically block factor Xa active-site hydrolysis; a synthetic peptide from its heparin-binding carboxy-terminal region also suppressed mouse lung metastases, suggesting this region may contribute to the antimetastatic action.

Why This Matters for Hirudotherapy

This comparative study investigated structure-activity relationships of ghilanten, an anticoagulant-antimetastatic protein from the South American leech Haementeria ghilianii, by purifying five sequence-related variants (P1–P5) and characterizing their factor Xa inhibition, heparin-binding properties, and antimetastatic activity. All variants potently and stoichiometrically blocked factor Xa active-site hydrolysis; the P5 carboxy-terminus contained a heparin-binding consensus sequence whose synthetic peptide homolog bound radiolabeled heparin at physiological conditions and suppressed lung metastases in mice when administered intravenously, though less effectively than whole ghilanten. This is relevant as it concerns a leech-derived anticoagulant with additional antimetastatic properties and structure-function characterization. Caveat: This is a preclinical study using in vitro enzymology and a mouse metastasis model; no clinical data are presented and the leech species differs from Hirudo medicinalis.

Citation

Reference (Vancouver style)

Brankamp RG, Manley GG, Blankenship DT, Bowlin TL, Cardin AD. Studies on the anticoagulant, antimetastatic and heparin-binding properties of ghilanten-related inhibitors. Blood Coagul Fibrinolysis. 1991;2(1):161-166. doi:10.1097/00001721-199102000-00024. PMID: 1772984

Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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.