American Society of Hirudotherapy

Changes in epithelial cells in Hirudo medicinalis during wound healing

Research article published in Journal of invertebrate pathology (1992)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Clinical TrialsHuguet G, Molinas M · Journal of invertebrate pathology, 1992

Abstract

In the leech, Hirudo medicinalis, reepithelialization is an event which takes place early in the wound healing process, immediately after the formation of the pseudoblastema, 4-8 hr postinjury. Epithelial cells on the wound margins move into the wound, modifying their phenotypic characteristics. Cells lose their columnar shape and become flattened. Dermal junctions disrupt and tonofilaments regroup around the nucleus. Then, the epithelial cell sheet moves over the newly formed pseudoblastema by extending filopodia, formed by the cells on the edge, following the so-called "sliding model." When the wound is fully covered by the new epithelium, about 24 hr postinjury, a reorganization of the cytoskeleton occurs and the basal dermal junctions are reconstructed. Six days postinjury, the epidermal cells return to their original columnar shape.

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

Publication typeJournal Article
Indexed MeSH termsAnimalsCell MovementEpithelial CellsEpitheliumLeechesMicroscopy, ElectronMicroscopy, Electron, ScanningWound Healing

Summary

In the leech, Hirudo medicinalis, reepithelialization is an event which takes place early in the wound healing process, immediately after the formation of the pseudoblastema, 4-8 hr postinjury.

Why This Matters for Hirudotherapy

This study examined the cellular and morphological events of reepithelialization during wound healing in the medicinal leech Hirudo medicinalis, describing how marginal epithelial cells lose their columnar shape, flatten, extend filopodia, and migrate over the newly formed pseudoblastema via a "sliding model," achieving full wound coverage by approximately 24 hours and restoring the original columnar epithelium by six days postinjury. For ASH's domain, this work contributes to understanding fundamental biology and tissue-repair mechanisms in the very species central to hirudotherapy, which may inform leech husbandry, health maintenance, and broader knowledge of regenerative processes in annelids. However, the study's relevance to therapeutic hirudotherapy is indirect: it investigates the leech's own wound healing rather than the effects of leech therapy, salivary secretions, or the leech secretome on mammalian or human wounds, and the abstract provides no clinical, pharmacological, or outcome data.

Citation

Changes in epithelial cells in Hirudo medicinalis during wound healing.

Huguet G, Molinas M · Journal of invertebrate pathology, 1992

Added to ASH library: March 18, 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.