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: November 1, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: In vitro / laboratoryClinical LiteratureHuguet 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 Hirudo medicinalis wound healing, epithelial cells at wound margins flattened, lost dermal junctions and extended filopodia to slide over the pseudoblastema beginning 4-8 hours postinjury, with basal dermal junctions reconstructed at about 24 hours and original columnar shape restored by six days.

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. 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

Reference (Vancouver style)

Huguet G, Molinas M. Changes in epithelial cells in Hirudo medicinalis during wound healing. J Invertebr Pathol. 1992;59(1):11-17. doi:10.1016/0022-2011(92)90105-d. PMID: 1541847

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

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