American Society of Hirudotherapy

A study of the influence of lead pollution on the anticoagulant activity of Whitmania pigra based on pharmacodynamics and metabolomics research

Quality control study published in Journal of Chromatography B (2021)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportSafety & Infection ControlDrug DevelopmentChen X et al. · Journal of Chromatography B, 2021

Abstract

Whitmania pigra Whitman (leech, also called Shuizhi in China, abbreviated as SZ), which has been used as a traditional Chinese medicine in the treatment of blood stasis syndrome (BSS) for a long time, is vulnerable to lead pollution in aquaculture environments. SZ has good anticoagulant activity. However, there are few studies on the influence of lead pollution on it. Therefore, we carried out the following researches to explore the influence of lead pollution on the anticoagulant activity of SZ and its mechanism. Firstly, the acute blood stasis model of rats was established by subcutaneous injection of adrenaline hydrochloride and ice water bath. Then unpolluted SZ (UPS) and lead-polluted SZ (LPS) were extracted. Next, the blood stasis model rats were administrated by gavage and the rats in normal control (NC) group and blood stasis model (BM) group were given the same amount of normal saline. Finally, the blood of the rats was collected to detect the coagulation function and hemorheology indexes. The metabolomics of rat plasma was studied by ultra-high-performance liquid chromatography coupled with orbitrap mass spectrometry (UPLC-Orbitrap-MS) technology. Principal component analysis (PCA), orthogonal partial least squares discriminant analysis (OPLS-DA) and Hierarchical clustering analysis (HCA) were used to perform metabolomics analysis. MetPA analysis was used to search for related metabolic pathways. The results of coagulation function and hemorheology showed that lead pollution could decrease the anticoagulant activity of SZ. The OPLS-DA score plots indicated that the plasma metabolites of rats in LPS group were close to BM group, while UPS group tended to be close to NC group both in the positive and negative ion mode. Hierarchical cluster analysis (HCA) suggested that UPS group and NC group were clustered into a branch, while LPS group and BM group were clustered into a branch. To sum up, lead pollution will reduce the anticoagulant activity of SZ. And lead pollution reduces the anticoagulant activity of SZ probably by influencing the metabolic pathways such as sphingolipid metabolism, amino acid metabolism and energy metabolism in rats.

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

Publication typeJournal Article
Indexed MeSH termsAnimalsAnticoagulantsBlood CoagulationBlood Coagulation DisordersChromatography, High Pressure LiquidDrug ContaminationHumansLeadLeechesMass SpectrometryMedicine, Chinese TraditionalMetabolomics

Summary

UPLC-Orbitrap-MS metabolomics in blood stasis model rats showed that lead pollution of aquaculture-grown Whitmania pigra significantly reduces its anticoagulant activity by altering sphingolipid metabolism, amino acid metabolism, and energy metabolism pathways.

Why This Matters for Hirudotherapy

This study examined how lead pollution affects the anticoagulant activity of Whitmania pigra (Shuizhi), a leech used in traditional Chinese medicine for blood stasis syndrome, using an adrenaline/ice-water-induced acute blood stasis rat model and UPLC-Orbitrap-MS plasma metabolomics. Coagulation function and hemorheology results showed that lead-polluted W. pigra had reduced anticoagulant activity compared with unpolluted leech, and metabolomic analyses (PCA, OPLS-DA, HCA) suggested the lead-polluted group clustered near the disease model while unpolluted leech clustered near normal controls, implicating sphingolipid, amino acid, and energy metabolism pathways. For ASH, this highlights how environmental contamination of cultured medicinal leeches may compromise therapeutic anticoagulant quality. Caveat: the findings are limited to a rat blood stasis model, involve no leech salivary secretome characterization, and do not directly address live hirudotherapy.

Citation

A study of the influence of lead pollution on the anticoagulant activity of Whitmania pigra based on pharmacodynamics and metabolomics research.

Chen X et al. · Journal of Chromatography B, 2021

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.