American Society of Hirudotherapy

Purification and characterization of a novel anti-coagulant from the leech Hirudinaria manillensis

Research article published in Zool Res (2019)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Genomics & ProteomicsSalivary PharmacologyCheng RM et al. · Zool Res, 2019

Abstract

Protease inhibitors have been reported rarely from the leech Hirudinaria manillensis. In this study, we purified a novel protease inhibitor (bdellin-HM-2) with anticoagulant properties from H. manillensis. With a molecular weight of 1.4x104, bdellin-HM-2 was also characterized with three intra-molecular disulfide bridges at the N-terminus and multiple HHXDD and HXDD motifs at the C-terminus. cDNA cloning revealed that the putative nucleotide-encoding protein of bdellin-HM-2 contained 132 amino acids and was encoded by a 399 bp open reading frame (ORF). Sequence alignment showed that bdellin-HM-2 shared similarity with the "non-classical" Kazal-type serine protease inhibitors, but had no inhibitory effect on trypsin, elastase, chymotrypsin, kallikrein, factor XIIa (FXIIa), factor XIa (FXIa), factor Xa (FXa), thrombin, or plasmin. Bdellin-HM-2 showed anticoagulant effects by prolonging the activated partial thromboplastin time (aPTT), indicating a role in enabling H. manillensis to obtain a blood meal from its host. Our results suggest that bdellin-HM-2 may play a crucial role in blood-sucking in this leech species and may be a potential candidate for the development of clinical anti-thrombotic drugs.

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

Publication typeJournal Article
Indexed MeSH termsAmino Acid SequenceAnimalsAnticoagulantsBase SequenceDNA, ComplementaryLeechesPartial Thromboplastin TimeProthrombin Time

Summary

Protease inhibitors have been reported rarely from the leech. In this study, we purified a novel protease inhibitor (bdellin-HM-2) with anticoagulant properties from.

Why This Matters for Hirudotherapy

This study reports the purification and biochemical characterization of bdellin-HM-2, a novel anticoagulant protease inhibitor (molecular weight ~14 kDa) isolated from the leech Hirudinaria manillensis. Bdellin-HM-2 shares similarity with non-classical Kazal-type serine protease inhibitors, showed no inhibitory effect on multiple tested proteases including thrombin, and demonstrated anticoagulant effects by prolonging activated partial thromboplastin time (aPTT), suggesting a role in facilitating blood-feeding by this leech species. This work is directly relevant to ASH's domain, as it characterizes a component of the leech secretome with the authors suggesting potential as a candidate for anti-thrombotic drug development. However, this is a preclinical biochemical study with no clinical or in-vivo therapeutic data presented.

Citation

Purification and characterization of a novel anti-coagulant from the leech Hirudinaria manillensis.

Cheng RM et al. · Zool Res, 2019

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.