American Society of Hirudotherapy

Development of a mitochondrial mini-barcode and its application in metabarcoding for identification of leech in traditional Chinese medicine

Research article published in Scientific reports (2025)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Genomics & ProteomicsShi C et al. · Scientific reports, 2025

Abstract

In Traditional Chinese Medicine (TCM), the medicinal leech is vital for treatments to promote blood circulation and eliminate blood stasis. However, the prevalence of counterfeit leech products in the market undermines the quality and efficacy of these remedies. Traditional DNA barcoding techniques, such as the COI barcode, have been limited in their application due to amplification challenges. This study identified high variability in the 16 S rRNA gene within the mitochondrial genome across five leech species, leading to the development of a novel 219 bp mini-barcode. Compared with the traditional COI barcode, our mini-barcode showed remarkable identification efficiency, classifying 142 out of 147 leech samples from fresh and processed materials. In contrast, the COI barcode could only successfully identify 79 out of the 147 samples. In the case of seven batches of leech decoction pieces, the mini-barcode identified six, whereas the COI barcode only recognized one. Additionally, the mini-barcode effectively discerned five leech species within Chinese patent medicines when combined with metabarcoding technology. These results confirm the mini-barcode's potential as a reliable tool for rapidly and precisely identifying leech species in TCM products.

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

Publication typeJournal Article
Indexed MeSH termsAnimalsDNA Barcoding, TaxonomicLeechesMedicine, Chinese TraditionalRNA, Ribosomal, 16SGenome, Mitochondrial

Summary

In Traditional Chinese Medicine (TCM), the medicinal leech is vital for treatments to promote blood circulation and eliminate blood stasis. However, the prevalence of counterfeit leech products in the market undermines the quality and efficacy of these remedies.

Why This Matters for Hirudotherapy

This study developed a novel 219 bp mitochondrial 16S rRNA mini-barcode to accurately identify leech species in Traditional Chinese Medicine, demonstrating superior classification efficacy compared to the traditional COI barcode across fresh, processed, and commercial product samples. For hirudotherapy and the broader application of medicinal leeches, ensuring accurate species identification is a fundamental step for quality control and preventing the use of counterfeit biological materials. However, its relevance to ASH's domain is strictly limited to taxonomy and supply chain authentication, as the study does not evaluate the leech salivary secretome, clinical efficacy, or any therapeutic outcomes of hirudotherapy itself.

Citation

Development of a mitochondrial mini-barcode and its application in metabarcoding for identification of leech in traditional Chinese medicine.

Shi C et al. · Scientific reports, 2025

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.