American Society of Hirudotherapy

Role of Antimicrobial Peptides in Immunity of Parasitic Leeches

Review published in Dokl Biol Sci (2023)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Antimicrobial ResistanceGenomics & ProteomicsKaygorodova IA · Doklady biological sciences, 2023

Abstract

The review summarizes the current state of knowledge about leech immunity, with emphasis on the special role of antimicrobial peptides (AMPs), and highlights the wide variety of primary AMP structures, which seem to correlate with a variety of life strategies and the ecology of ectoparasites. Antimicrobial proteins and AMPs are a diverse class of natural molecules that are produced in all living organisms in response to an attack by a pathogen and are essential components of the immune system. AMPs can have a wide range of antibiotic activities against foreign and opportunistic bacteria, fungi, and viruses. AMPs play an important role in selection of colonizing bacterial symbionts, thus helping multicellular organisms to cope with certain environmental problems. AMPs are especially important for invertebrates, which lack an adaptive immune system. Although many AMPs are similar in physicochemical properties (a total length from 10 to 100 amino acids, a positive total charge, or a high cysteine content), their immunomodulatory activities are specific for each AMP type.

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

Publication typeJournal Article
Indexed MeSH termsAnimalsAntimicrobial Cationic PeptidesAntimicrobial PeptidesAnti-Infective AgentsAnti-Bacterial AgentsInvertebratesBacteriaImmunity, Innate

Summary

Comprehensive review of antimicrobial peptide (AMP) diversity in parasitic leeches summarizing primary structures correlating with life strategies and ecology of ectoparasites; AMPs essential for invertebrate immunity.

Why This Matters for Hirudotherapy

This review synthesizes current knowledge of leech immunity, emphasizing antimicrobial peptides (AMPs), a diverse class of typically short (10-100 amino acid), often positively charged molecules with activity against bacteria, fungi, and viruses that are especially important to invertebrates lacking an adaptive immune system and that help select which bacterial symbionts colonize the host. For hirudotherapy it provides biological grounding for why leeches harbor a managed, rather than uncontrolled, gut microbial community and adds AMPs to the catalog of bioactive leech molecules of potential pharmacological interest alongside the better-known anticoagulants. Because it is a narrative review summarizing prior primary studies rather than reporting new experiments, it should be used for background and mechanism, not as primary evidence; the cited AMP activities reflect the underlying literature and are not specific therapeutic claims for leech therapy.

Citation

Role of Antimicrobial Peptides in Immunity of Parasitic Leeches.

Kaygorodova IA · Doklady biological sciences, 2023

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.