American Society of Hirudotherapy

In-depth profiles of bioactive large molecules in saliva secretions of leeches determined by combining salivary gland proteome and transcriptome data

Omics article published in Journal of Proteomics (2019)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Genomics & ProteomicsSalivary PharmacologyLiu Z, Tong X, Su Y et al. · Journal of proteomics, 2019

Abstract

Medicinal leeches have been widely utilized in medical procedures for thousands of years. The application of leeches depends on the components of leech saliva secretions and active molecules, but many components of the secretions are not well characterized due to their low concentration and abundance. Determination of the profiles of leech salivary secretions is important to its medicinal application. In this study, we performed an in-depth proteomic analysis of leech salivary glands and deduced 434 full-length protein sequences from combined leech proteome and transcriptome databases. After integrating data from both datasets, forty-four proteins and two hundred twenty-one transcripts of bioactive molecules were involved in leech sucking pathways. Using gene expression analysis, we found that two-thirds of bioactive genes played key roles in leech bite processes and were associated cave-dwelling habitats. Our results indicate that the treatment efficiency can differ depending on the sucking leech species. Moreover, combining high-throughput proteomic and transcriptomic analyses is effective for the determination of wide profiles of proteins that are present at low concentrations in secretions. These findings highlight the extensive diversity of bioactive molecules and provide a new foundation for performing novel investigations and discovering future pharmacological agents or targets in leech medicinal therapy. SIGNIFICANCE: Medicinal leech therapy has been used for many centuries depending on the components of leech saliva secretions and active actions, but many components of the secretions were less known due to its low concentration and abundance. Determination of the profiles of leech salivary secretions is important to its medicinal application. Hereby, the molecular information provided by proteomic and transcriptomic analysis can be used to develop a more thorough understanding of leech sucking pathway and medicinal application. It provided a new foundation for performing novel investigations and discovering future pharmacological agents or targets in leech medicinal therapy.

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

Publication typeJournal ArticleResearch Support, Non-U.S. Gov't
Indexed MeSH termsAnimalsLeechesProteomeSalivaSalivary GlandsSalivary Proteins and PeptidesTranscriptome

Summary

Combined proteomic and transcriptomic analysis deduces 434 full-length salivary protein sequences and identifies 44 proteins and 221 transcripts of bioactive molecules across multiple medicinal leech species, mapping the molecular diversity of leech saliva.

Why This Matters for Hirudotherapy

This study performed in-depth proteomic and transcriptomic analysis of leech salivary glands, deducing 434 full-length protein sequences and identifying 44 bioactive proteins and 221 transcripts involved in leech sucking pathways. The investigators found that approximately two-thirds of bioactive genes played key roles in the leech bite process and were associated with cave-dwelling habitats, and they noted that treatment efficiency can differ depending on the sucking leech species. For ASH's domain, this study directly characterizes the molecular diversity of leech saliva—the pharmacological foundation of medicinal leech therapy—and provides a resource for discovering future pharmacological agents. Caveat: this is a descriptive molecular profiling study using high-throughput omics; it does not provide clinical efficacy data or therapeutic outcome measures.

Citation

In-depth profiles of bioactive large molecules in saliva secretions of leeches determined by combining salivary gland proteome and transcriptome data.

Liu Z, Tong X, Su Y et al. · Journal of proteomics, 2019

Added to ASH library: May 26, 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.