American Society of Hirudotherapy

Old World Leech Gut Microbial Community Structure Conserved in a New World Leech (Macrobdella)

Microbiome study published in Applied and Environmental Microbiology (2021)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Genomics & ProteomicsSafety & Infection ControlMcClure EA et al. · Applied and Environmental Microbiology, 2021

Abstract

Leeches are found in terrestrial, aquatic, and marine habitats on all continents. Sanguivorous leeches have been used in medicine for millennia. Modern scientific uses include studies of neurons, anticoagulants, and gut microbial symbioses. Hirudo verbana, the European medicinal leech, maintains a gut community dominated by two bacterial symbionts, Aeromonas veronii and Mucinivorans hirudinis, which sometimes account for as much as 97% of the total crop microbiota. The highly simplified gut anatomy and microbiome of H. verbana make it an excellent model organism for studying gut microbial dynamics. The North American medicinal leech, Macrobdella decora, is a hirudinid leech native to Canada and the northern United States. In this study, we show that M. decora symbiont communities are very similar to those in H. verbana. We performed an extensive study using field-caught M. decora and purchased H. verbana from two suppliers. Deep sequencing of the V4 region of the 16S rRNA gene allowed us to determine that the core microbiome of M. decora consists of Bacteroides, Aeromonas, Proteocatella, and Butyricicoccus. The analysis revealed that the compositions of the gut microbiomes of the two leech species were significantly different at all taxonomic levels. The R2 value was highest at the genus and amplicon sequence variant (ASV) levels and much lower at the phylum, class, and order levels. The gut and bladder microbial communities were distinct. We propose that M. decora is an alternative to H. verbana for studies of wild-caught animals and provide evidence for the conservation of digestive-tract and bladder symbionts in annelid models.IMPORTANCE Building evidence implicates the gut microbiome in critical animal functions such as regulating digestion, nutrition, immune regulation, and development. Simplified, phylogenetically diverse models for hypothesis testing are necessary because of the difficulty of assigning causative relationships in complex gut microbiomes. Previous research used Hirudo verbana as a tractable animal model of digestive-tract symbioses. Our data show that Macrobdella decora may work just as well without the drawback of being an endangered organism and with the added advantage of easy access to field-caught specimens. The similarity of the microbial community structures of species from two different continents reveals the highly conserved nature of the microbial symbionts in sanguivorous leeches.

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

Publication typeJournal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, Non-P.H.S.
Indexed MeSH termsAnimalsEatingGastrointestinal MicrobiomeHigh-Throughput Nucleotide SequencingLeechesRNA, Ribosomal, 16SUrinary Bladder

Summary

Deep sequencing of the 16S rRNA V4 region in North American Macrobdella decora leech compared to European Hirudo verbana revealed a similar simple gut microbiome dominated by Aeromonas, Mucinivorans, and Niabella, with the same conserved gut and bladder symbionts across continents.

Why This Matters for Hirudotherapy

This study characterized the gut and bladder microbial communities of the North American medicinal leech Macrobdella decora using deep sequencing of the V4 region of the 16S rRNA gene from field-caught animals, compared with purchased Hirudo verbana. The core microbiome of M. decora included Bacteroides, Aeromonas, Proteocatella, and Butyricicoccus; community structures differed significantly between the two species, especially at genus and amplicon sequence variant levels, while remaining broadly conserved. For ASH, this work is relevant to the biology and husbandry of sanguivorous medicinal leeches, as symbiont communities may affect leech health and digestive function. Honest caveat: the study is purely microbiological and taxonomic, involves no anticoagulant or salivary secretome analysis, and has no direct bearing on hirudotherapy outcomes or leech-derived therapeutics.

Citation

Old World Leech Gut Microbial Community Structure Conserved in a New World Leech.

McClure EA et al. · Applied and Environmental Microbiology, 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.