Pharmacology of recombinant hirudin
Narrative review published in Seminars in thrombosis and hemostasis (2002)
Abstract
Hirudin is the anticoagulative product of the salivary glands of the medical leech Hirudo medicinalis. It is characterized by a direct, bifunctional inhibition mechanism and a high, exclusive specificity and a strong ability to bind to thrombin (tight binding). Further characteristics are the organic-chemical structure of hirudin (peptide), which allows only parenteral administration; the missing metabolism in the organism; and the exclusive glomerular filtration of hirudin in kidneys as the effective elimination mechanism. Recombinant hirudin (r-hirudin) is a product of genetic engineering that is identical to the hirudin found in nature and has the same biochemical and pharmacological characteristics as natural hirudin.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Summary
This pharmacology review describes hirudin, the salivary anticoagulant of Hirudo medicinalis, as a bifunctional tight-binding thrombin inhibitor given parenterally and eliminated by glomerular filtration; recombinant hirudin is identical to the natural molecule in biochemical and pharmacological characteristics.
Why This Matters for Hirudotherapy
This article examines the pharmacology of hirudin, described as the anticoagulative product of the salivary glands of the medicinal leech Hirudo medicinalis, and its recombinant form (r-hirudin), which the abstract states is identical to natural hirudin in biochemical and pharmacological characteristics. The abstract details hirudin's direct bifunctional thrombin inhibition mechanism, high exclusive specificity, tight binding, parenteral-only administration, absence of metabolism in the organism, and exclusive renal elimination via glomerular filtration. The scope is limited to the pharmacology of isolated recombinant hirudin and does not address the broader leech salivary secretome, live leech therapy contexts, or clinical outcome data.
Citation
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