American Society of Hirudotherapy

Small bite, large impact-saliva and salivary molecules in the medicinal leech, Hirudo medicinalis

Research article published in Die Naturwissenschaften (2011)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewGenomics & ProteomicsSalivary PharmacologyHildebrandt J, Lemke S · Die Naturwissenschaften, 2011

Abstract

Blood-sucking leeches have been used for medical purposes in humans for hundreds of years. Accordingly, one of the most prominent species has been named Hirudo medicinalis by Carl Linne in 1758. Feeding on vertebrate blood poses some serious problems to blood-sucking ectoparasites, as they have to penetrate the body surface of the host and to suppress the normal reactions of the host to such injuries (swelling, pain, inflammation) to remain undetected during the feeding period. Furthermore, the parasites have to take measures to inhibit the normal reactions in host tissues to blood vessel damage, namely hemostasis and blood coagulation (platelet aggregation and activation, activation of thrombin and formation of fibrin clots). During evolution, leeches have acquired the ability to control these processes in their hosts by transferring various bioactive substances to the host. These substances are supposedly produced in unicellular salivary gland cells and injected into the wound at the feeding site through tiny salivary ductule openings in the jaws that the leech uses to slice open the host body surface and to cut blood vessels in the depth of the wound. This review summarizes current knowledge about the salivary gland cells and the biological effects of individual saliva components as well as hints to the potential usefulness of some of these compounds for medical purposes.

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

Publication typeJournal ArticleReview
Indexed MeSH termsAnimalsBites and StingsHirudo medicinalisHumansLeechingSaliva

Summary

Blood-sucking leeches have been used for medical purposes in humans for hundreds of years. Accordingly, one of the most prominent species has been named Hirudo medicinalis by Carl Linne in 1758.

Why This Matters for Hirudotherapy

This review summarizes current knowledge of leech salivary gland cells and the biological effects of individual saliva components, discussing blood-feeding leeches broadly with Hirudo medicinalis mentioned as one prominent named species. The abstract explains how leeches transfer bioactive substances into the host wound to suppress swelling, pain, inflammation, hemostasis, and blood coagulation during feeding. This topic is central to ASH's domain, as understanding the salivary secretome's mechanisms informs both the biological basis of hirudotherapy and the potential medical usefulness of specific compounds. As a review article, it synthesizes existing literature rather than presenting original experimental data, and its therapeutic implications are limited to hints of potential usefulness rather than demonstrated applications.

Citation

Small bite, large impact-saliva and salivary molecules in the medicinal leech, Hirudo medicinalis.

Hildebrandt J, Lemke S · Die Naturwissenschaften, 2011

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.