American Society of Hirudotherapy

Bacterial Community of the Digestive Tract of the European Medicinal Leech (Hirudo verbana) from the Danube River

Microbiome study published in Microb Ecol (2019)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Safety & Infection ControlGenomics & ProteomicsNeupane S et al. · Microbial ecology, 2019

Abstract

The digestive tract of medicinal leeches from commercial suppliers has been investigated previously and comprises of a relatively simple bacterial community. However, the microbiome of medicinal leeches collected directly from the natural habitat has not been examined. In this study, we characterized the bacterial community in the digestive tract (anterior crop, posterior crop, and intestine) of the European medicinal leech, Hirudo verbana, collected from the Danube river using culture-independent and culture-dependent approaches. Culture-independent approach confirmed that the digestive tract of H. verbana carries a relatively simple bacterial community with species richness in the individual samples ranging from 43 to164. The dominant bacterial taxon was Mucinivorans sp. (49.7% of total reads), followed by Aeromonas sp. (18.7% of total reads). Several low abundance taxa, new for H. verbana, such as Phreatobacter, Taibaiella, Fluviicola, Aquabacterium, Burkholderia, Hydrogenophaga, Wolinella, and unidentified Chitinophagia, were also detected. The aerobic culturing approach showed Aeromonas veronii (Proteobacteria), the known leech symbiont, as the most dominant taxon followed by several Pseudomonas and Acidovorax spp. No significant differences in the bacterial community composition were detected among different parts of the digestive tract of individual leeches. However, the overall composition of the bacterial community among individual specimen varied significantly and this is possibly due to differences in leech age, feeding status, and blood source. Our results showed that the core bacterial community of H. verbana collected from the natural habitat is similar to that reported from the digestive tract of commercially supplied leeches maintained in the laboratory.

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

Publication typeJournal Article
Indexed MeSH termsAnimalsBacteriaGastrointestinal MicrobiomeGastrointestinal TractLeechesRNA, BacterialRNA, Ribosomal, 16SRiversRomania

Summary

First wild-collected H. verbana digestive-tract microbiome characterization. Mucinivorans sp. dominates (49.7% reads), followed by Aeromonas sp. (18.7%). Several novel low-abundance taxa identified. Wild-leech bacterial community is broadly similar to commercial-source leeches.

Why This Matters for Hirudotherapy

This study characterized the bacterial community in the digestive tract of European medicinal leeches (Hirudo verbana) collected from the Danube River, using both culture-independent and culture-dependent methods. The dominant taxa were Mucinivorans sp. (49.7% of reads) and Aeromonas sp. (18.7%), with several low-abundance taxa newly identified for this species. The core bacterial community was similar to that reported from commercially supplied laboratory leeches. For ASH's domain, this study is relevant as it characterizes the microbiome of the therapeutic leech species H. verbana from its natural habitat, advancing basic biological understanding of this organism. The honest caveat is that this is a microbiological/taxonomic study with no clinical component and no data related to hirudotherapy outcomes, pathogenicity, or infection risk.

Citation

Bacterial Community of the Digestive Tract of the European Medicinal Leech (Hirudo verbana) from the Danube River.

Neupane S et al. · Microbial ecology, 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.