American Society of Hirudotherapy

Bioactive Science

Molecular pharmacology of the medicinal leech SGSry system

Last Updated: March 1, 2026Reviewed by: Andrei Dokukin, MD

The medicinal leech SGSry gland secretion (SGS) contains over 434 identified protein sequences organized into functional groups targeting anticoagulation, anti-inflammation, antimicrobial defense, and tissue remodeling. This section presents the molecular science underlying hirudotherapy — biological mechanisms, not therapeutic claims.

Educational Context

Discussion of biological mechanisms does not imply therapeutic efficacy outside FDA-cleared contexts. The science presented here informs our understanding of how the leech SGSry system works at the molecular level.

Science Topics

Key Numbers

434+

Proteins Identified

Kvist et al., 2020

39

Conserved Ortholog Clusters

Shared across 3 Hirudo species

6

FDA-Approved Derivatives

Including 3 from leech biology

Related Resources

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.