Sociedad Americana de Hirudoterapia

Cysteine-Rich Anticoagulant (CRA)

Novel cysteine-rich recombinant anticoagulant from Hirudo medicinalis saliva — strong anticoagulant activity in clotting assays; C-terminal motif governs membrane affinity.

Preclínico / mecanísticoLast updated: 2026-05-27 · Reviewed by ASH Editorial Board
Molecular weight of Cysteine-Rich Anticoagulant (CRA) compared with other characterized leech-derived compoundsHementerin80 kDaHementin80 kDaHementin-Like Protein (HLP-1)80 kDaLeech Collagenase70 kDaHaemadipsa yanyuanensis Progr…70 kDaLeech Apyrase67 kDaCalin65 kDaHyaluronidase60 kDaAntithrombin III binding prot…58 kDaCollagenolytic Fibrinolysin55 kDaLeech Thrombospondin-Like Pro…50 kDaCysteine-Rich Anticoagulant (…12 kDa
Molecular weight (kilodaltons) of Cysteine-Rich Anticoagulant (CRA) (highlighted) alongside other characterized leech salivary compounds. Smaller proteins/peptides generally diffuse and act faster.

Mechanistic Evidence Box

Preclinical / mechanistic
Page type
Compound profile
Evidence type
Novel cysteine-rich recombinant anticoagulant from Hirudo medicinalis saliva — strong anticoagulant activity in clotting assays; C-terminal motif governs membrane affinity.
Evidence level
In vitro
Drug vs leech
Recombinant (genetically expressed)
Safety domains
Bleeding

Clinical translation limit

CRA's in vitro anticoagulant activity (3.7-5.5 mg/L recombinant yield, retained clotting-assay activity) does NOT establish clinical efficacy of any whole-leech or recombinant therapy. No FDA-approved CRA derivative exists; characterization remains at scale-up / purification stage.

Molecular Profile

Category
Anticoagulant
Evidence tier
Preclinical
Molecular weight
12,000 Da
Source species
Hirudo medicinalis
Discovered
2025 · Manuvera VA et al.
Cysteine-Rich Anticoagulant (CRA) molecular structure

Biological Targets

  • coagulation cascade (TT / PT / aPTT prolongation; membrane-associated mechanism)

Key Citations

  1. Manuvera VA et al. (2025), Biomolecules · PMID 41463289

External Resources

    Related Anticoagulant Compounds

    Este sitio web proporciona información educativa y no constituye consejo médico, diagnóstico ni recomendaciones de tratamiento. La terapia con sanguijuelas medicinales conlleva riesgos clínicamente significativos y debe ser realizada únicamente por profesionales calificados bajo protocolos aprobados institucionalmente. La autorización 510(k) de la FDA para sanguijuelas medicinales se limita a indicaciones específicas; las discusiones sobre uso investigativo y fuera de indicación se señalan correspondientemente. Para orientación médica específica, consulte a un profesional de salud calificado.