Sociedad Americana de Hirudoterapia

Destabilase

Lysozyme with isopeptidase activity that dissolves stabilized fibrin clots — including aged thrombi resistant to tPA.

Preclínico / mecanísticoLast updated: 2026-05-26 · Reviewed by ASH Editorial Board
Molecular weight of Destabilase 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 kDaDestabilase12.5 kDa
Molecular weight (kilodaltons) of Destabilase (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
Lysozyme with isopeptidase activity that dissolves stabilized fibrin clots — including aged thrombi resistant to tPA.
Evidence level
In vitro
Drug vs leech
Purified natural compound
Safety domains
Bleeding

Clinical translation limit

Destabilase's reported fibrinolytic activity in vitro and in limited animal studies does NOT establish clinical efficacy as a thrombolytic agent. No FDA-approved derivative exists; whole-leech therapy is not approved for any thromboembolic indication.

Molecular Profile

Category
Fibrinolytic
Evidence tier
Preclinical
Molecular weight
12,500 Da
Source species
Hirudo medicinalis
Discovered
1986 · Baskova et al.
PDB structures
6OJ9
Destabilase molecular structure

Biological Targets

  • isopeptide ε-(γ-Glu)-Lys bonds in cross-linked fibrin

Key Citations

  1. Baskova IP, Nikonov GI (1991), Blood Coagul Fibrinolysis · PMID 1772985
  2. Kurdyumov AS, Manuvera VA, Baskova IP, Lazarev VN (2015), BMC Biochem · PMID 26589324

External Resources

Related Fibrinolytic 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.