Sociedad Americana de Hirudoterapia

Hirudin P6

Tyrosine-sulfated, O-glycosylated hirudin variant from Hirudo medicinalis — Maxwell 2023 chemical-synthesis study reveals sulfation increases thrombin inhibition ~10-fold.

Preclínico / mecanísticoLast updated: 2026-05-27 · Reviewed by ASH Editorial Board
Molecular weight of Hirudin P6 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 kDaHirudin P67 kDa
Molecular weight (kilodaltons) of Hirudin P6 (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
Tyrosine-sulfated, O-glycosylated hirudin variant from Hirudo medicinalis — Maxwell 2023 chemical-synthesis study reveals sulfation increases thrombin inhibition ~10-fold.
Evidence level
In vitro
Drug vs leech
Synthetic analog
Safety domains
Bleeding

Clinical translation limit

Hirudin P6's enhanced in vitro thrombin inhibition does NOT establish clinical efficacy of whole-leech therapy. No FDA-approved hirudin P6 derivative exists; clinical hirudin analogs (lepirudin, desirudin, bivalirudin) lack the P6 post-translational modification pattern.

Molecular Profile

Category
Anticoagulant
Evidence tier
Preclinical
Molecular weight
7,000 Da
Source species
Hirudo medicinalis
Discovered
2023 · Maxwell JWC et al.
Hirudin P6 molecular structure

Biological Targets

  • thrombin (Factor IIa); enhanced binding via tyrosine sulfation and O-glycosylation

Key Citations

  1. Maxwell JWC et al. (2023), Acc Chem Res · PMID 37708351

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.