Sociedad Americana de Hirudoterapia

Comparative Study of Lefaxin Family in Two Asian Leeches: Hirudinaria manillensis and Whitmania pigra

Ye T, Zhao F, Xiao M, Yin J, Ai R, Tang L, Liu Z, Huang Z, Lin G (2025) · Biology · n=0

RCT evidence detailTrial reference
GRADE Very LowInsufficient evidence

Study Profile

Design
genomic and transcriptomic sequencing of wild populations of Hirudinaria manillensis and Whitmania pigra with recombinant expression of lefaxin proteins and in-vitro Factor Xa anticoagulant activity assays (Chinese consortium led by Jinggangshan University)
Sample size (n)
0
Intervention
Comparative characterization of three lefaxin genes per species, plus recombinant lefaxin protein expression and in-vitro anticoagulant assays
Comparator
Inter-species comparison (hematophagous H. manillensis vs non-hematophagous W. pigra)
Primary endpoint
Lefaxin protein anticoagulant activity (Factor Xa binding, in-vitro coagulation prolongation)
Primary result
Hirudinaria manillensis lefaxins bound Factor Xa more effectively; Whitmania pigra lefaxins showed more robust in-vitro anticoagulant activity despite W. pigra being non-hematophagous; H. manillensis exhibited higher genetic diversity and stability; finding challenges traditional view that non-hematophagous leech species lack potent anticoagulants
Follow-up duration
Not applicable - in-vitro biochemistry

Key Findings

  • Three lefaxin genes per species (LefH1-3 in H. manillensis, LefW1-3 in W. pigra)
  • W. pigra lefaxins more potent in-vitro despite non-hematophagous ecology
  • H. manillensis lefaxins better Factor Xa binders
  • Provides recombinant protein expression workflow for both species
  • Challenges traditional view that only blood-feeders have potent anticoagulants

Limitations

  • In-vitro biochemistry only — no in-vivo or clinical efficacy
  • Recombinant proteins may differ from native molecules in folding or post-translational modification
  • Limited population sampling
  • No comparison to gold-standard recombinant hirudin or bivalirudin
  • No mammalian pharmacokinetic or safety data

Clinical Implications

Ye 2025 deepens the comparative pharmacology of underrepresented Asian medicinal-leech species and demonstrates that Whitmania pigra lefaxins are clinically interesting anticoagulant candidates despite the species' non-hematophagous ecology. For ASH, the finding reinforces that 'medicinal leech' pharmacology is species-heterogeneous and that K040187 US clinical practice should not be conflated with global research on Asian Hirudinaria, Whitmania, or Haemadipsa species. Translational drug-discovery relevance only.

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