Sociedad Americana de Hirudoterapia

Evaluation of hemostatic, anti-inflammatory, wound healing, skin irritation and acute toxicity of leech (Hirudo nipponia) extract

Basic science / preclinical published in J Ethnopharmacol (2024)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Farmacología salivalDesarrollo de fármacosSeguridad y control de infeccionesLi et al. · Journal of ethnopharmacology, 2024

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE: Chromolaenaodorata (L.) R.M. King & H. Rob, a perennial herb, has been traditionally utilized as a herbal remedy for treating leech bites, soft tissue wounds, burn wounds, skin infections, and dento-alveolitis in tropical and subtropical regions. AIM OF THE STUDY: The present study was to analyze the active fraction of C. odorata ethanol extract and investigate its hemostatic, anti-inflammatory, wound healing, and antimicrobial properties. Additionally, the safety of the active fraction as an external preparation was assessed through skin irritation and allergy tests. MATERIALS AND METHODS: The leaves and stems of C. odorata were initially extracted with ethanol, followed by purification through AB-8 macroporous adsorption resin column chromatography to yield different fractions. These fractions were then screened for hemostatic activity in mice and rabbits to identify the active fraction. Subsequently, the hemostatic effect of the active fraction was assessed through the bleeding time of the rabbit ear artery in vivo and the coagulant time of rabbit blood in vitro. The anti-inflammatory activity of the active fraction was tested on mice ear edema induced by xylene and rat paw edema induced by carrageenin. Furthermore, the active fraction's promotion effect on wound healing was evaluated using a rat skin injury model, and skin safety tests were conducted on rabbits and guinea pigs. Lastly, antimicrobial activities against two Gram-positive bacteria (G+, Staphylococcus aureus and S. epidermidis) and three Gram-negative bacteria (G-, Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa) were determined using the plate dilution method. RESULTS: The ethanol extract of C. odorata leaves and stems was fractionated into 30%, 60%, and 90% ethanol eluate fractions. These fractions demonstrated hemostatic activity, with the 30% ethanol eluate fraction (30% EEF) showing the strongest effect, significantly reducing bleeding time (P < 0.05). A concentration of 1.0 g/mL of the 30% EEF accelerated cutaneous wound healing in rats on the 3rd, 6th, and 9th day post-operation, with the healing effect increasing over time. No irritation or allergy reactions were observed in rabbits and guinea pigs exposed to the 30% EEF. Additionally, the 30% EEF exhibited mild inhibitory effect on mice ear and rat paw edema, as well as antimicrobial activity against tested bacteria, with varying minimal inhibitory concentration (MIC) values. CONCLUSIONS: The 30% EEF demonstrated a clear hemostatic effect on rabbit bleeding time, a slight inhibitory effect on mice ear edema and rat paw edema, significant wound healing activity in rats, and no observed irritation or allergic reactions. Antibacterial activity was observed against certain clinically isolated bacteria, particularly the G- bacteria. This study lays the groundwork for the potential development and application of C. odorata in wound treatment.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAnimalsRabbitsWound HealingPlant ExtractsAnti-Inflammatory AgentsMiceMaleHemostaticsEthanolChromolaenaEdemaRats

Resumen

Comprehensive preclinical evaluation of Hirudo nipponia extract for hemostatic, anti-inflammatory, wound-healing properties, skin-irritation potential, and acute toxicity.

Por qué esto importa para la hirudoterapia

This study evaluated the active fraction of an ethanol extract from the plant Chromolaena odorata, investigating its hemostatic, anti-inflammatory, wound-healing, antimicrobial, and skin-safety properties in animal models including mice, rabbits, rats, and guinea pigs. The abstract notes that C. odorata has been traditionally utilized as a herbal remedy for treating leech bites, soft tissue wounds, burn wounds, and skin infections. The 30% ethanol eluate fraction demonstrated hemostatic effects, wound-healing activity, and no observed irritation or allergic reactions. The study does not evaluate leeches themselves or the leech secretome; its only connection to leeches is the traditional use of this plant to treat leech bites, making its relevance to ASH's domain indirect and limited.

Citación

Evaluation of hemostatic, anti-inflammatory, wound healing, skin irritation and acute toxicity of leech (Hirudo nipponia) extract.

Li et al. · Journal of ethnopharmacology, 2024

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: June 18, 2026

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