Sociedad Americana de Hirudoterapia

Fibrinogen degradation by hementin, a fibrinogenolytic anticoagulant from the salivary glands of the leech Haementeria ghilianii

Research article published in The Journal of laboratory and clinical medicine (1984)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportEnsayos clínicosMalinconico et al. · The Journal of laboratory and clinical medicine, 1984

Abstract

The leech Haementeria ghilianii contains the anticoagulant hementin in its salivary glands, which renders ingested blood incoagulable. The loss of thrombin-coagulability of human fibrinogen, plasma, and blood was dependent on both dose and time, and it was attributable to direct proteolytic degradation of fibrinogen (Mr 340,000) by hementin. Using purified fibrinogen as the substrate, it was demonstrated that the enzyme cleaved with equal probability either through all three chains in the connector region between the D and E structural domains or in the COOH-terminal of the A alpha chain. The degradation pattern of fibrinogen in blood and purified counterpart was the same in respect to the types of degradation products formed and the rate of proteolysis. Three pairs of fibrinogen degradation products characterized by Mr were distinguished: 320,000 and 300,000, 225,000 and 200,000, 157,000 and 132,000. In each pair, the heavier product had the intact COOH-terminals of the A alpha, B beta, and gamma chains. Of special interest was the derivative of Mr 225,000 because it contained the intact A alpha, B beta, and gamma chains of the original fibrinogen. Hementin cleaved non-cross-linked and cross-linked fibrin clots; however, the rate of proteolysis was much slower than that of fibrinogen. Individual carboxymethylated chains of fibrinogen were not degraded by the enzyme. Hementin abolished coagulability of fibrinogen by a limited proteolysis that disassembled functionally bivalent polymerization sites. In addition, fibrin clot formation was inhibited by fibrinogen fragments generated by hementin. The enzyme appeared to have a unique and limited specificity for a few peptide bonds projected in the tertiary structure of the native fibrinogen molecule.

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

Publication typeJournal ArticleResearch Support, U.S. Gov't, P.H.S.
Indexed MeSH termsAnimalsAnticoagulantsChemical PhenomenaChemistryElectrophoresis, Polyacrylamide GelEndopeptidasesEnzyme-Linked Immunosorbent AssayFibrinFibrin Fibrinogen Degradation ProductsFibrinogenFibrinolysisHumans

Resumen

Peer-reviewed clinical and outcomes research relevant to medicinal leech therapy and its biology. Indexed in PubMed and verified against the NCBI record.

Por qué esto importa para la hirudoterapia

Este estudio de bioquímica in vitro (Malinconico et al., 1984) caracterizó la hementina, un anticoagulante de las glándulas salivales de la sanguijuela Haementeria ghilianii, mostrando que anula la capacidad de coagulación trombínica del fibrinógeno humano, el plasma y la sangre mediante una degradación proteolítica directa dependiente de la dosis y del tiempo, en lugar de a través de la inhibición trombínica, y que también puede lisar coágulos de fibrina no entrecruzados y entrecruzados, aunque más lentamente. Es una entrada fundacional en la historia de descubrimiento de fármacos del secretoma de sanguijuelas medicinales, documentando un mecanismo fibrinogenolítico distinto de los inhibidores trombínicos tipo hirudin más familiares a partir de Hirudo medicinalis e ilustrando la diversidad química de los anticoagulantes derivados de sanguijuelas. Nota: estos son experimentos con enzimas purificadas y sangre ex vivo de una especie de sanguijuela no medicinal, sin datos animales o clínicos, por lo que los hallazgos se refieren al mecanismo y al potencial de descubrimiento de fármacos, no a la hirudoterapia clínica.

Citación

Fibrinogen degradation by hementin, a fibrinogenolytic anticoagulant from the salivary glands of the leech Haementeria ghilianii.

Malinconico et al. · The Journal of laboratory and clinical medicine, 1984

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 28, 2026 · Última actualización del sitio: June 18, 2026

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.