American Society of Hirudotherapy

Eglins b/c

Cysteine-free serine protease inhibitors with anti-inflammatory and neurotrophic properties

Last Updated: March 5, 2026Reviewed by: Andrei Dokukin, MD

Last updated: March 14, 2026

Mechanism Disclaimer

Biological mechanism discussion does not imply therapeutic efficacy outside FDA-cleared contexts.

Eglins b and c are compact serine protease inhibitors originally isolated from Hirudo medicinalis salivary gland secretion. At 8,073 Da (eglin b) and 8,099 Da (eglin c), they differ by a single amino acid substitution at position 35 (His in eglin b, Tyr in eglin c). With 70 amino acids and no cysteine residues, eglins are uniquely devoid of disulfide bonds among leech proteinase inhibitors — a feature that contributes to exceptional thermal and acid stability.

Structural Characteristics

Potato Inhibitor I Family

Eglins belong to the potato inhibitor I (PI-1) superfamily, sharing structural homology with barley chymotrypsin inhibitor CI-2. This plant-origin fold in an animal protease inhibitor suggests ancient evolutionary convergence. The absence of disulfide bonds renders eglins resistant to reducing environments and simplifies recombinant production.

Single-Residue Difference

Eglin b (His35) and eglin c (Tyr35) are otherwise identical in sequence and exhibit overlapping but non-identical inhibitory profiles. Eglin c has been more extensively characterized due to its early successful expression in E. coli (Rink et al., 1984) — one of the first leech proteins produced recombinantly.

Inhibitory Profile

Target ProteaseKiSignificance
Neutrophil elastase2 × 10⁻¹⁰ MSub-nanomolar; blocks tissue destruction
Cathepsin G2.8 × 10⁻¹⁰ MKey neutrophil serine protease
Mast cell chymase4.45 × 10⁻⁸ MModerate; LDTI more potent for mast cells
α-ChymotrypsinNanomolar rangeBroad serine protease activity
SubtilisinNanomolar rangeBacterial serine protease

Anti-Inflammatory Significance

The primary therapeutic interest in eglins centers on their ability to block neutrophil-mediated tissue destruction. During inflammatory responses, activated neutrophils release elastase and cathepsin G from azurophilic granules. Uncontrolled release of these proteases degrades extracellular matrix components (elastin, collagen, proteoglycans) and amplifies inflammatory cascades. Eglins inhibit both enzymes at sub-nanomolar concentrations, positioning them as potential modulators of tissue damage in:

Rheumatoid Arthritis

Synovial neutrophil infiltration

COPD

Elastase-driven alveolar destruction

ARDS

Neutrophilic pulmonary inflammation

Additional Biological Activities

Neurotrophic Activity

Eglin c demonstrates significant neurite outgrowth stimulation in chick embryo dorsal root ganglia, with a 48.3% increase in explant area index (EAI) at a concentration of 0.1 ng/mL (Chapter 7). This places eglins among the biologically active SGS components with dual anti-inflammatory and neurotrophic properties.

HCV NS3 Proteinase Inhibition

Martin et al. (1998) demonstrated that eglin c inhibits the hepatitis C virus NS3 serine proteinase at nanomolar concentrations. Although not pursued therapeutically, this finding illustrates the broad-spectrum serine protease inhibitory capacity of the eglin scaffold.

Piyavit Component

Eglins are constituent components of Piyavit, a pharmaceutical formulation derived from whole leech extract. Their presence contributes to the immunomodulatory properties attributed to the formulation, including anti-inflammatory effects on neutrophil-mediated tissue damage pathways.

Recombinant Production

Rink et al. (1984) achieved the first heterologous expression of eglin c in E. coli, producing active protein in high yields. The absence of disulfide bonds and glycosylation sites makes eglins particularly amenable to bacterial expression — a significant advantage for scale-up.

Related Resources

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.