Американское общество гирудотерапии

Gut microbiota participates and remodels host metabolism: from treating patients to treating their gut flora

Editorial published in World Journal of Gastroenterology (2024)

Последнее обновление: June 18, 2026Рецензент: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportГеномика и протеомикаФармакология секрета слюнных желёзHan S et al. · World journal of gastroenterology, 2024

Abstract

In this editorial, we comment on Liu et al's article published in the recent issue of the World Journal of Gastroenterology. Biochemically and pathologically, Liu et al proved that the urate-lowering activity of leech total protein (LTP) was mainly attributed to the rectification of gut microbiota. Specifically, we noticed the change in Bacteroides and Akkermansia after LTP administration. Both bacteria have been reported to alleviate metabolic dysfunction-associated steatohepatitis and other chronic metabolic diseases. LTP was administrated through intragastric manners. Most possibly, LTP would be digested by the gut microbiota further. The anti-hyperuricemia effects should, to the most possible extent, be exerted by the peptides or their secondary metabolic products. Human gut microbiota communicates with other organs through metabolites generated by the microbes or co-metabolized with the host. Whether the anti-hyperuricemia effect could be partially ascribed to the microbiota metabolites also deserves to be discussed. Although metabolomics analysis was performed for serum samples, fecal metabolomics was highly advocated which could facilitate exact mechanism explanation. This study implied that gut microbiota contains many unexplored targets with different therapeutic potentials. It is foreseeable that utilizing these targets can avoid the impairment or side effects of directly using human targets to some extent.

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

Publication typeEditorial
Indexed MeSH termsHumansGastrointestinal MicrobiomeAnimalsUric AcidHyperuricemiaMetabolomicsFeces

Резюме

Editorial commentary on leech total-protein modulation of gut microbiota for hyperuricemia treatment — explores microbiota-mediated mechanisms of leech-derived therapeutic peptides.

Почему это важно для гирудотерапии

This editorial discusses findings by Liu et al that leech total protein (LTP) exerts urate-lowering activity primarily through rectification of the gut microbiota, with specific changes noted in Bacteroides and Akkermansia populations after intragastric administration. The editorial suggests the anti-hyperuricemia effects may be exerted by peptides or secondary metabolic products, and raises the question of whether microbiota metabolites contribute. The relevance to the leech secretome is that a leech-derived protein preparation is being explored for metabolic disease applications through gut microbiota modulation. The primary limitation is that this is an editorial commenting on another group's research, presenting no original experimental data, and the abstract does not address classical hirudotherapy applications.

Цитирование

Gut microbiota participates and remodels host metabolism: from treating patients to treating their gut flora.

Han S et al. · World journal of gastroenterology, 2024

Связанный клинический контекст

Узнайте, как это исследование связано с клинической практикой

Добавлено в библиотеку ASH: May 27, 2026 · Последнее обновление сайта: June 18, 2026

Этот сайт предоставляет образовательную информацию и не является медицинской консультацией, диагнозом или рекомендацией по лечению. Гирудотерапия сопряжена с клинически значимыми рисками и должна проводиться только квалифицированными клиницистами в рамках институционально утверждённых протоколов. Разрешение FDA 510(k) для медицинских пиявок ограничено определёнными показаниями; обсуждения исследовательского и нелицензионного применения отмечены соответствующим образом. Для индивидуальных медицинских рекомендаций обратитесь к квалифицированному медицинскому специалисту.