Medicinal leech therapyâan overall perspective

Complementary medicine methods have a long history, but modern medicine has just recently focused on their possible modes of action. Medicinal leech therapy (MLT) or hirudotherapy, an old technique, has been studied by many researchers for possible effects on various diseases such as inflammatory di...

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Main Authors: Ali K. Sig, Mustafa Guney, Aylin Uskudar Guclu, Erkan Ozmen
Format: Article
Language:English
Published: Elsevier 2017-12-01
Series:Integrative Medicine Research
Online Access:http://www.sciencedirect.com/science/article/pii/S221342201730104X
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author Ali K. Sig
Mustafa Guney
Aylin Uskudar Guclu
Erkan Ozmen
author_facet Ali K. Sig
Mustafa Guney
Aylin Uskudar Guclu
Erkan Ozmen
author_sort Ali K. Sig
collection DOAJ
description Complementary medicine methods have a long history, but modern medicine has just recently focused on their possible modes of action. Medicinal leech therapy (MLT) or hirudotherapy, an old technique, has been studied by many researchers for possible effects on various diseases such as inflammatory diseases, osteoarthritis, and after different surgeries. Hirudo medicinalis has widest therapeutic usage among the leeches, but worldwide, many different species were tested and studied. Leeches secrete more than 20 identified bioactive substances such as antistasin, eglins, guamerin, hirudin, saratin, bdellins, complement, and carboxypeptidase inhibitors. They have analgesic, anti-inflammatory, platelet inhibitory, anticoagulant, and thrombin regulatory functions, as well as extracellular matrix degradative and antimicrobial effects, but with further studies, the spectrum of effects may widen. The technique is cheap, effective, easy to apply, and its modes of action have been elucidated for certain diseases. In conclusion, for treatment of some diseases, MLT is not an alternative, but is a complementary and/or integrative choice. MLT is a part of multidisciplinary treatments, and secretes various bioactive substances. These substances vary among species and different species should be evaluated for both treatment capability and their particular secreted molecules. There is huge potential for novel substances and these could be future therapeutics. Keywords: Hirudo medicinalis, hirudotherapy, leech
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spelling doaj.art-92a9295e4def46cc9a9de7cdef1212cb2022-12-22T01:59:42ZengElsevierIntegrative Medicine Research2213-42202017-12-0164337343Medicinal leech therapyâan overall perspectiveAli K. Sig0Mustafa Guney1Aylin Uskudar Guclu2Erkan Ozmen3Erzurum Public Health Laboratory, Public Health Institution of Turkey, Erzurum, Turkey; Corresponding author. Erzurum Halk Sagligi Laboratuvari, Muratpasa Mahallesi, Fatih Sultan Mehmet Bulvari, No. 23, PC: 25100 Yakutiye â Erzurum, Turkey.Department of Medical Microbiology, Gulhane Medical Faculty, University of Health Sciences, Ankara, TurkeyDepartment of Medical Microbiology, Gulhane Medical Faculty, University of Health Sciences, Ankara, TurkeyDepartment of Medical Microbiology, Medical Faculty, Ataturk University, Erzurum, TurkeyComplementary medicine methods have a long history, but modern medicine has just recently focused on their possible modes of action. Medicinal leech therapy (MLT) or hirudotherapy, an old technique, has been studied by many researchers for possible effects on various diseases such as inflammatory diseases, osteoarthritis, and after different surgeries. Hirudo medicinalis has widest therapeutic usage among the leeches, but worldwide, many different species were tested and studied. Leeches secrete more than 20 identified bioactive substances such as antistasin, eglins, guamerin, hirudin, saratin, bdellins, complement, and carboxypeptidase inhibitors. They have analgesic, anti-inflammatory, platelet inhibitory, anticoagulant, and thrombin regulatory functions, as well as extracellular matrix degradative and antimicrobial effects, but with further studies, the spectrum of effects may widen. The technique is cheap, effective, easy to apply, and its modes of action have been elucidated for certain diseases. In conclusion, for treatment of some diseases, MLT is not an alternative, but is a complementary and/or integrative choice. MLT is a part of multidisciplinary treatments, and secretes various bioactive substances. These substances vary among species and different species should be evaluated for both treatment capability and their particular secreted molecules. There is huge potential for novel substances and these could be future therapeutics. Keywords: Hirudo medicinalis, hirudotherapy, leechhttp://www.sciencedirect.com/science/article/pii/S221342201730104X
spellingShingle Ali K. Sig
Mustafa Guney
Aylin Uskudar Guclu
Erkan Ozmen
Medicinal leech therapyâan overall perspective
Integrative Medicine Research
title Medicinal leech therapyâan overall perspective
title_full Medicinal leech therapyâan overall perspective
title_fullStr Medicinal leech therapyâan overall perspective
title_full_unstemmed Medicinal leech therapyâan overall perspective
title_short Medicinal leech therapyâan overall perspective
title_sort medicinal leech therapyaan overall perspective
url http://www.sciencedirect.com/science/article/pii/S221342201730104X
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