The European medicinal leech is one of vanishingly few animal species with direct application in modern medicine. In addition to the therapeutic potential held by many protease inhibitors purified from leech saliva, and notwithstanding the historical association with quackery, Hirudo medicinalis has been approved by the United States Food and Drug Administration as a prescription medical device. Accurate annotation of bioactive compounds relies on precise species determination. Interpretations of developmental and neurophysiological characteristics also presuppose uniformity within a model species used in laboratory settings. Here, we show, with mitochondrial sequences and nuclear microsatellites, that there are at least three species of European medicinal leech, and that leeches marketed as H. medicinalis are actually Hirudo verbana. Beyond the obvious need for reconsideration of decades of biomedical research on this widely used model organism, these findings impact regulatory statutes and raise concerns for the conservation status of European medicinal leeches.

Phylogenetic relationships of fish leeches (Hirudinea, Piscicolidae) based on mitochondrial DNA sequences and morphological data. -Zoologica Scripta, 33 , 375 -385. Phylogenetic relationships of fish leeches (Piscicolidae) were deduced from combined mitochondrial DNA sequences of 12S rDNA and COI genes using Bayesian inference and Maximum Likelihood, as well as from a combined molecular-morphological data matrix using Maximum Parsimony. Monophyly of the family was confirmed. The traditional subdivision into three subfamilies, the Platybdellinae, Pontobdellinae, and Piscicolinae, received weak support, but was not challenged by alternative groupings. In contrast to prior classifications, a basal split emerged between the Pontobdellinae on the one hand, and the Platybdellinae and Piscicolinae on the other. The complex coelomic system of pontobdellines is viewed as plesiomorphic, and independent reductions of the coelom in other fish leech groups are hypothesized. According to the inferred phylogeny, seawater was the primary habitat of fish leeches. Eurasian freshwaters were colonized by a species-rich freshwater clade (genera Piscicola , Baicalobdella , Cystobranchus and Caspiobdella ) and, probably independently, by the Asian genus Limnotrachelobdella .

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ABSTRACT1. Distribution and status of medicinal leeches were re-considered in the light of the new taxonomy recognizing four Western Palaearctic species: Hirudo medicinalis, Hirudo verbana, Hirudo orientalis and Hirudo troctina.2. Recent records and new data obtained on expeditions to Ukraine, Russia, Azerbaijan, Kazakhstan, Uzbekistan and the Western Balkans were mapped to obtain an up-to-date overview of the distribution.3. Three hypotheses explaining the current ranges of all Hirudo species were tested. The ecological hypothesis, suggesting a strong impact of large-scale environmental factors, received the highest support, while anthropogenic influence was minimal, and no historical patterns of refugia and colonization were detected.4. Mapped localities of all Hirudo species show extensive, belt-shaped ranges extending from east to west. H. medicinalis is distributed from Britain and southern Norway to the southern Urals and probably as far as the Altai Mountains, occupying the deciduous arboreal zone. H. verbana has been recorded from Switzerland and Italy to Turkey and Uzbekistan, which largely corresponds to the Mediterranean and sub-boreal steppe zone. H. orientalis is associated with mountainous areas in the sub-boreal eremial zone and occurs in Transcaucasian countries, Iran and Central Asia. H. troctina has been found in north-western Africa and Spain in the Mediterranean zone.5. Based on the data gathered, and considering real and potential threats, global IUCN category Near Threatened is proposed for H. medicinalis, H. verbana, and H. orientalis, while H. troctina can only be assigned to category Data Deficient.

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