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Leeches are segmented
parasitic Parasitism is a close relationship between species, where one organism, the parasite, lives on or inside another organism, the host, causing it some harm, and is adapted structurally to this way of life. The entomologist E. O. Wilson ha ...
or
predatory Predation is a biological interaction where one organism, the predator, kills and eats another organism, its prey. It is one of a family of common feeding behaviours that includes parasitism and micropredation (which usually do not kill th ...
worm Worms are many different distantly related bilateral animals that typically have a long cylindrical tube-like body, no limbs, and no eyes (though not always). Worms vary in size from microscopic to over in length for marine polychaete wo ...
s that comprise the subclass Hirudinea within the phylum Annelida. They are closely related to the
oligochaetes Oligochaeta () is a subclass of animals in the phylum Annelida, which is made up of many types of aquatic and terrestrial worms, including all of the various earthworms. Specifically, oligochaetes comprise the terrestrial megadrile earthworms ...
, which include the
earthworm An earthworm is a terrestrial invertebrate that belongs to the phylum Annelida. They exhibit a tube-within-a-tube body plan; they are externally segmented with corresponding internal segmentation; and they usually have setae on all segments. T ...
, and like them have soft, muscular segmented bodies that can lengthen and contract. Both groups are hermaphrodites and have a
clitellum The clitellum is a thickened glandular and non-segmented section of the body wall near the head in earthworms and leeches, that secretes a viscid sac in which eggs are stored. It is located near the anterior end of the body, between the fourteent ...
, but leeches typically differ from the oligochaetes in having suckers at both ends and in having ring markings that do not correspond with their internal segmentation. The body is muscular and relatively solid, and the coelom, the spacious body cavity found in other annelids, is reduced to small channels. The majority of leeches live in freshwater habitats, while some species can be found in terrestrial or marine environments. The best-known species, such as the medicinal leech, ''
Hirudo medicinalis ''Hirudo medicinalis'', the European medicinal leech, is one of several species of leeches used as "medicinal leeches". Other species of ''Hirudo'' sometimes also used as medicinal leeches include '' H. orientalis'', ''H. troctina'', and '' H. ...
'', are
hematophagous Hematophagy (sometimes spelled haematophagy or hematophagia) is the practice by certain animals of feeding on blood (from the Greek words αἷμα ' "blood" and φαγεῖν ' "to eat"). Since blood is a fluid tissue rich in nutritious p ...
, attaching themselves to a host with a sucker and feeding on blood, having first secreted the peptide
hirudin Hirudin is a naturally occurring peptide in the salivary glands of blood-sucking leeches (such as '' Hirudo medicinalis'') that has a blood anticoagulant property. This is fundamental for the leeches’ habit of feeding on blood, since it keeps ...
to prevent the blood from clotting. The jaws used to pierce the skin are replaced in other species by a
proboscis A proboscis () is an elongated appendage from the head of an animal, either a vertebrate or an invertebrate. In invertebrates, the term usually refers to tubular mouthparts used for feeding and sucking. In vertebrates, a proboscis is an elong ...
which is pushed into the skin. A minority of leech species are predatory, mostly preying on small invertebrates. The eggs are enclosed in a cocoon, which in aquatic species is usually attached to an underwater surface; members of one family,
Glossiphoniidae Glossiphoniidae are a family of freshwater proboscis-bearing leeches. These leeches are generally flattened, and have a poorly defined anterior sucker. Most suck the blood of freshwater vertebrates like amphibians, crocodilians and aquatic tu ...
, exhibit parental care, the eggs being brooded by the parent. In terrestrial species, the cocoon is often concealed under a log, in a crevice or buried in damp soil. Almost seven hundred species of leech are currently recognised, of which some hundred are marine, ninety terrestrial and the remainder freshwater. Leeches have been used in
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pr ...
from ancient times until the 19th century to draw blood from patients. In modern times, leeches find medical use in treatment of joint diseases such as
epicondylitis Epicondylitis is a type of musculoskeletal disorder that refers to an inflammation of an epicondyle. It is caused by repetitive motion. In athletes, it is linked to poor technique. Nonsurgical treatment is effective in approximately 95% of cases. T ...
and osteoarthritis, extremity vein diseases, and in
microsurgery Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves (typically 1 mm in diameter) whic ...
, while hirudin is used as an anticoagulant drug to treat blood-clotting disorders.


Diversity and phylogeny

Some 680 species of leech have been described, of which around 100 are marine, 480 freshwater and the remainder terrestrial. Among
Euhirudinea Euhirudinea, the true leeches, are an infraclass of the Hirudinea. Taxonomy These clitellate annelids are of somewhat unclear relationships; namely the relationships of Hirudinea with oligochaetes are in need of revision. It may be that the p ...
, the true leeches, the smallest is about long, and the largest is the giant Amazonian leech, ''
Haementeria ghilianii ''Haementeria ghilianii'', the giant Amazon leech, is one of the world's largest species of leeches. It can grow to 450 mm (17.7 in) in length and 100 mm (3.9 in) in width. As adults, these leeches are a greyish-brown colour, ...
'', which can reach . Except for Antarctica, leeches are found throughout the world but are at their most abundant in temperate lakes and ponds in the northern hemisphere. The majority of freshwater leeches are found in the shallow, vegetated areas on the edges of ponds, lakes and slow-moving streams; very few species tolerate fast-flowing water. In their preferred habitats, they may occur in very high densities; in a favourable environment with water high in organic pollutants, over 10,000 individuals were recorded per square metre (over 930 per square foot) under rocks in
Illinois Illinois ( ) is a state in the Midwestern United States. Its largest metropolitan areas include the Chicago metropolitan area, and the Metro East section, of Greater St. Louis. Other smaller metropolitan areas include, Peoria and Rockf ...
. Some species aestivate during droughts, burying themselves in the sediment, and can lose up to 90% of their bodyweight and still survive. Among the freshwater leeches are the
Glossiphoniidae Glossiphoniidae are a family of freshwater proboscis-bearing leeches. These leeches are generally flattened, and have a poorly defined anterior sucker. Most suck the blood of freshwater vertebrates like amphibians, crocodilians and aquatic tu ...
, dorso-ventrally flattened animals mostly parasitic on vertebrates such as turtles, and unique among annelids in both brooding their eggs and carrying their young on the underside of their bodies. The terrestrial Haemadipsidae are mostly native to the tropics and subtropics, while the aquatic
Hirudinidae Hirudinidae is a family of leeches Leeches are segmented parasitic or predatory worms that comprise the subclass Hirudinea within the phylum Annelida. They are closely related to the oligochaetes, which include the earthworm, and lik ...
have a wider global range; both of these feed largely on mammals, including humans. A distinctive family is the
Piscicolidae The Piscicolidae are a family of jawless leeches in the order Rhynchobdellida that are parasitic on fish. They occur in both freshwater and seawater, have cylindrical bodies, and typically have a large, bell-shaped, anterior sucker with which the ...
, marine or freshwater
ectoparasites Parasitism is a close relationship between species, where one organism, the parasite, lives on or inside another organism, the host, causing it some harm, and is adapted structurally to this way of life. The entomologist E. O. Wilson ha ...
chiefly of fish, with cylindrical bodies and usually well-marked, bell-shaped, anterior suckers. Not all leeches feed on blood; the
Erpobdelliformes The Erpobdelliformes are one of the currently-accepted suborders of the proboscisless leeches (Arhynchobdellida). It includes five families: * Americobdellidae * Erpobdellidae Blanchard, 1894 * Gastrostomobdellidae Richardson, 1971 *Orobdellid ...
, freshwater or amphibious, are carnivorous and equipped with a relatively large, toothless mouth to ingest insect larvae, molluscs, and other annelid worms, which are swallowed whole. In turn, leeches are prey to fish, birds, and invertebrates. The name for the subclass, Hirudinea, comes from the Latin ''hirudo'' ( genitive ''hirudinis''), a leech; the element ''-bdella'' found in many leech group names is from the Greek βδέλλα ''bdella'', also meaning leech. The name ''Les hirudinées'' was given by
Jean-Baptiste Lamarck Jean-Baptiste Pierre Antoine de Monet, chevalier de Lamarck (1 August 1744 – 18 December 1829), often known simply as Lamarck (; ), was a French naturalist, biologist, academic, and soldier. He was an early proponent of the idea that biolo ...
in 1818. Leeches were traditionally divided into two infraclasses, the
Acanthobdellidea Acanthobdellidea is an infraclass of primitive leeches; some authors place them in a separate subclass from the Hirudinea. However, the World Register of Marine Species places them within the Hirudinea, as a sister group to Euhirudinea, the true l ...
(primitive leeches) and the Euhirudinea (true leeches). The Euhirudinea are divided into the proboscis-bearing
Rhynchobdellida Rhynchobdellida (from the Greek ''rhynchos'', mouth, and ''bdellein'', sucking), the jawless leeches or freshwater leeches, are an order of aquatic leeches. Despite the common name "freshwater leeches", species are found in both sea and fresh wa ...
and the rest, including some jawed species, the "
Arhynchobdellida Arhynchobdellida, the proboscisless leeches, are a monophyletic order of leeches. They are defined by the lack of the protrusible proboscis that defines their sister taxon, the Rhynchobdellida.Uttam, Suneha, and Seema Langer.Distribution and Ide ...
", without a proboscis. The phylogenetic tree of the leeches and their annelid relatives is based on molecular analysis (2019) of DNA sequences. Both the former classes "
Polychaeta Polychaeta () is a paraphyletic class of generally marine annelid worms, commonly called bristle worms or polychaetes (). Each body segment has a pair of fleshy protrusions called parapodia that bear many bristles, called chaetae, which ar ...
" (bristly marine worms) and "
Oligochaeta Oligochaeta () is a subclass of animals in the phylum Annelida, which is made up of many types of aquatic and terrestrial worms, including all of the various earthworms. Specifically, oligochaetes comprise the terrestrial megadrile earthworm ...
" (including the earthworms) are paraphyletic: in each case the complete groups ( clades) would include all the other groups shown below them in the tree. The
Branchiobdellida Branchiobdellida is an order of freshwater leech-like clitellates that are obligate Ectosymbiosis, ectosymbionts or ectoparasites, mostly of astacoidean crayfish. They are found in the Northern Hemisphere and have a Holarctic realm, holarctic dis ...
are sister to the leech clade Hirudinida, which approximately corresponds to the traditional subclass Hirudinea. The main subdivision of leeches is into the Rhynchobdellida and the Arhynchobdellida, though the Acanthobdella are sister to the clade that contains these two groups.


Evolution

The most ancient annelid group consists of the free-living polychaetes that evolved in the Cambrian period, being plentiful in the
Burgess Shale The Burgess Shale is a fossil-bearing deposit exposed in the Canadian Rockies of British Columbia, Canada. It is famous for the exceptional preservation of the soft parts of its fossils. At old (middle Cambrian), it is one of the earliest fo ...
about 500million years ago. Oligochaetes evolved from polychaetes and the leeches branched off from the oligochaetes. The oldest leech fossils are from the
Jurassic The Jurassic ( ) is a geologic period and stratigraphic system that spanned from the end of the Triassic Period million years ago (Mya) to the beginning of the Cretaceous Period, approximately Mya. The Jurassic constitutes the middle period of ...
period around 150million years ago, but a fossil with external ring markings found in
Wisconsin Wisconsin () is a state in the upper Midwestern United States. Wisconsin is the 25th-largest state by total area and the 20th-most populous. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake M ...
in the 1980s, with what appears to be a large sucker, seems to extend the group's evolutionary history back to the Silurian, some 437million years ago.


Anatomy and physiology

Leeches show a remarkable similarity to each other in morphology, very different from typical annelids which are cylindrical with a fluid-filled space, the coelom (body cavity). In leeches, most of the coelom is filled with botryoidal tissue, a loose connective tissue composed of clusters of cells of mesodermal origin. The remaining body cavity has been reduced to four slender longitudinal channels. Typically, the body is dorso-ventrally flattened and tapers at both ends. Longitudinal and circular muscles in the body wall are supplemented by diagonal muscles, giving the leech the ability to adopt a large range of body shapes and show great flexibility. Most leeches have a sucker at both the anterior (front) and posterior (back) ends, but some primitive leeches have a single sucker at the back. Like other annelids, the leech is a segmented animal, but unlike other annelids, the segmentation is masked by external ring markings (annulations). The number of annulations varies, both between different regions of the body and between species. In one species, the body surface is divided into 102 annuli, but the body consists of 33 segments, a number constant across all leech species. Of these segments, the first five are designated as the head and include the anterior brain, several
ocelli A simple eye (sometimes called a pigment pit) refers to a form of eye or an optical arrangement composed of a single lens and without an elaborate retina such as occurs in most vertebrates. In this sense "simple eye" is distinct from a multi-l ...
(eyespots) dorsally and the sucker ventrally. The following 21 mid-body segments each contain a nerve ganglion, and between them contain two reproductive organs, a single female
gonopore A gonopore, sometimes called a gonadopore, is a genital pore in many invertebrates. Hexapods, including insects have a single common gonopore, except mayflies, which have a pair of gonopores. More specifically, in the unmodified female it is t ...
and nine pairs of
testes A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testoste ...
. The last seven segments contain the posterior brain and are fused to form the animal's tail sucker. The septa that separates the body segments in the majority of annelids have been lost in leeches, except for the primitive genus Acanthobdella which still have some septa. The body wall consists of a cuticle, an epidermis and a thick layer of fibrous connective tissue in which are embedded the circular muscles, the diagonal muscles and the powerful longitudinal muscles. There are also dorso-ventral muscles. In leeches the original blood vascular system has been lost and replaced by the modified coelom known as the haemocoelomic system, and the coelomic fluid, called the haemocoelomic fluid, has taken over the role as blood. The haemocoelomic channels run the full length of the body, the two main ones being on either side. Part of the lining epithelium consists of chloragogen cells which are used for the storage of nutrients and in
excretion Excretion is a process in which metabolic waste is eliminated from an organism. In vertebrates this is primarily carried out by the lungs, kidneys, and skin. This is in contrast with secretion, where the substance may have specific tasks after ...
. There are 10 to 17 pairs of
metanephridia The nephridium (plural ''nephridia'') is an invertebrate organ, found in pairs and performing a function similar to the vertebrate kidneys (which originated from the chordate nephridia). Nephridia remove metabolic wastes from an animal's body. Ne ...
(excretory organs) in the mid-region of the leech. From these, ducts typically lead to a
urinary bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine ente ...
, which empties to the outside at a
nephridiopore A nephridiopore is part of the nephridium, an excretory organ found in many organisms, such as flatworms and annelids. Polychaetes typically release their gametes into the water column using nephridiopores. Nephridia are homologous to nephrons o ...
.


Reproduction and development

Leeches are hermaphrodites, with the male
reproductive organs A sex organ (or reproductive organ) is any part of an animal or plant that is involved in sexual reproduction. The reproductive organs together constitute the reproductive system. In animals, the testis in the male, and the ovary in the female, a ...
, the
testes A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testoste ...
, maturing first and the
ovaries The ovary is an organ in the female reproductive system that produces an ovum. When released, this travels down the fallopian tube into the uterus, where it may become fertilized by a sperm. There is an ovary () found on each side of the body. T ...
later. In hirudinids, a pair will line up with the clitellar regions in contact, with the anterior end of one leech pointing towards the posterior end of the other; this results in the male gonopore of one leech being in contact with the female gonopore of the other. The penis passes a
spermatophore A spermatophore or sperm ampulla is a capsule or mass containing spermatozoa created by males of various animal species, especially salamanders and arthropods, and transferred in entirety to the female's ovipore during reproduction. Spermatophores ...
into the female gonopore and sperm is transferred to, and probably stored in, the vagina. Some jawless leeches (Rhynchobdellida) and proboscisless leeches (Arhynchobdellida) lack a penis, and in these, sperm is passed from one individual to another by hypodermic injection. The leeches intertwine and grasp each other with their suckers. A spermatophore is pushed by one through the integument of the other, usually into the clitellar region. The sperm is liberated and passes to the ovisacs, either through the coelomic channels or interstitially through specialist "target tissue" pathways. Some time after copulation, the small, relatively yolkless eggs are laid. In most species, an
albumin Albumin is a family of globular proteins, the most common of which are the serum albumins. All the proteins of the albumin family are water-soluble, moderately soluble in concentrated salt solutions, and experience heat denaturation. Albumins ...
-filled cocoon is secreted by the clitellum and receives one or more eggs as it passes over the female gonopore. In the case of the North American '' Erpobdella punctata'', the clutch size is about five eggs, and some ten cocoons are produced. Each cocoon is fixed to a submerged object, or in the case of terrestrial leeches, deposited under a stone or buried in damp soil. The cocoon of ''
Hemibdella soleae ''Hemibdella soleae'' is a marine species of leech in the family Piscicolidae and the Type (biology), type taxon of its genus. Found in the northeastern Atlantic Ocean, it is a parasite of flatfish such as the common sole. Description This smal ...
'' is attached to a suitable fish
host A host is a person responsible for guests at an event or for providing hospitality during it. Host may also refer to: Places * Host, Pennsylvania, a village in Berks County People *Jim Host (born 1937), American businessman * Michel Host ...
. The glossiphoniids brood their eggs, either by attaching the cocoon to the substrate and covering it with their ventral surface, or by securing the cocoon to their ventral surface, and even carrying the newly hatched young to their first meal. When breeding, most marine leeches leave their hosts and become free-living in estuaries. Here they produce their cocoons, after which the adults of most species die. When the eggs hatch, the juveniles seek out potential hosts when these approach the shore. Leeches mostly have an annual or biannual life cycle.


Feeding and digestion

About three quarters of leech species are
parasite Parasitism is a close relationship between species, where one organism, the parasite, lives on or inside another organism, the host, causing it some harm, and is adapted structurally to this way of life. The entomologist E. O. Wilson has ...
s that feed on the blood of a host, while the remainder are
predators Predation is a biological interaction where one organism, the predator, kills and eats another organism, its prey. It is one of a family of common feeding behaviours that includes parasitism and micropredation (which usually do not kill th ...
. Leeches either have a pharynx that they can protrude, commonly called a proboscis, or a pharynx that they cannot protrude, which in some groups is armed with jaws. In the proboscisless leeches, the jaws (if any) of Arhynchobdellids are at the front of the mouth, and have three blades set at an angle to each other. In feeding, these slice their way through the skin of the host, leaving a Y-shaped incision. Behind the blades is the mouth, located ventrally at the anterior end of the body. It leads successively into the
pharynx The pharynx (plural: pharynges) is the part of the throat behind the mouth and nasal cavity, and above the oesophagus and trachea (the tubes going down to the stomach and the lungs). It is found in vertebrates and invertebrates, though its st ...
, a short oesophagus, a
crop A crop is a plant that can be grown and harvested extensively for profit or subsistence. When the plants of the same kind are cultivated at one place on a large scale, it is called a crop. Most crops are cultivated in agriculture or hydropon ...
(in some species), a stomach and a hindgut, which ends at an anus located just above the posterior sucker. The stomach may be a simple tube, but the crop, when present, is an enlarged part of the midgut with a number of pairs of ceca that store ingested blood. The leech secretes an anticoagulant,
hirudin Hirudin is a naturally occurring peptide in the salivary glands of blood-sucking leeches (such as '' Hirudo medicinalis'') that has a blood anticoagulant property. This is fundamental for the leeches’ habit of feeding on blood, since it keeps ...
, in its saliva which prevents the blood from clotting before ingestion. A mature
medicinal leech ''Hirudo medicinalis'', the European medicinal leech, is one of several species of leeches used as "medicinal leeches". Other species of ''Hirudo'' sometimes also used as medicinal leeches include '' H. orientalis'', ''H. troctina'', and '' H. ...
may feed only twice a year, taking months to digest a blood meal. The bodies of predatory leeches are similar, though instead of a jaw many have a protrusible
proboscis A proboscis () is an elongated appendage from the head of an animal, either a vertebrate or an invertebrate. In invertebrates, the term usually refers to tubular mouthparts used for feeding and sucking. In vertebrates, a proboscis is an elong ...
, which for most of the time they keep retracted into the mouth. Such leeches are often
ambush predator Ambush predators or sit-and-wait predators are carnivorous animals that capture or trap prey via stealth, luring or by (typically instinctive) strategies utilizing an element of surprise. Unlike pursuit predators, who chase to capture prey ...
s that lie in wait until they can strike prey with the proboscises in a spear-like fashion. Predatory leeches feed on small invertebrates such as snails, earthworms and insect larvae. The prey is usually sucked in and swallowed whole. Some Rhynchobdellida however suck the soft tissues from their prey, making them intermediate between predators and blood-suckers. Blood-sucking leeches use their anterior suckers to connect to hosts for feeding. Once attached, they use a combination of mucus and suction to stay in place while they inject hirudin into the hosts'
blood Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells. Blood in the cir ...
. In general, blood-feeding leeches are non host-specific, and do little harm to their host, dropping off after consuming a blood meal. Some marine species however remain attached until it is time to reproduce. If present in great numbers on a host, these can be debilitating, and in extreme cases, cause death. Leeches are unusual in that they do not produce certain
digestive enzyme Digestive enzymes are a group of enzymes that break down polymeric macromolecules into their smaller building blocks, in order to facilitate their absorption into the cells of the body. Digestive enzymes are found in the digestive tracts of anima ...
s such as
amylase An amylase () is an enzyme that catalyses the hydrolysis of starch (Latin ') into sugars. Amylase is present in the saliva of humans and some other mammals, where it begins the chemical process of digestion. Foods that contain large amounts of ...
s, lipases or
endopeptidase Endopeptidase or endoproteinase are proteolytic peptidases that break peptide bonds of nonterminal amino acids (i.e. within the molecule), in contrast to exopeptidases, which break peptide bonds from end-pieces of terminal amino acids. For this ...
s. A deficiency of these enzymes and of B complex vitamins is compensated for by enzymes and vitamins produced by
endosymbiotic An ''endosymbiont'' or ''endobiont'' is any organism that lives within the body or cells of another organism most often, though not always, in a mutualistic relationship. (The term endosymbiosis is from the Greek: ἔνδον ''endon'' "within ...
microflora. In ''Hirudo medicinalis'', these supplementary factors are produced by an obligatory mutualistic relationship with the bacterial species, ''Aeromonas veronii''. Non-bloodsucking leeches, such as ''Erpobdella octoculata'', are host to morew bacterial symbionts. In addition, leeches produce intestinal
exopeptidase An exopeptidase is any peptidase that catalyzes the cleavage of the terminal (or the penultimate) peptide bond; the process releases a single amino acid, dipeptide or a tripeptide from the peptide chain. Depending on whether the amino acid is rel ...
s which remove amino acids from the long protein molecules one by one, possibly aided by
protease A protease (also called a peptidase, proteinase, or proteolytic enzyme) is an enzyme that catalyzes (increases reaction rate or "speeds up") proteolysis, breaking down proteins into smaller polypeptides or single amino acids, and spurring the ...
s from endosymbiotic bacteria in the hindgut. This evolutionary choice of exopeptic digestion in Hirudinea distinguishes these carnivorous clitellates from oligochaetes, and may explain why digestion in leeches is so slow.


Nervous system

A leech's nervous system is formed of a few large
nerve cells A neuron, neurone, or nerve cell is an electrically excitable cell that communicates with other cells via specialized connections called synapses. The neuron is the main component of nervous tissue in all animals except sponges and placozoa. ...
; their large size makes leeches convenient as
model organisms A model organism (often shortened to model) is a non-human species that is extensively studied to understand particular biological phenomena, with the expectation that discoveries made in the model organism will provide insight into the working ...
for the study of invertebrate nervous systems. The main nerve centre consists of the cerebral ganglion above the gut and another ganglion beneath it, with connecting nerves forming a ring around the pharynx a little way behind the mouth. A nerve cord runs backwards from this in the ventral coelomic channel, with 21 pairs of ganglia in segments six to 26. In segments 27 to 33, other paired ganglia fuse to form the caudal ganglion. Several sensory nerves connect directly to the cerebral ganglion; there are sensory and motor nerve cells connected to the ventral nerve cord ganglia in each segment. Leeches have between two and ten pigment spot ocelli, arranged in pairs towards the front of the body. There are also sensory papillae arranged in a lateral row in one annulation of each segment. Each papilla contains many sensory cells. Some rhynchobdellids have the ability to change colour dramatically by moving pigment in
chromatophore Chromatophores are cells that produce color, of which many types are pigment-containing cells, or groups of cells, found in a wide range of animals including amphibians, fish, reptiles, crustaceans and cephalopods. Mammals and birds, in contrast, ...
cells; this process is under the control of the nervous system but its function is unclear as the change in hue seems unrelated to the colour of the surroundings. Leeches can detect touch, vibration, movement of nearby objects, and chemicals secreted by their hosts; freshwater leeches crawl or swim towards a potential host standing in their pond within a few seconds. Species that feed on warm-blooded hosts move towards warmer objects. Many leeches avoid light, though some blood feeders move towards light when they are ready to feed, presumably increasing the chances of finding a host.


Gas exchange

Leeches live in damp surroundings and in general respire through their body wall. The exception to this is in the Piscicolidae, where branching or leaf-like lateral outgrowths from the body wall form
gill A gill () is a respiratory organ that many aquatic organisms use to extract dissolved oxygen from water and to excrete carbon dioxide. The gills of some species, such as hermit crabs, have adapted to allow respiration on land provided they are ...
s. Some rhynchobdellid leeches have an extracellular
haemoglobin Hemoglobin (haemoglobin BrE) (from the Greek word αἷμα, ''haîma'' 'blood' + Latin ''globus'' 'ball, sphere' + ''-in'') (), abbreviated Hb or Hgb, is the iron-containing oxygen-transport metalloprotein present in red blood cells (erythrocyte ...
pigment, but this only provides for about half of the leech's oxygen transportation needs, the rest occurring by diffusion.


Movement

Leeches move using their longitudinal and circular muscles in a modification of the locomotion by
peristalsis Peristalsis ( , ) is a radially symmetrical contraction and relaxation of muscles that propagate in a wave down a tube, in an anterograde direction. Peristalsis is progression of coordinated contraction of involuntary circular muscles, whic ...
, self-propulsion by alternately contracting and lengthening parts of the body, seen in other annelids such as earthworms. They use their posterior and anterior suckers (one on each end of the body) to enable them to progress by looping or inching along, in the manner of
geometer moth The geometer moths are moths belonging to the family Geometridae of the insect order Lepidoptera, the moths and butterflies. Their scientific name derives from the Ancient Greek ''geo'' γεω (derivative form of or "the earth"), and ''metro ...
caterpillars. The posterior end is attached to the substrate, and the anterior end is projected forward peristaltically by the circular muscles until it touches down, as far as it can reach, and the anterior end is attached. Then the posterior end is released, pulled forward by the longitudinal muscles, and reattached; then the anterior end is released, and the cycle repeats. Leeches explore their environment with head movements and body waving. The Hirudinidae and
Erpobdellidae Erpobdellidae is a family of leeches. It is one of the four families belonging to the suborder Erpobdelliformes of the proboscisless leeches order, Arhynchobdellida. Their members have abandoned the blood feeding habits of their ancestors and ...
can swim rapidly with up-and-down or sideways undulations of the body; the Glossiphoniidae in contrast are poor swimmers and curl up and fall to the sediment below when disturbed. File:Leech looping locomotion.jpg, alt=Sketches of the looping movement of a leech using its front and back suckers, Leeches move by looping using their front and back suckers. File:20100214 Leech climbing door at Lake Leake, Tasmania.ogv, alt=Video of looping movement, Video of looping movement


Interactions with humans


Bites

Leech bites are generally alarming rather than dangerous, though a small percentage of people have severe allergic or anaphylactic reactions and require urgent medical care. Symptoms of these reactions include red blotches or an itchy rash over the body, swelling around the lips or eyes, a feeling of faintness or dizziness, and difficulty in breathing.Victorian Poisons Information Centre: Leeches
Victorian Poisons Information Centre. Retrieved 28 July 2007
An externally attached leech will detach and fall off on its own accord when it is satiated on blood, which may take from twenty minutes to a few hours; bleeding from the wound may continue for some time. Internal attachments, such as inside the nose, are more likely to require medical intervention. Bacteria, viruses, and protozoan parasites from previous blood sources can survive within a leech for months, so leeches could potentially act as vectors of pathogens. Nevertheless, only a few cases of leeches transmitting pathogens to humans have been reported. Leech saliva is commonly believed to contain
anaesthetic An anesthetic (American English) or anaesthetic (British English; see spelling differences) is a drug used to induce anesthesia ⁠— ⁠in other words, to result in a temporary loss of sensation or awareness. They may be divided into two ...
compounds to numb the bite area, but this has never been proven. Although
morphine Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies (''Papaver somniferum''). It is mainly used as a pain medication, and is also commonly used recreationally, or to make other illicit opioids. T ...
-like substances have been found in leeches, they have been found in the
neural tissue Nervous tissue, also called neural tissue, is the main tissue (biology), tissue component of the nervous system. The nervous system regulates and controls body functions and activity. It consists of two parts: the central nervous system (CNS) com ...
s, not the salivary tissues. They are used by the leeches in modulating their own
immunocyte White blood cells, also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from mult ...
s and not for anaesthetising bite areas on their hosts. Depending on the species and size, leech bites can be barely noticeable or they can be fairly painful.


In human culture

The leech appears in
Proverbs A proverb (from la, proverbium) is a simple and insightful, traditional saying that expresses a perceived truth based on common sense or experience. Proverbs are often metaphorical and use formulaic language. A proverbial phrase or a proverbia ...
30:15 as an archetype of insatiable
greed Greed (or avarice) is an uncontrolled longing for increase in the acquisition or use of material gain (be it food, money, land, or animate/inanimate possessions); or social value, such as status, or power. Greed has been identified as und ...
. More generally, a leech is a persistent social parasite or
sycophant In modern English, sycophant denotes an "insincere flatterer" and is used to refer to someone practising sycophancy (i.e., insincere flattery to gain advantage). The word has its origin in the legal system of Classical Athens. Most legal cases o ...
. The medicinal leech ''Hirudo medicinalis'', and some other
species In biology, a species is the basic unit of classification and a taxonomic rank of an organism, as well as a unit of biodiversity. A species is often defined as the largest group of organisms in which any two individuals of the appropriate s ...
, have been used for clinical
bloodletting Bloodletting (or blood-letting) is the withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and other bodily flu ...
for at least 2,500 years: Ayurvedic texts describe their use for bloodletting in ancient India. In
ancient Greece Ancient Greece ( el, Ἑλλάς, Hellás) was a northeastern Mediterranean Sea, Mediterranean civilization, existing from the Greek Dark Ages of the 12th–9th centuries BC to the end of Classical Antiquity, classical antiquity ( AD 600), th ...
, bloodletting was practised according to the theory of humours found in the
Hippocratic Corpus The Hippocratic Corpus (Latin: ''Corpus Hippocraticum''), or Hippocratic Collection, is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings. The Hippocratic Corpus cov ...
of the fifth centuryBC, which maintained that health depended on a balance of the four humours: blood,
phlegm Phlegm (; , ''phlégma'', "inflammation", "humour caused by heat") is mucus produced by the respiratory system, excluding that produced by the nasal passages. It often refers to respiratory mucus expelled by coughing, otherwise known as sputum ...
,
black bile Melancholia or melancholy (from el, µέλαινα χολή ',Burton, Bk. I, p. 147 meaning black bile) is a concept found throughout ancient, medieval and premodern medicine in Europe that describes a condition characterized by markedly dep ...
and
yellow bile Humorism, the humoral theory, or humoralism, was a system of medicine detailing a supposed makeup and workings of the human body, adopted by Ancient Greek and Roman physicians and philosophers. Humorism began to fall out of favor in the 1850s ...
. Bloodletting using leeches enabled physicians to restore balance if they considered blood was present in excess.
Pliny the Elder Gaius Plinius Secundus (AD 23/2479), called Pliny the Elder (), was a Roman author, naturalist and natural philosopher, and naval and army commander of the early Roman Empire, and a friend of the emperor Vespasian. He wrote the encyclopedic ' ...
reported in his '' Natural History'' that the horse leech could drive elephants mad by climbing up inside their trunks to drink blood. Pliny also noted the medicinal use of leeches in
ancient Rome In modern historiography, ancient Rome refers to Roman civilisation from the founding of the city of Rome in the 8th century BC to the collapse of the Western Roman Empire in the 5th century AD. It encompasses the Roman Kingdom (753–509 BC ...
, stating that they were often used for
gout Gout ( ) is a form of inflammatory arthritis characterized by recurrent attacks of a red, tender, hot and swollen joint, caused by deposition of monosodium urate monohydrate crystals. Pain typically comes on rapidly, reaching maximal intens ...
, and that patients became addicted to the treatment. In
Old English Old English (, ), or Anglo-Saxon, is the earliest recorded form of the English language, spoken in England and southern and eastern Scotland in the early Middle Ages. It was brought to Great Britain by Anglo-Saxon settlers in the mid-5th c ...
, ''lǣce'' was the name for a physician as well as for the animal, though the words had different origins, and ''lǣcecraft'', leechcraft, was the art of healing. File:Leech Finders Costume of Yorkshire 1814.jpg , alt=Print from Costumes of Yorkshire 1814 showing three women searching for leeches in a pond, "Leech finders" from '' The Costume of Yorkshire'' by George Walker, 1814, engraved by
Robert Havell The Havell family of Reading, Berkshire, England, included a number of notable engravers, etchers and painters, as well as writers, publishers, educators, and musicians. In particular, members of this family were among the foremost practitioners ...
File:Pharmacy leech jar, England, 1830-1870 Wellcome L0058506.jpg, alt=Photograph of white and blue ceramic English pharmacy leech jar with airholes in the lid, Pharmacy leech jar with airholes in the lid. England, 1830–1870. File:Three leeches in the role of physicians attend a grasshopper in the role of the patient and announce a course of bloodletting Wellcome V0011722.jpg, alt=Coloured lithograph cartoon showing three leech doctors treating a grasshopper patient, Three leech doctors decide on bloodletting for their grasshopper patient. Lithograph by F.-J.-V. Broussais from a cartoon by J. J. Grandville,
William Wordsworth William Wordsworth (7 April 177023 April 1850) was an English Romantic poet who, with Samuel Taylor Coleridge, helped to launch the Romantic Age in English literature with their joint publication '' Lyrical Ballads'' (1798). Wordsworth's ' ...
's 1802 poem "
Resolution and Independence "Resolution and Independence" is a lyric poem by the English Romantic poet William Wordsworth, composed in 1802 and published in 1807 in ''Poems in Two Volumes''. The poem contains twenty stanzas written in modified rhyme royal, and describes Word ...
" describes one of the last of the leech-gatherers, people who travelled Britain catching leeches from the wild, and causing a sharp decline in their abundance, though they remain numerous in
Romney Marsh Romney Marsh is a sparsely populated wetland area in the counties of Kent and East Sussex in the south-east of England. It covers about . The Marsh has been in use for centuries, though its inhabitants commonly suffered from malaria until th ...
. By 1863, British hospitals had switched to imported leeches, some seven million being imported to hospitals in London that year. In the nineteenth century, demand for leeches was sufficient for hirudiculture, the farming of leeches, to become commercially viable. Leech usage declined with the demise of humoral theory, but made a small-scale comeback in the 1980s after years of decline, with the advent of
microsurgery Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves (typically 1 mm in diameter) whic ...
, where venous congestion can arise due to inefficient venous drainage. Leeches can reduce swelling in the tissues and promote healing, helping in particular to restore circulation after microsurgery to reattach body parts. Other clinical applications include
varicose veins Varicose veins, also known as varicoses, are a medical condition in which superficial veins become enlarged and twisted. These veins typically develop in the legs, just under the skin. Varicose veins usually cause few symptoms. However, some indiv ...
, muscle cramps,
thrombophlebitis Thrombophlebitis is a phlebitis (inflammation of a vein) related to a thrombus (blood clot). When it occurs repeatedly in different locations, it is known as thrombophlebitis migrans ( migratory thrombophlebitis). Signs and symptoms The following ...
, and joint diseases such as epicondylitis and
osteoarthritis Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the w ...
. Leech secretions contain several bioactive substances with
anti-inflammatory Anti-inflammatory is the property of a substance or treatment that reduces inflammation or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs remedy pain by reducing inflammation as o ...
, anticoagulant and antimicrobial effects. One active component of leech saliva is a small protein, hirudin. It is widely used as an anticoagulant drug to treat blood-clotting disorders, and manufactured by
recombinant DNA Recombinant DNA (rDNA) molecules are DNA molecules formed by laboratory methods of genetic recombination (such as molecular cloning) that bring together genetic material from multiple sources, creating sequences that would not otherwise be fo ...
technology. In 2012 and 2018, Ida Schnell and colleagues trialled the use of '' Haemadipsa'' leeches to gather data on the biodiversity of their mammalian hosts in the
tropical rainforest Tropical rainforests are rainforests that occur in areas of tropical rainforest climate in which there is no dry season – all months have an average precipitation of at least 60 mm – and may also be referred to as ''lowland equa ...
of Vietnam, where it is hard to obtain reliable data on rare and cryptic mammals. They showed that mammal mitochondrial DNA, amplified by the
polymerase chain reaction The polymerase chain reaction (PCR) is a method widely used to rapidly make millions to billions of copies (complete or partial) of a specific DNA sample, allowing scientists to take a very small sample of DNA and amplify it (or a part of it) ...
, can be identified from a leech's blood meal for at least four months after feeding. They detected
Annamite striped rabbit The Annamite striped rabbit (''Nesolagus timminsi'') is a species of rabbit native to the Annamite Chain, Annamite mountain range on the Laos-Vietnam border. The rabbit is striped, with a red rump, and resembles the Sumatran striped rabbit. It on ...
, small-toothed ferret-badger,
Truong Son muntjac The Truong Son muntjac or Annamite muntjac (''Muntiacus truongsonensis'') is a species of muntjac deer. It is one of the smallest muntjac species, at about , half the size of the Indian muntjac (or common muntjac). It was discovered in the Truo ...
, and
serow The serows ( or ) are four species of medium-sized goat-like or antelope-like mammals of the genus ''Capricornis''. All four species of serow were until recently also classified under ''Naemorhedus'', which now only contains the gorals. Extant ...
in this way.


Water pollution

Exposure to synthetic estrogen as used in contraceptive medicines, which may enter freshwater ecosystems from municipal
wastewater Wastewater is water generated after the use of freshwater, raw water, drinking water or saline water in a variety of deliberate applications or processes. Another definition of wastewater is "Used water from any combination of domestic, industrial ...
, can affect leeches' reproductive systems. Although not as sensitive to these compounds as fish, leeches showed physiological changes after exposure, including longer sperm sacs and vaginal bulbs, and decreased epididymis weight.


Notes


References


General bibliography

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External links

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