Hematophagy (sometimes spelled haematophagy) is the habit of certain animals of feeding on blood (from the Greek words, haima, blood, and phagein, eat). Since blood is a fluid tissue rich in nutritious proteins and lipids and can be taken without enormous effort, hematophagy has evolved as a preferred form of feeding in many small animals, such as worms and arthropods. Some intestinal nematodes, such as the Ascaris, feed on blood extracted from the capillaries of the gut and about 75% of all species of leeches (e.g. Hirudo medicinalis), a free-living worm, are hematophagous. Some fishes, such as lampreys, and mammals, especially the vampire bats, also practice hematophagy.
These hematophagous animals have evolved different specialized mouth parts and chemical agents for penetrating vascular structures in the skin of hosts, mostly of mammals, birds and fishes. This type of feeding is known as phlebotomy (from the Greek words, phleps, vein, and tomos, cutting).
Once phlebotomy is performed (in most insects by a specialized fine hollow "needle" called proboscis which perforates skin and capillaries; in bats by sharp incisor teeth that act as a razor to cut the skin), blood is acquired either by sucking action directly from the vases, or from a pool of escaped blood, or by lapping (again, in bats). In order to overcome natural hemostasis (blood coagulation), vasoconstriction, inflammation and pain sensation in the host, biochemical solutions in the saliva for instance, for pre-injection, anesthesia and capillary dilation have evolved in different hematophagous species. In fact, new anticoagulant medicines have been developed on the basis of substances found in the saliva of several hematophagous species, such as leeches (hirudin).
Hematophagy can be classified into obligatory and optional. Obligatory hematophagous animals will not feed on any other things except blood, such as Rhodnius prolixus (an assassin bug from South America). Many mosquitoes, such as Aedes aegypti may also feed on pollen, fruit juice and other biological fluids, too. Sometimes, only the female of the species is a hematophage (this is essential for egg production and reproduction).
Hematophagy has apparently evolved independently in many disparate arthropod, annelid, nematode and mammalian taxa. For example Diptera (insects with two wings, such as flies) have nine families with hematophagous habits (more than half of the 17 hematophagous arthropod taxa). Circa 14,000 species of arthropods are hematophagous, even some genres that were not previously thought to be, such as moths of the Calyptra genre. Several complementary biological adaptations for locating the hosts (usually in the dark, as most hematophagous species are nocturnal and silent, in order to avoid detection and destruction by the host) have also evolved, such as special physical or chemical detectors (for sweat components, CO2, heat, light, movement, etc.).
Among the hematophagous insects of medical importance are the sandfly, blackfly, tsetse fly, bedbug, assassin bug, mosquito, tick, louse, mite, midge, chigger, and flea.
Recently, hematophagous organisms have been used by physicians for beneficial purposes (hirudotherapy). Some doctors now use leeches to prevent the clotting of blood on some wounds following surgery or trauma. The anticoagulants in the laboratory-raised leeches' saliva keeps fresh blood flowing to the site of an injury, actually preventing infection and increasing chances of full recovery. In a recent study, a genetically engineered drug called desmoteplase based on the saliva of Desmodus rotundus (the vampire bat) was shown to improve stroke patients
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