Many animals that feed exclusively on vertebrate blood throughout their life possess symbiotic microorganisms. Bloodsucking arthropods such as ticks, lice, bedbugs, reduviid bugs, and tsetse flies usually harbor symbiotic microorganisms inside a highly developed symbiotic organ, called a “mycetome” (or “bacteriome”), consisting of a number of mycetocytes (or bacteriocytes) (2). Since these symbionts are yet unculturable outside the host cells and the hosts become sterile or die with antibiotic treatment, the host-microorganism relationships have been believed to be mutualistic in general (1). In some cases, the symbionts are suggested to provide their host with B complex vitamins (thiamine, pantothenic acid, pyridoxine, folic acid, and biotin) that are scarce in vertebrate blood (20). Leeches (Annelida: Hirudinea) include many bloodsucking species, some of which have endosymbiotic microorganisms (2, 23). The class Hirudinea is divided into two orders, Rhynchobdellida and Arhynchobdellida, and most species of the former and a part of the latter are hematophagous. Endosymbionts and mycetocytes have been described mainly from the Rhynchobdellida. From hematophagous species of the Arhynchobdellida, gut bacteria such as Aeromonas hydrophila and Aeromonas veronii were reported to be mutualistic symbionts (9, 14). The order Rhynchobdellida consists of three families: Ozobranchidae, Piscicoridae, and Glossiphoniidae. Most species of the first two families have a pair of well-developed bulbous mycetomes, each connected to the esophagus through a very narrow duct (23). In the family Glossiphoniidae, organization of their mycetome is impressively diverse. (i) In the genus Theromyzon, enlarged endothelial cells of anterior two crop ceca house symbionts (26). (ii) In the genera Placobdelloides, Marspiobdella, and Batracobdella, as well as others, large mycetocytes surrounding the lumen of the esophagus form a tube-like structure called an “esophageal organ” (21, 27) (Fig. (Fig.1).1). (iii) In the genera Placobdella and Desserobdella, mycetomes are a pair of evaginated sacs joining the esophagus at their narrowed ends (10, 11). (iv) In the genus Haementeria, mycetomes are arranged in two pairs of large bulbous structures, each of which is connected to the esophagus through a very narrow duct (23). Some hematophagous members of the Glossiphoniidae are without mycetocytes (e.g., Hemicrepsis marginata) (13), and species living on invertebrate body fluid totally lack symbiotic microorganisms (e.g., Glossiphonia complanata and Helobdella stagnalis) (23). Rickettsial intercellular symbionts or parasites were also discovered from the hematophagous glossiphoniid leeches Torix tagoi and H. marginata (15). These diverse forms of mycetomes in the Glossiphoniidae would provide us with an opportunity to comparatively study the evolution of the endosymbiotic system in leeches. However, the microbiological nature of the mycetocyte symbionts has been very poorly understood, except for the histological descriptions mentioned above. FIG. 1. Structure of the esophageal organ of P. siamensis. The tissue was fixed in alcoholic formalin (3:1 ethanol-formalin), processed into paraffin sections, and stained with hematoxylin-eosin. Arrows and arrowheads indicate mycetocytes and luminal villi, respectively. ... Here we report the first molecular characterization of symbiotic bacteria associated with the esophageal organ of two hematophagous glossiphoniid leeches.