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Histones (notably H2A, H2B, H3, and H4) are highly conserved nuclear proteins essential for DNA packaging within cells. When released extracellularly, commonly as a major component of neutrophil extracellular traps (NETs), histones gain potent antimicrobial and immunomodulatory properties[1][2][3][4][6]. NETs are web-like structures composed of decondensed nuclear DNA, histones, and neutrophil proteins, extruded by neutrophils during immune activation[3][4][6]. These complexes immobilize and neutralize pathogens extracellularly, act as pro-inflammatory agents, and, when dysregulated or in excess, contribute to tissue damage and drive pathology in various infectious, autoimmune, inflammatory, and thrombotic diseases[1][3][4][5][6]. Extracellular histones, whether NET-bound or free, display direct cytotoxicity to mammalian cells, promote inflammation, thrombosis, and can act via Toll-like receptors (such as TLR2) to drive T cell (Th17) differentiation. While their physiological purpose is host defense, targeting of NETs and extracellular histones is an emerging therapeutic area in diseases where their overactivity is pathogenic[1][4][6].
DNase I: Degrades NET DNA backbone, reduces NET burden and sputum viscosity[2] Heparin: Neutralizes positive charges on histones, reduces cytotoxicity and pro-thrombotic activity[4] Pentraxin 3: Binds extracellular histones to suppress their cytotoxicity[4]
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