Nuclear histones: major virulence factors or just additional early sepsis markers? A comment

Isaac Ginsburg*, Erez Koren, James Varani, Ron Kohen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


In 2009, Xu et al. and Chaput et al. in Nature Medicine had argued that the main cause of death in sepsis is the release from neutrophil nets of nuclear histone, highly toxic to endothelial cells and that these polycations are major and unique virulence factors. Since 2009, numerous researchers have also suggested the involvement of histones in the pathophysiology of many clinical disorders. If histones are indeed major unique virulence toxic agents, then heparin, activated protein C and antibodies to histone should prove excellent antisepsis agents. However, this is provided that these agents are administered to patients early enough before the activation of the cytokine storms, immune responses and the coagulation cascades are irreversibly unleashed. This may not be practical, since a diagnosis of sepsis is usually made much later. Future identifications of novel early markers are therefore needed and a compilation of cocktails of antagonists may replace the faulty single antagonists tried for many years, but in vain, to prevent death in sepsis.

Original languageAmerican English
Pages (from-to)287-289
Number of pages3
Issue number5
StatePublished - 1 Oct 2016

Bibliographical note

Publisher Copyright:
© 2016, Springer International Publishing.


  • Nuclear histone
  • Post-infectious sequelae
  • Sepsis
  • Septic shock
  • Synergistic mechanisms


Dive into the research topics of 'Nuclear histones: major virulence factors or just additional early sepsis markers? A comment'. Together they form a unique fingerprint.

Cite this