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. 2017 May 25;8(5):e2812. doi: 10.1038/cddis.2017.52

Table 3. Therapeutic approaches and potential anti-histone therapies.

Blocking release Neutralisation Blocking signalling
PAD4i60 Anti-H mAb2, 16, 19, 35, 36, 53, 57, 58, 59 TLR blocking mAb
 Blocks NETosis  Neutralises histone in circulation  PreventsTLR2/4/9 signal transduction
 Inhibits citrullination of H3 DNase155  Reduces cytokine release
DNase157  Degrades NET linker-DNA  Significant immunosuppressive side effects likely
 Disperses NET-derived histone within circulation  Disperses histone CRP73
 Prevents NET-mediated NETosis aPC35  Endogenous anionic acute phase protein
   Serum protease  Prevents cationic histone from binding to phosphodiester bonds on phospholipids
   Degrades eHistone  
  PSA35  
   Endogenous Anionic protein  
   Ionic interaction with H  

Abbreviations: aPC, activated Protein C; BWA3, H4 histone neutralising antibody; CRP, C-reactive protein; H, histone; NET, neutrophil extracellular trap; NETosis, NET release; PAD4i, protein arginine deiminase 4; PSA, polysialic acid; TLR, Toll-like receptor