Rationale: Shifts in the gene expression of nuclear protein in chronic obstructive pulmonary disease (COPD), a progressive disease that is characterized by extensive lung inflammation and apoptosis, are common; however, the extent of the elevation of the core histones, which are the major components of nuclear proteins and their consequences in COPD, has not been characterized, which is important because extracellular histones are cytotoxic to endothelial and airway epithelial cells. Objectives: To investigate the role of extracellular histones in COPD disease progression. Methods: We analyzed the nuclear lung proteomes of ex-smokers with and without the disease. Further studies on the consequences of H3.3 were also performed. Measurements and Main Results: A striking finding was a COPDspecific eightfold increase of hyperacetylated histone H3.3. The hyperacetylation renders H3.3 resistant to proteasomal degradation despite ubiquitination; when combined with the reduction in proteasome activity that is known for COPD, this resistance helps account for the increased levels of H3.3. Using anti-H3 antibodies, we found H3.3 in the airway lumen, alveolar fluid, and plasma of COPD samples. H3.3 was cytotoxic to lung structural cells via a mechanism that involves the perturbation of Ca 21 homeostasis and mitochondrial toxicity. We used the primary human airway epithelial cells and found that the antibodies to either the C or N terminus of H3 could partially reverse H3.3 toxicity. Conclusions: Our data indicate that there is an uncontrolled positive feedback loop in which the damaged cells release acetylated H3.3, which causes more damage, adds H3.3 release, and contributes toward the disease progression.Keywords: chronic obstructive pulmonary disease; histone H3.3; acetylation; cytotoxicity; proteomicsThe prevalence of chronic obstructive pulmonary disease (COPD) is increasing in industrialized countries (1, 2). COPD is the third leading cause of death worldwide (3). In 2011, the CDC estimated that 15 million adults in the United States had COPD, which contributed to $49 billion in direct and indirect healthcare costs (4, 5). Disease management can relieve symptoms and prolong life, although there are no treatments to stop the disease progression, which ultimately results in death.Although the molecular pathophysiology that underlies COPD has not been established, it is known that the expression of proinflammatory molecules, lung cell death, and tissue remodeling play critical roles (2, 6-8). Shifts in transcription factor activation and epigenetic markers, such as altered histone acetylation, are associated with changes in signaling proteins upstream of regulatory genes and in the assembly of nuclear chromatin complexes (9, 10). Core histones H2A, H2B, H3, H4 and their variants are key components of nuclear chromatin, the scaffolding that controls interactions between DNA with transcription factors and RNA polymerase, thereby regulating gene expression (11). Post-translational modification of histones causes chromatin ...