“…Histones also exert potent cytotoxicity to vascular endothelial cells in a dose-dependent manner by binding to phospholipid–phosphodiester bonds in cell membranes and thus altering membrane permeability and initiating calcium ion influx [ 16 , 52 ]. Meanwhile, histones mediate the disruption of endothelial barrier function and vascular permeability by inducing oxidative stress and pyroptosis in endothelial cells [ 53 , 54 ], disrupting cell–cell adherens junctions [ 55 , 56 ], upregulating the expression of adhesion molecules ICAM1, VCAM1, and E-selectin [ 55 , 57 , 58 ], and impairing the endothelial glycocalyx [ 59 , 60 ]. Furthermore, histone-induced proinflammatory cytokine release and vascular endothelial injury will unfortunately disrupt the fine balance and cross talk between coagulant, anticoagulant and inflammatory pathways to trigger, amplify and propagate disseminated intravascular coagulation (DIC) [ 61 ].…”