neutrophils are pivotal players in immune defence which includes a process of release of histones and DnA as neutrophil extracellular traps (nets). Histones, while toxic to invading pathogens, also kill host cells, including neutrophils. Bacteria have evolved mechanisms to escape neutrophils, including the secretion of leucocidins (e.g. ionomycin). Live cell video microscopy showed how fibrinogen and fibrin influence NETosis and neutrophil responses to extracellular histones. Histones were rapidly lethal to neutrophils after binding to cells, but formation of fibrinogen/fibrin-histone aggregates prevented cell death. Histone cytotoxicity was also reduced by citrullination by peptidyl arginine deiminase 4, or digestion by serine proteases. Ionomycin and phorbol 12-myristate 13 acetate (PMA) are used to trigger netosis. fibrinogen was responsible for a second distinct mechanism of neutrophil protection after treatment with ionomycin. Fibrinogen clustered on the surface of ionomycinstimulated neutrophils to delay NETosis; and blocking the β integrin receptor, α M β 2, abolished fibrinogen protection. Fibrinogen did not bind to or protect neutrophils stimulated with PMA. fibrinogen is an acute phase protein that will protect exposed cells from damaging circulating histones or leucocidins; but fibrinogen depletion/consumption, as in trauma or sepsis will reduce protection. It is necessary to consider the role of fibrinogen in NETosis. Since the discovery of neutrophil extracellular traps (NETs) as a host defence mechanism capable of trapping and killing bacteria 1 , there has been a growing interest and research output 2. It is generally accepted that the process of generating NETs, NETosis, is a specific type of programmed cell death involving changes in the nucleus and nuclear membrane, followed by cell membrane breakdown and expulsion of DNA and associated proteins, including histones, neutrophil elastase and myeloperoxidase 3. NETs appear to generate a physical barrier and range of biochemical weapons against many pathogens, including bacteria, fungi, viruses and parasites, and are triggered by diverse pathways in the neutrophil 4. Reactive oxygen species (ROS) are implicated in NET formation and a distinction is drawn between NADPH-oxidase (NOX2) dependent and-independent mechanisms (though it is important to remember that mitochondria can also produce reactive oxygen species (ROS) in NOX2-independent NETosis 4). Common triggers used to induce neutrophils to generate NETs in vitro are phorbol 12-myristate 13 acetate (PMA) and leucocidin calcium ionophores such as ionomycin. These chemicals trigger distinct pathways 5-7 leading to the release of different families of proteins with different patterns of post translational modification 8. Whilst PMA is considered to induce typical NOX2-dependent NETosis and ionomycin-induced NETs are NOX2-independent, the relationship between NETs produced in vitro by these triggers and NETosis in vivo is unclear. Furthermore, there are many areas of disagreement and conflicting fin...