Abstract:Objective To investigate the relationship between NLRP3-ASC-Caspase-1IL-18/IL-1β-TGFβ signal pathway and newly diagnosed type 2 diabetes mellitus (T2DM). Methods 30 controls and 40 T2DM were recruited according to the inclusion criteria. The general clinical data were collected for analysis. The expression levels of the nucleotidebinding oligomerization domainlike receptor protein 3(NLRP3) inflammasome mRNA in peripheral blood mononuclear cells ( PBMCs ) in all the groups were detected by RT-qPCR,and the expression levels of their protein were investigated by western blot. Fasting plasma interleukin1β(IL-1β), interleukin-18(IL-18) and transforming growth factor(TGF) in all the groups were detected by ELISA assay. Results The expression levels of the NLRP3, apoptosisassociated specklike protein containing CARD (ASC) and Caspase1mRNA in PBMCs had no significant difference between T2DM group and control group (P>0.05),while ASC mRNA were positively correlated with total cholesterol(TCH) in T2DM group (P<0.05), Caspase-1mRNA were positively correlated with body mass index(BMI)in T2DM group (P<0.05). The expression levels of the NLRP3, ASC, Caspase-1 in PBMCs and fasting plasma IL-1β,IL18, TGFβ in T2DM group were significantly higher than those in the control group (P<0.05), and ASC were positively correlated with mean arterial pressure(MAP),fasting plasma glucose(FPG), TC, IL-1β and IL-18 in T2DM group(P<0-05). Caspase-1 were positively correlated with smoking history, FPG, low density lipoprotein cholesterol(LDLC) and IL-1β in T2DM group (P<0.05). IL-1β were positively correlated with TGF in T2DM group (P<0.05). Conclusions NLRP3-ASC-Caspase-1IL-18/IL-1β-TGFβsignal pathway centered on the NLRP3 inflammasome may play an important role in the occurrence and development of newly diagnosed T2DM.