Abstract:【Abstract】Objective To investigate the effects of NLRP3 on myocardial inflammation and apoptosis in viral myocarditis. Methods SD rat myocardial cells were isolated and cultured. Knockdown of NLRP3 expression in the myocardial cells was conducted by the technique of gene silencing with siRNA, and the cells were randomly divided into 4 groups, including normal control group, Scrambled siRNA group, CVB3+Scrambled siRNA, CVB3+NLRP3 siRNA group. The levels of inflammatory cytokines such as IL1, IL18 and the myocardial injury markers such as CKMB, cTnI were measured by ELISA. The activation of NLRP3 inflammosome and the levels of apoptotic molecules such as caspase8, Bcl2, Bax, caspase9 and caspase3 were detected by quantitative realtime PCR and Western blot. Results Compared with control group, in CVB3 group, NLRP3 and caspase1 were activated, the expression level of IL1β and IL18 was increased (P<005). The protein levels of caspase8, caspase3 and caspase9 were significantly higher than those in control group. The protein level of Bcl2 was decreased, but the protein level of Bax was enhanced, and Bax/Bcl2 ratio was also increased in CVB3 group (P<005). The levels of myocardial cell apoptosis, CKMB and cTnI were higher than those in control group (P<005). After NLRP3 expression was knocked down, compared with CVB3 group, the levels of caspase1, IL1β and IL18 was attenuated (P<005). The levels of caspase3 and caspase9 were lower than those in CVB3 group. The degree of decline of bcl2 was weakened, and the ratio of Bax/ bcl2 was reduced (P<005), but the protein levels of caspase8 and Bax were not significantly affected (P>005). Conclusion NLRP3 plays an important role in the early stage of myocardial cell injury induced by virus infection. Inhibition of NLRP3 overactivation may reduce inflammatory damage and apoptosis of myocardial cells, and may be a potential target for treatment of viral myocarditis.