Objective:To investigate the expression changes of Notch3 in cisplatin-induced renal tubular epithelial cells(HK-2) injury and the potential regulation mechanism related to upstream microRNA. Methods:Based on HK-2 cells apoptosis model induced by cisplatin(20 μmol/L,24 h),Western blot and RT-qPCR were used to analyze the expression of Notch3 in HK-2 cells. Targetscan was used to search potential miRNAs that bind the 3’-UTR of Notch3. RT-qPCR was used to detect the expression of miR-192-5p in HK-2 cells after cisplatin treatment. Then,HK-2 cells transfected with negative control mimic(NC mimic) and miR-192-5p mimic respectively,and treated with or without cisplatin(20 μmol/L, 24 h),were divided into four groups:NC mimic group(NC);NC mimic+cisplatin group(NC+Cis);miR-192-5p mimic group(OE);miR-192-5p mimic+cisplatin group(OE+Cis). Western blot and RT-qPCR were used to demonstrate the effect of miR-192-5p on the expression of Notch3 after cisplatin treatment,while Western blot and flow cytometry were used to demonstrate the effect of miR-192-5p on apoptosis of HK-2 cells. Dual luciferase reporter assay was used to verified whether miR-192-5p targets Notch3. Results:Notch3 was up-regulated while miR-192-5p was down-regulated in HK-2 cells after cisplatin treatment compared with that in the normal controls. RT-qPCR showed that the expression of miR-192-5p in HK-2 cells was significantly increased after miR-192-5p mimic transfection. The overexpression of miR-192-5p alleviated cisplatin-induced apoptosis of HK-2 cells and negatively regulated the expression of Notch3. The dual luciferase reporter assay results verified that miR-192-5p directly binds with 3’-UTR of Notch3. Conclusion:miR-192-5p can attenuate the apoptosis of renal tubular epithelial cells induced by cisplatin through directly inhibiting the expression of Notch3.