Objective:To observe the effects of Caspase-1-mediated pyroptosis on neuronal injury in sepsis mice. Methods:Mouse model of sepsis was established by cecal ligation and puncture(CLP)surgery. Ninety adult male C57BL/6 mice were randomly divided into four groups:Sham+saline group(n=15,Sham group),Sham + Caspase-1 inhibitorAc-YVAD-CMKgroup(N-acetyl-tyrosyl-valyl-alanyl-aspartyl chloromethyl ketone,n=15,Sham+CMK group),CLP + saline group(n=30,CLP group)and CLP+Ac-YVAD-CMK group(n=30,CLP+CMK group). Seven days after surgery,the brain of each mouse(n=6/each group)was rapidly harvested for determiningthescore of neuronal injury,number of Caspase-1-immunoreactive cells,contents of cleaved Caspase-1,pyroptosisbiomarker Gasdermin-D(GSDMD),interleukin-1β(IL-1β)and IL-18. Fourteen days after surgery,fear conditioning test was performed to evaluate the cognitive function for the rest of the mice. Results:Compared with the Sham group,the score of neuronal damage,number of Caspase-1-immunoreactive cells,contents of cleaved Caspase-1,GSDMD,IL-1β and IL-18 were significantly increased in the CLP group(P < 0.05),and mice of CLP group exhibited significant hippocampus-dependent cognitive impairment. Compared with the CLP group,increase of Caspase-1,GSDMD,IL-1β and IL-1β were inhibited by Ac-YVAD-CMK administration in the CLP+CMK group(P < 0.05). Conclusion:Sepsis induces neuronal injury and activation of Caspase-1-mediated pyroptosis in mice hippocampus,and inhibiting Caspase-1 with Ac-YVAD-CMK ameliorates sepsis-induced pyroptosis,neuronal injury and cognitive impairment.