BackgroundDuring the development of Henoch-Schönlein purpura nephritis (HSPN), the activation and overexpression of transient receptor potential cation channel protein 6 (TRPC6) and the activation of Nod-like receptor protein 3 (NLRP3) inflammasome play a very important role. However, whether the expression of TRPC6 in children with HSPN is related to the activation of NLRP3 inflammasome has not been reported.MethodsWe obtained kidney biopsy specimens of 33 children with HSPN and 6 controls with renal trauma. Immunohistochemistry was used to detect the expression of TRPC6, NLRP3, ASC, caspase-1, IL-1β, IL-18. Student’s t-test was used to analyze the difference between the HSPN and control group. Pearson correlation test was used to estimate the correlation between TRPC6 and NLRP3 inflammasome among HSPN children. A bootstrap approach was performed for mediation effects of NLRP3 inflammasome on the association between TRPC6 and HSPN.ResultsThe expressions of TRPC6, NLRP3, ASC, Caspase-1, IL-1β, IL-18 in kidney tissues of children with HSPN were significantly higher than those in the control group (all P values <0.05). Significant correlations of TRPC6 with NLRP3, ASC, and IL-18 were observed. NLRP3 and ASC were also related to the levels of IL-1β and IL-18. Significant mediation effects (0.08, 95%CI = 0.04-0.15) of ASC on the association between TRPC6 and HSPN was revealed, with explaining 58.25% of the total effects.ConclusionTRPC6 may cause the release of IL-1β and IL-18 by activating the NLRP3 inflammasome, especially the expression of ASC, thereby damaging the kidneys of children with HSP.