The inflammasome is a multiprotein signaling complex that mediates inflammatory innate immune responses through caspase 1 activation and subsequent IL-1b secretion. However, because its aberrant activation often leads to inflammatory diseases, targeting the inflammasome holds promise for the treatment of inflammation-related diseases. In this study, it was found that a hot-water extract of Sanguisorba officinalis (HSO) suppresses inflammasome activation triggered by adenosine 5 0 -triphosphate, nigericin, microbial pathogens, and double stranded DNA in bone marrow-derived macrophages. HSO was found to significantly suppress IL-1b production in a dose-dependent manner; this effect correlated well with small amounts of caspase 1 and little ASC pyroptosome formation in HSO-treated cells. The anti-inflammatory activity of HSO was further confirmed in a mouse model of endotoxin-induced septic shock. Oral administration of HSO reduced IL-1b titers in the serum and peritoneal cavity, increasing the survival rate. Taken together, our results suggest that HSO is an inhibits inflammasome activation through nucleotide-binding domain and leucine-rich repeat pyrin domain 3, nucleotide-binding domain and leucine-rich repeat caspase recruitment domain 4 and absent in melanoma 2 pathways, and may be useful for treatment of inflammasomemediated diseases.Key words endotoxin-induced septic shock, hot-water extract, inflammasome, Sanguisorba officinalis.Sanguisorba officinalis is a member of the family Rosaceae. The root of this plant, called "Jiyu" in Korea, is often used in traditional oriental medicine to treat burns, scalds, diarrhea and internal hemorrhage (1). Various other beneficial effects of S. officinalis have recently been reported, including anti-allergic, antiwrinkle, anti-cancer, anti-oxidant, hemostatic and immunomodulatory activities (2-8). In a recent study, significantly greater amounts of anti-oxidant compounds-phenolics and flavonoids-were found in both water and ethanol extracts of S. officinalis than in other Chinese medicinal plants (9). An ethanolic extract of S. officinalis has been shown to exert anti-inflammatory and anti-asthmatic effects, these being mediated by nuclear factor-kappa B and activator protein 1 suppression and heme oxygenase-1 induction, respectively (10, 11). An aqueous extract of S. officinalis also reportedly shows anti-inflammatory activity with less toxicity (9), as