The common pathological manifestation of cystic fibrosis (CF) is associated with an excessive lung inflammatory response characterized by interleukin-1b accumulation. CF airway epithelial cells show an exacerbated pro-inflammatory response to Pseudomonas aeruginosa; however, it is unclear whether this heightened inflammatory response is intrinsic to cells lacking CF transmembrane conductance regulator (CFTR). Here we demonstrate that the degree and quality of the inflammatory response in CF are supported by P. aeruginosadependent mitochondrial perturbation, in which flagellin is the inducer and mitochondrial Ca 2 þ uniporter (MCU) is a signal-integrating organelle member for NLRP3 activation and IL-1b and IL-18 processing. Our work elucidates the regulation of the NLRP3 inflammasome by mitochondrial Ca 2 þ in the P. aeruginosa-dependent inflammatory response and deepens our understanding of the significance of mitochondria in the Ca 2 þ -dependent control of inflammation. hronic airway infection by Pseudomonas aeruginosa is a common pathological manifestation in cystic fibrosis (CF) patients, and the role of calcium ions (Ca 2 þ ) in this process seems pivotal in controlling the P. aeruginosa-dependent innate immune response 1 . This manifestation is associated with an excessive inflammatory response characterized by the accumulation of large amounts of cytokines, including interleukin-1b (IL-1b) 2 .Previous studies support the role of IL-1b in the pathogenesis of CF inflammatory lung disease. The levels of IL-1b are increased in bronchoalveolar lavage fluid of CF patients 2,3 , and polymorphisms in the IL-1b gene have been associated with varying degrees of disease severity 4 .The maturation of IL-1b and IL-18 are directed by the caspase-1 (casp-1)-activating multiprotein platform, the inflammasome. Four distinct inflammasomes that contain a nucleotidebinding and oligomerization domain (NOD)-like receptor have been identified: NLRP1, IPAF, NLRP3 and AIM2 (ref. 5). NODlike receptors (NLRs) are intracellular pattern-recognition receptors that recognize pathogen-associated molecular patterns and activate the pro-inflammatory response through specific pathways 6 . It is generally accepted that the release of IL-1b and IL-18 require two distinct signals; however, the nature of these signals during inflammation is not completely defined. Studies indicate that the 'first signal' can be triggered by various pathogen-associated molecular patterns following Toll-like receptor (TLR) activation, which induces the synthesis of proIL-1b and proIL-18. The 'second signal' is provided by activation of the inflammasome and casp-1, leading to IL-1b and IL-18 processing.P. aeruginosa reportedly activates IPAF, leading to IL-1b processing 7 . IPAF interacts directly with procaspase-1, which contains the N-terminal caspase recruitment domain 8 . However, maximum casp-1 activation in response to IPAF agonists requires the involvement of apoptosis-associated specklike protein (ASC) 9,10 , a bipartite, caspase recruitment domainand py...