Previous studies have shown that tubulointerstitial fibrosis (TIF) and pyroptosis are crucial in high-glucose (HG)-induced renal tubular epithelial cell injury and thus contribute to the development of diabetic nephropathy (DN). Previous reports have shown that Nrf2 plays an important role in the occurrence of anti-inflammatory and anti-fibrotic effects, but it is unclear whether Nrf2 has a common point of action between TIF and pyroptosis. In this study, an immortalized human proximal tubular cell line (human kidney-2 (HK-2) cells) was used in all experiments. The protein levels of Nrf2, Caspase-1, Caspase-1-p10, GSDMD, GSDMD-N, TGF-β1, p-Smad3, α-SMA, and FN were measured using western blotting. The mRNA levels of Nrf2, Caspase-1, GSDMD, α-SMA, and FN were examined using RT-qPCR. Immunofluorescence was performed to detect GSDMD, α-SMA, and Caspase-1 expression. ROS levels in cells and mitochondria were detected using fluorescent probe DCFH-DA staining and Mito Sox Red fluorescent probe staining, respectively. The data showed that in a HG environment, the expression of Caspase-1, Caspase-1-p10, GSDMD, GSDMD-N, α-SMA, and FN increased significantly, which was correlated with the expression of Nrf2. Further study showed that after adding the Nrf2 activator TBHQ and knocking down the Nrf2 gene, ROS increased, and the expression of the above proteins decreased and increased, respectively. In addition, the P38 MAPK or PI3K/AKT signaling pathway may be involved in HG-induced Nrf2 activation. To verify the correlation between Caspase-1 and the TGF-β1/Smad3 signaling pathway, the Caspase-1 inhibitor VX-765 was added to significantly reduce the protein levels of TGF-β1 and p-Smad3. These results indicated that Nrf2 attenuates HG-induced TIF and pyroptosis in HK-2 cells by targeting Caspase-1.