carbon monoxide-releasing molecule-3 (cORM-3), which is an exogenous carbon monoxide (cO) compound, slowly releases cO under physiological conditions; this exerts neuroprotective effects against incomplete ischemia/reperfusion injury. The objective of the present study was to investigate whether the administration of cORM-3 protects against nucleotide-binding oligomerization domain-like receptor pyrin domain-3 (NLRP3) inflammasome formation and neuronal pyroptosis in the hippocampus following hemorrhagic shock and resuscitation (HSR). To establish this, an HSR model was created. Hemorrhagic shock was induced in adult male Sprague-Dawley rats under sevoflurane anesthesia by bleeding using a heparinized syringe to maintain a mean arterial pressure of 30±5 mmHg for 60 min. Resuscitation was performed by reperfusion of the blood and, if necessary, administering sterile saline to achieve the baseline arterial pressure. Following resuscitation, cORM-3 (4 mg/kg) was injected via the femoral vein. Neuronal pyroptosis in the hippocampus, mitochondrial morphology, mitochondrial dNA (mtdNA), brain magnetic resonance imaging, expression levels of NLRP3 and the interaction of pro-caspase-1 and apoptosis-associated speck-like protein containing a cARd domain (ASc) were examined 12 h after HSR; locomotor activity was assessed 7 days after HSR. compared with HSR-treated rats, cORM-3 administration resulted in a lower level of neuronal pyroptosis in the hippocampus, improved mitochondrial morphology, a lower mtdNA level, steadier levels of metabolites, decreased expression levels of NLRP3 and pro-caspase-1 interacting with ASc and enhanced locomotor activity. In conclusion, treatment with cORM-3 ameliorated impairments of locomotor and exploratory activities in a rat model of HSR. The mechanism may be associated with the inhibition of mitochondrial dNA-induced pyroptosis via improvements in cell metabolism.Abbreviations: cORM, carbon monoxide-releasing molecule; HSR, hemorrhage shock and resuscitation; NLRP3, nucleotide-binding oligomerization domain-like receptors pyrin domain-3; MRS, magnetic resonance spectroscopy