OBJECTIVE: To study the effect of tanshinone on inflammatory response in air-pouch model mice with artificial joint aseptic loosening. METHODS: Mice were randomly divided into blank control group (normal saline), titanium particle group (normal saline), tanshinone low-dose, medium-dose, high-dose groups (50, 100, 200 mg/kg), 10 in each group. Air-pouch models were induced. Except that mice were injected 0.5 mL normal saline into air-pouch in blank control group, other groups were injected 0.5 mL Titanium particle suspension (10 mg/mL) into air-pouch, continuously administrated medicines by 0.1 mL/10 g after 24 h, ig, for 14 d. After 24 h of last administration, the air-pouch was collected, air-pouch inflammation was observed by eyes and by microscopy after hematoxylin-eosin staining, and inflammatory cell density was calculated. Real-time quantitative polymerase chain reaction method was conducted to detect the tumor necrosis factor α (TNF-α), interleukin 1β (IL-1β) mRNA expression; enzyme-linked immunosorbent method was used to detect the TNF-α, IL-1β protein expression. RESULTS: Compared with blank control group, air-pouch swelling was obvious in titanium particle group, much exudation and neovascular were observed, inflammatory response was severe, inflammatory cell density was increased significantly (P<0.05); TNF-α, IL-1β mRNA and protein expression were obviously enhanced (P<0.05). Compared with titanium particle group, air-pouch swelling was relieved in tanshinone doses groups, exudation and neovascular were decreased, inflammatory response was relieved, inflammatory cell density was decreased significantly (P<0.05); TNF-α, IL-1β mRNA and protein expression were obviously decreased (P<0.05), with a dose-dependent manner. CONCLUSIONS: Tanshinone can effectively inhibit the aseptic inflammatory response in air-pouch model mice with artificial joint aseptic loosening.