Our study demonstrated that mitochondrial oxidative damage and the escape of mtDNA into the cytosol caused by FFA-induced lipotoxicity could trigger the activation of the cGAS-STING pathway, which switches on the initiation of NLRP3 inflammasome-dependent pyroptosis and the proinflammatory response, hence promoting myocardial hypertrophy during the progression of DCM. Here, NLRP3 is linked to familial dilated cardiomyopathy.