Objective To explore the effect of liver X receptor (LXR) agonist T0901317 on thrombomodulin (TM) expression in human glomerular endothelial cells (HUGECs) and its mechanism. Methods Western blot was used to detect the expressions of IκBα, p-IκBα, nuclear transcription factor-κB (NF-κβ) p65 and p-NF-κB p65 in HUGECs stimulated by 25 mmol high glucose and 2 μmol T0901317. The interaction between LXR and the transcriptional coactivator p300 in HUGECs was detected using co-immunoprecipitation (Co-IP) assay. The concentrations of IL-1β and TNF-α in the supernatant of HUGECs transfected with or without AdTMshRNA were determined using commercially available ELISA kits. Results T0901317 (2 μmol) significantly reduced the phosphorylation of IκBα and NF-κB p65 in the HUGECs stimulated by high glucose (P < 0.05). The activity of NF-κB was increased by LXR-α silencing despite the presence of T0901317. Co-IP revealed up-regulation of LXP and p300 in the HUGECs 24 h after stimulation by 2 μmol T0901317. T0901317 inhibited the secretion of high glucose-induced inflammatory cytokines such as TNF-α and IL-1β in the HUGECs (P < 0.05). The levels of TNF-α and IL-1β were increased by TM silencing with AdTMshRNA despite the presence of T0901317, but the differences were not significant (P > 0.05). Conclusions LXR agonist increases TM expression and inhibits secretion of inflammatory mediators probably by competitively blocking the interaction between NF-κB and p300 through interaction with p300.