OBJECTIVE: To investigate the protective effect and mechanism of neferine on hepatic ischemia/reperfusion (I/R) injury in mice. METHODS: Totally 40 mice were randomly divided into sham operation group (normal saline), model group (normal saline), and neferine low-dose, middle-dose and high-dose groups (10, 30, 60 mg/kg), with 8 mice in each group. They were given relevant medicine intragastrically once a day for consecutive 7 d. After medication, except for sham operation group, mice in other groups were given occlusion of liver pedicle 60 min and then given perfusion for 6 h to induce hepatic I/R injury model. After modeling, the levels of ALT, AST, TNF-α and IL-6 were detected. The pathological change of hepatic tissue was observed after HE staining and the inflammation was scored. The levels of MDA, SOD, TNF-α mRNA and IL-6 mRNA, and the protein expression level of NF-κB p65 in hepatic tissue were determined. RESULTS: Compared with sham operation group, serum levels of ALT, AST, TNF-α and IL-6, levels of MDA, SOD, TNF-α mRNA and IL-6 mRNA and the protein expression level of NF-κB p65 in hepatic tissue were increased significantly in model group (P<0.05). There was a large number of inflammatory cells infiltration and hepatic cells necrosis, and the inflammation score increased significantly (P<0.05). Compared with model group, except that serum levels of ALT and TNF-α, levels of TNF-α mRNA and MDA, protein expression level of NF-κB p65 and inflammation score of hepatic tissue were not significantly reduced in neferine low-dose group, above indexes of other groups were decreased significantly (P<0.05). In neferine middle-dose and high-dose groups, the structure of hepatic lobules was complete, the morphology of hepatocytes was normal, and pathological injury had been significantly improved. CONCLUSIONS: Neferine shows protective effect on hepatic I/R injury model mice in dose-dependent manner, the mechanism of which may be associated with reducing oxidative stress, inhibiting inflammatory reaction and reducing the protein expression of NF-κB p65 in hepatic tissue.