Objective:To investigate protective effect and mechanism of procyanidin in acute liver injury induced by acetaminophen. Method:The KM mice were randomly divided into six groups(n=8),including PBS control group,acetaminophen model group,pro-cyanidin control group(100 mg/kg) and procyanidin pre-treatment groups including low-dose(10 mg/kg),medium-dose(50 mg/kg) and high-dose groups(100 mg/kg). The activities of alanine aminotransferase(ALT),aspartate aminotransferase(AST),malondialde-hyde(MDA) in the serum and the concentration of MDA in the liver homogenate of the mice were detected by commercial kits. Mean-while,the pathological changes of the liver were observed by HE staining,and the expression of SOD was determined by Western blot. Results:Compared with those in APAP model group,ALT(F=555.20,P=0.000),AST(F=168.51,P=0.000),MDA(F=155.15,P=0.000) in pre-treatment groups of medium-dose and high-dose of procyanidin were significantly lower,while SOD(F=291.84,P=0.000) was markedly higher. The damaged liver structure,hydropic degeneration and the central venous congestion were observed in the APAP model group,but the liver injuries in pre-treatment groups of medium-dose and high-dose of procyanidin were slighter. Based on the results of Western blot,SOD protein expression in APAP model group was inhibited,while the pre-treatment with medium-dose and high-dose of procyanidin could rescue its expression. Conclusion:Procyanidin has a protective role in acetaminophen-induced acute liver injury,and the preliminary mechanism is related to antioxidative character of drug.