Atorvastatin (ATO) is a 3âhydroxyâ3âmethylglutarylâCoA reductase inhibitor widely used to treat hypercholesterolemia. However, clinical application is limited by potential hepatotoxicity. Nuclear factorâerythroid 2ârelated factor 2 (Nrf2) is a master regulator of cellular antioxidants, and oxidative stress is implicated in statinâinduced liver injury. This study investigated mechanisms of ATOâinduced hepatotoxicity and potential mitigation by Nrf2 signaling. ATO reduced Nrf2 and antioxidant enzyme superoxide dismutaseâ2 (SOD2) expression in human hepatocarcinoma HepG2 cells. ATO also induced concentrationâdependent HepG2 cell toxicity, reactive oxygen species (ROS) accumulation, and mitochondrial dysfunction as evidenced by decreased mitochondrial membrane potential (MMP) and cellular adenosine triphosphate (ATP). Further, ATO induced mitochondriaâdependent apoptosis as indicated by increased Bax/Bclâ2 ratio, cleaved caspaseâ3, mitochondrial cytochrome c release and Annexin Vâfluorescein isothiocyanate/propidium iodide staining. Tertâbutylhydroquinone enhanced Nrf2 and SOD2 expression, and partially reversed ATOâinduced cytotoxicity, ROS accumulation, MMP reduction, ATP depletion and mitochondriaâdependent apoptosis. In conclusion, the present study demonstrates that ATO induces mitochondrial dysfunction and cell apoptosis in HepG2 cells, at least in part, via inhibition of the Nrf2 pathway. Nrf2 pathway activation is a potential prevention for ATOâinduced liver injury.