Background/Aim: Oridonin (Ori) is a diterpenoid naturally present in medicinal plants with a potential as an antioxidant agent. This study aimed to evaluate the hepatic antioxidative, anti-glycative and anti-inflammatory properties of Ori at 0.125 and 0.25% against chronic ethanol intake in mice. Materials and Methods: Mice were divided into five groups: i) normal diet group, ii) Ori group, iii) ethanol diet (Lieber-DeCarli liquid diet with ethanol) group, iv) ethanol diet plus 0.125% Ori and v) ethanol diet plus 0.25% Ori. After 8 weeks of Ori supplementation, blood and liver tissue were used for analyses. Results: Ethanol increased the production of reactive oxygen species and nitric oxide, decreased glutathione content, and lowered the activity of glutathione peroxide, glutathione reductase and catalase. Ethanol suppressed the hepatic mRNA expression of nuclear factor E2-related factor 2. Ori supplements reversed these changes. Ethanol increased hepatic N e -(carboxyethymethyl)-lysine (CML) and pentosidine levels, and enhanced aldose reductase (AR) activity and mRNA expression. Ori supplements at only 0.25% decreased CML and pentosidine levels, and lowered the AR activity as well as its mRNA expression. Ethanol increased the hepatic release of tumor necrosis factor-alpha, transforming growth factor-beta1, interleukin (IL)-1beta and IL-6. Histological data showed that ethanol induced necrosis and inflammatory cell infiltration, while Ori supplements alleviated these inflammatory responses. Ethanol up-regulated the hepatic mRNA expression of nuclear factor kappa B, myeloperoxidase and p38. Ori supplements reversed these changes. Conclusions: These novel findings suggest that Ori could be used as a potent agent against alcohol-induced hepatotoxicity.Alcohol abuse is a worldwide public health issue because it causes high prevalence of alcoholic liver disorders (1). The typical pathological characteristics of alcoholic hepatotoxicity due to excessive and chronic ethanol intake include oxidative, glycative and inflammatory injury (2, 3). Ethanol and its major metabolite, acetaldehyde, promote hepatic cytochrome P4502E1 (CYP2E1) activity and impair the nuclear factor E2-related factor 2 (Nrf2)-associated antioxidant system (4). These events subsequently lead to the overproduction of reactive oxygen species (ROS) and nitric oxide (NO), and deplete glutathione (GSH) in liver, which finally increase hepatic oxidative stress (5). In addition, acetaldehyde can react with N-ethyl amino groups to form advanced glycation end-products (AGEs) (6). AGEs, such as N e -(carboxyethymethyl)-lysine (CML), N-ethyllysine or pentosidine, have been detected in the liver of patients with alcoholic hepatic diseases (7). A key enzyme, aldose reductase (AR), responsible for AGEs formation has been shown to be up-regulated in alcoholic liver disease (8).At the same time, ethanol activates nuclear factor kappa B (NF-ĸB) and mitogen-activated protein kinase (MAPK) pathways, which result in the release of down-stream inflammatory mediators and ...