All-trans retinoic acid (ATRA) is the active metabolites of vitamin A; it has antioxidant effects, and can regulate apoptosis. The present study aims to observe the effectiveness of ATRA on acute kidney injury induced by cisplatin, where a total of 96 Sprague-Dawley rats (180-220 g) were subdivided into four groups; (24 in each group); normal group, DMSO group, cisplatin group, and cisplatin with retinoic acid group. Eight rats were sacrificed on days 3, 7, and 11 in each group. Blood, urine and kidney tissue samples were collected for the determination of serum creatinine, blood urea nitrogen, MAU, and kidney tissue malondialdehyde (MDA), Catalase (CAT), glutathione reductase (GSH) levels, also for determination of the expression levels of nuclear factor-kB (NF-kB), Caspase-3, and TGFβ1, as well as histological examination.Serum creatinine, BUN, MAU, and MDA levels were significantly increased, while the activities of CAT and GSH were significantly decreased as well as, the expression levels of caspase-3, NF-kB, and TGFβ1 were significantly increased in cisplatin group compared with those in normal and DMSO groups. In contrast, ATRA group showed lower levels of serum creatinine, BUN, MAU and MDA (p<0.05), and increased levels of CAT and GSH (p< 0.05), which reached the highest levels at day 11, also the expression levels of caspase-3, NF-kB and TGFβ1 decreased significantly in ATRA group (P< 0.05). In conclusion, ATRA has a protective effect on acute kidney injury induced by cisplatin in rats, and it plays an important role in decreasing of apoptosis, inflammation, and inhibition of lipid peroxidation.