Objective:This study aims to ohserve the protective effect of human-TLR4 IgG2(hTLR4 IgG2)on acetaminophen(APAP) induced liver injury,and to investigate the protective mechanism of hTLR4 IgG2 in drug induced liver injury. Methods:The hTLR4 Fab plasmid in our laboratory were used as templates to amplify the variable region genes,and the hTLR4 IgG2 eukaryotic expression vector was constructed and transfected into CHO-S cells. The stable transfectants strains and culture supernatants were collected. Finally,hTLR4 IgG2 was purifieded using a protein G column. Total 18 C57BL/6J mice were randomly divided into three groups:saline group,APAP(600 mg/kg)and the APAP+hTLR4 IgG2(5 mg/kg)group. The survival rate of mice after 24 hours intraperitoneal injection with APAP was compared. Repeat the above experimental grouping and modeling methods were repeated. Aspartate transaminase(AST),alanine aminotransferase(ALT),interleukin-1(IL-1),interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in serum were also qualified,the liver was taken for pathological section and the expression of hepatic apoptosis protein was analyzed by Western blot after 8 hours intraperitoneal injection with APAP. Results:The hTLR4 IgG2 was successfully constructed and purified,and the results of ELISA showed that the antibody titer was 1∶204 800. Compared with the APAP group,the 24-hour survival rate of mice in the APAP+hTLR4 IgG2 group was significantly increased(P < 0.05);the expression levels of AST,ALT and inflammatory cytokines in serum were significantly decreased(P < 0.05);pathological detection results showed that the inflammatory cell infiltration,hyperemia and necrosis of liver tissue were significantly improved in APAP+hTLR4 IgG2 group,and the expression of apoptotic protein was decreased in the APAP+hTLR4 IgG2 group by Western blot. Conclusion:hTLR4 IgG2 can effectively inhibit the expression of inflammatory factors and apoptosis,and protect liver against APAP-induced injury in mice.