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Existing antidotes, such as silibinin, are not sufficiently effective in the prevention and\/or resolution of \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content>\u2010induced hepatotoxicity. We investigated the effects of resveratrol on \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content>\u2010induced hepatotoxicity and compared with silibinin, a known antidote using <jats:italic>in vivo<\/jats:italic> and <jats:italic>in vitro<\/jats:italic> toxicity models. In the <jats:italic>in vivo<\/jats:italic> protocol, resveratrol (30 mg\/kg) was given simultaneously with \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> (\u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">SR<\/jats:styled-content>) or 12 (\u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + 12R) or 24 (\u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + 24R) hr after \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> administration. Silibinin (5 mg\/kg) (\u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + Sil) and normal saline (\u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>) were given simultaneously with \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content>. We found that liver transaminase levels in \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">SR<\/jats:styled-content> and \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + 12R groups and histomorphologic injury score in the \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">SR<\/jats:styled-content>, \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + 12R, \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + 24R and \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + Sil groups were significantly lower than that of the \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content> group. Resveratrol decreased mononuclear cell infiltration, necrosis and active caspase\u20103 immunopositivity in the liver. In the <jats:italic>in vitro<\/jats:italic> protocol, the effects of resveratrol and silibinin were evaluated in a reduction in cell viability induced by \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">THLE<\/jats:styled-content>\u20102 and <jats:styled-content style=\"fixed-case\">THLE<\/jats:styled-content>\u20103 hepatocytes. Neither resveratrol nor silibinin was found to be effective in increasing cell viability decreased by \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> + <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>. As a conclusion, resveratrol was found to be effective in \u03b1\u2010<jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content>\u2010induced hepatotoxicity with its anti\u2010inflammatory properties in <jats:italic>in vivo<\/jats:italic> conditions. It is a promising compound with the potential for use in the treatment of hepatotoxicity associated with <jats:italic>Amanita phalloides<\/jats:italic> type mushroom poisonings.<\/jats:p>","DOI":"10.1111\/bcpt.12954","type":"journal-article","created":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T07:36:47Z","timestamp":1514533007000},"page":"633-642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["A Comparison of the Effectiveness of Silibinin and Resveratrol in Preventing Alpha\u2010Amanitin\u2010Induced Hepatotoxicity"],"prefix":"10.1111","volume":"122","author":[{"given":"Aynur","family":"Sahin","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Karadeniz Technical University School of Medicine Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mualla Aylin","family":"Arici","sequence":"additional","affiliation":[{"name":"Department of Medical 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