Natural products or plant derivatives could be used to prevent or treat neurodegenerative diseases (ND). Oxidative stress has been highly implicated in the progression of ND;thus, this leads to the study on the effects of orientin in regulating Nrf2/Keap-1 redox signalling, PI3K/Akt survival and MAPK/ERK apoptosis pathways in the hydrogen peroxide (H2O2)-induced oxidative damage in SH-SY5Y cells. The cells were treated with half maximum non-toxic dose (½ MNTD) or maximum non-toxic dose (MNTD) of orientin and subsequently with H2O2. Cells were then subjected to the measurement of nitric oxide (NO), intracellular calcium (Ca2+), mitochondrial membrane potential (MMP) and annexin V/propidium iodide apoptosis assays. Regulation of the signalling pathways was analysed by Western blotting. Results showed that ½ MNTD of orientin reduced the NO levels. The intracellular Ca2+ level was also reduced by ½ MNTD and MNTD of orientin. The orientin treatment at ½ MNTD and MNTD restored the loss of MMP. Pre-treatment of orientin reduced the early and late apoptotic cells as well as necrotic cells. Orientin was found to up-regulate the Nrf2/Keap-1 and PI3K/Akt pathways whilst down-regulate the MAPK/ERK pathway. The findings from this study will be useful for the prevention of ND in the near future.