Oxidative stress and apoptosis serve an essential role in cisplatin‑induced cardiotoxicity, which limits its clinical use, and increases the risk of cardiovascular disease. As a natural drug, the antioxidant and antitumor effects of cyanidin have been recognized, but its protective effect on cisplatin‑induced cardiomyocyte cytotoxicity remains unclear. H9c2 cells were treated with cisplatin (1‑40 µM) in the presence or absence of cyanidin (40‑80 µM), subsequently; oxidative stress, apoptosis and mitochondrial function were assessed using several techniques. The results demonstrated that cyanidin was able to dose‑dependently reverse cisplatin‑induced cell damage and apoptosis, attenuate the accumulation of reactive oxygen species (ROS), and mitochondrial membrane potential depolarization, downregulate the expression of Bcl‑2 homologous antagonist/killer, upregulate the expression of apoptosis regulator Bcl‑2, and reduce the activation of caspase 3, caspase 9, but not caspase 8. Furthermore, the results revealed that the translocation of apoptosis regulator Bax (Bax) from the cytoplasm to the mitochondrial membrane serves an essential role in cisplatin‑induced apoptosis. Cyanidin was able to block the translocation of Bax and reduce the release of cytochrome c from cytoplasm. These data indicate that cyanidin attenuates cisplatin‑induced cardiotoxicity by inhibiting ROS‑mediated apoptosis, while the mitochondrial and extracellular regulated kinase signaling pathways may also serve important roles.

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