“…(3) inhibition of cardiac specific muscle gene transcription and translation, in combination with an increase in myofibril protein degradation, leading to loss of myofibrils (Lewis and Gonzalez, 1987;Ito et al, 1990;Kurabayashi et al, 1994;Toyoda et al, 1998;d'Anglemont de Tassigny et al, 2004;Lim et al, 2004b), and (4) disturbance of intracellular calcium homeostasis (De Beer et al, 2001;Wallace, 2003). The mechanism of doxorubicin-induced free radical generation and oxidative stress has been reviewed in other chapters of this book as well as comprehensive reviews in the field (Singal et al, 2000;Berthiaume and Wallace, 2007;Simunek et al, 2009).…”