“…Combining these results, the animal and cell model simulated the process of heart disease caused by hyperthyroidism, which could be applied to investigate the molecular mechanism. As shown in Figure 11 , an increase in Cav1.3 induces an increase in the cytosolic Ca 2+ concentration of H9c2 cells, thereby increasing the activation of Ca 2+ -dependent signalling, Rcan1, calcineurin, and calpain, which subsequently upregulates the gene expression of hypertrophy markers and upregulates the gene expression of inflammatory cytokines by activating the NF-κB/p65-dependent signalling pathway [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ], causing cardiac hypertrophy and inflammation. Meanwhile, the elevation of Gal-3, RhoA, and Rock further increased ROS [ 27 , 28 , 29 , 30 , 31 , 32 ], subsequently regulating the Bcl-2/caspase-3-dependent apoptotic signalling pathway [ 33 , 34 ], thereby leading to cell rupture and fibrosis.…”