Objective:This study aims to explore the potential damage effect and related mechanisms of lansoprazole(LPZ)on rat cardiomyocytes(H9C2). Methods:After incubating H9C2 cells with 10 μmol/L LPZ for 0 h,12 h,24 hand 48 h,DCFH-DA fluorescent probe was used to detect the level of reactive oxygen species(ROS). And the expression of endoplasmic reticulum stressproteins(GRP78,CHOP)and apoptosis-related proteins(Cleaved-Caspase-12,Cleaved-Caspase-3,Cyt C,Bax/Bcl-2)was detected by Western blot. In addition,the level of ROS,as well as the expression of endoplasmic reticulum stress and apoptosis-related proteins were evaluated after H9C2 cells incubating with LPZ alone or in combination with ROS inhibitor N-Acetyl-L-cysteine(NAC)for 48 h. Results:Lansoprazole could time-dependently increase the level of ROS,induce the expression of GRP78 and CHOP,and further increase the expression of Cleaved-Caspase-12,Cleaved-Caspase-3,Cyt C,and Bax/Bcl-2. NAC significantly reduced LPZ-induced ROS levels,and decreased the expression levels of GRP78,CHOP,Cleaved-Caspase-12,Cleaved-Caspase-3,Cyt C and Bax/Bcl-2. Conclusion:LPZ could induce cardiomyocyte apoptosis,and the mechanism may be related to oxidative stress and endoplasmic reticulum stress.