Abstract-AMP-activated kinase (AMPK) is a highly conserved heterotrimeric kinase that functions as a metabolic regulator of cellular enzymes involved in carbohydrate and fat metabolism, which regulate ATP conservation and synthesis. Here, we investigated whether AMPK signaling has a role in the regulation of angiotensin II (Ang II)-induced proliferation in rat cardiac fibroblasts. Aminoimidazole-4-carboxamide-1--ribofuranoside (AICAR) activated AMPK in rat cardiac fibroblasts and increased Ang II-induced extracellular signal-regulated kinase 1/2 phosphorylation and activity. AICAR also increased Ang II-induced c-fos mRNA expression in the cells. Key Words: cardiac function Ⅲ angiotensin Ⅲ hypertrophy Ⅲ signal transduction A MP-activated kinase (AMPK) is a highly conserved heterotrimeric kinase that functions as a metabolic regulator of cellular enzymes involved in carbohydrate and fat metabolism, which regulate ATP conservation and synthesis. 1 AMPK is activated by conditions that increase the AMP:ATP ratio, such as exercise and metabolic stress. AMPK has been most extensively examined under conditions of stress, such as exercise and hypoxia-ischemia. When the AMP:ATP ratio increases, AMPK is activated by AMPK kinase to combine with AMP, thus inducing a conformational change and decreasing the AMP:ATP ratio by switching off ATP-consuming pathways and switching on ATP-generating pathways. 1 Considerable information exists regarding the regulation of AMPK activation in a variety of cell types, including cardiac cells. 2,3 There is a correlation between AMPK activation and the development of cardiac hypertrophy. 4,5 Pressure overload-induced hypertrophic cardiomyopathy is associated with increased AMPK activity. 4 In addition, AMPK plays a role in familial Wolff-Parkinson-White syndrome and hypertrophic cardiomyopathy via mutations in PRKAG2, a gene encoding the ␥2 subunit of AMPK. 6 -8 On the other hand, recent evidence indicates that AMPK activation inhibits proteins synthesis 9,10 and might, thus, be expected to reduce the development of hypertrophy. Although much has been learned about the role of AMPK in the development of cardiac hypertrophy, the molecular mechanism by which AMPK regulates cardiac hypertrophy is still unclear.Interstitial fibroblast proliferation and collagen accumulation is associated with compensatory remodeling of the hypertrophic myocardium, 11,12 and structural remodeling leads to diastolic and systolic dysfunction. 13 Angiotensin (Ang) II is closely involved in cardiac remodeling by stimulating hyperplastic growth of cardiac fibroblasts 14 and the synthesis of extracellular matrix proteins. 12 Therefore, we investigated the role of AMPK in cardiac remodeling using cardiac fibroblasts. We used 5-aminoimidazole-4-carboxamide-1--ribofuranoside (AICAR), which is an adenosine analog, as well as cell-permeable activator of AMPK and a small interfering RNA (siRNA) for AMPK, which is an AMPK inhibitor. We examined the effects of both the AMPK activator and inhibitor on the extracellular sign...