Increasing interest has been directed toward the possible role of trophically acting molecules as modulators or initiators, or both, of myocardial hypertrophy. The aim of the present study was to investigate the possible role of one such molecule, namely, insulin-like growth factor I, in myocardial hypertrophy developed in response to renal artery stenosis. Two-kidney, one clip Goldblatt hypertension was induced in Wistar rats weighing 180 g, and sham-operated animals were used as controls. Blood pressure was increased as early as 2 days after clipping (133 ±4 versus 116±4 mm Hg, p<0.05), and the increase persisted 4 and 7 days after clipping (148±6 versus 129±3 mm Hg, p<0.01 and 171±5 versus 139±3 mm Hg,p<0.01, respectively). Left ventricular weight followed a similar pattern (373±7 versus 350±8 mg, NS, 415±11 versus 386±9 ing,/><0.01, and 466±11 versus 391 ±10 mg,/><0.01 at 2, 4, and 7 days after clipping, respectively), but no changes in body weight between the groups were observed. Insulin-like growth factor I messenger RNA (mRNA) was quantified using a solution hybridization assay. W hen challenged by a chronically increased systemic pressure load, the heart responds with an adaptive left ventricular hypertrophy to normalize wall stress and myocardial oxygen consumption (see Friberg 1 ). However, the precise mechanism for transforming the mechanical stimuli of increased pressure or volume work into the hypertrophic response is not known. In addition to mechanical stimuli, different trophic factors such as catecholamines and angjotensin II may influence the From the Departments of Physiology (H.W., J.I., P.F.) and Histology