Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp eart failure (HF) is the final stage of all kinds of cardiovascular diseases, is associated with high mortality and morbidity and is increasing yearly in industrialized countries, 1,2 so it is crucial to prevent both its development and progression. In response to pressure or volume overload, the individual cardiomyocyte increases in size, which induces maladaptive hypertrophy, 3,4 leading to left ventricular (LV) dysfunction, remodeling and the development of HF. 5,6 Hemodynamic overload stimuli activate various neurohormonal factors, such as angiotensin II and endothelin-1. 7Based on the fact that these factors are involved in the development and deterioration of HF, agents such as angiotensinconverting enzyme inhibitors (ACEIs) are widely used as therapy in humans. Signals of these neurohormonal factors enter the cardiomyocytes via their extracellular receptors, finally reach the nuclei of cardiac myocytes and activate hypertrophy-responsive transcriptional factors such as GATA4, 8-10 MEF2 11 and SRF. 12 Activity of these factors are regulated by histone deacetylases and an intrinsic histone acetyltransferase (HAT), p300. Background: A natural p300-specific histone acetyltransferase (HAT) inhibitor, curcumin, may have therapeutic potential for heart failure. However, it is unclear whether curcumin exhibits beneficial additive or synergistic effects on conventional therapy with angiotensin-converting enzyme inhibitors (ACEIs).