Background:In LEOPARD syndrome, hypertrophic cardiomyopathy develops because of hyperactivated prohypertrophic signaling. Results: Pharmacological inhibition of Shp2, focal adhesion kinase, Akt, or mammalian target of rapamycin counteracts the disease mechanism. Conclusion: Interventions at multiple levels of the signaling cascade effectively prevent cardiomyocyte hypertrophy. Significance: Identification of these novel targets will facilitate the development of highly specific therapies for LEOPARD syndrome.