The cellular and molecular basis of growth hormone (GH) actions on the heart remain poorly defined, and it is unclear whether GH effects on the myocardium are direct or mediated at least in part via insulin-like growth factor (IGF-1). Here, we demonstrate that the cultured neonatal cardiomyocyte is not an appropriate model to study the effects of GH because of artifactual loss of GH receptors (GHRs). To circumvent this problem, rat neonatal cardiomyocytes were infected with a recombinant adenovirus expressing the murine GHR. Functional integrity of GHR was suggested by GH-induced activation of the cognate JAK2/STAT5, MAPK, and Akt intracellular pathways in the cells expressing GHR. Although exposure to GH resulted in a significant increase in the size of the cardiomyocyte and increased expression of c-fos, myosin light chain 2, and skeletal ␣-actin mRNAs, there were no significant changes in IGF-1 or atrial natriuretic factor mRNA levels in response to GH stimulation. In this model, GH increased incorporation of leucine, uptake of palmitic acid, and abundance of fatty acid transport protein mRNA. In contrast, GH decreased uptake of 2-deoxy-D-glucose and levels of Glut1 protein. Thus, in isolated rat neonatal cardiomyocytes expressing GHR, GH induces hypertrophy and causes alterations in cellular metabolic profile in the absence of demonstrable changes in IGF-1 mRNA, suggesting that these effects may be independent of IGF-1.Several observations implicate a role for growth hormone (GH) 1 in modulation of cardiac structure and function (1). Patients with excess endogenous GH (i.e. acromegaly) suffer from cardiac complications including biventricular hypertrophy, impaired diastolic filling, and decreased cardiac performance on effort due to diastolic and systolic dysfunction (2). Patients with chronic GH deficiency also show cardiac abnormalities; in general, the data support the presence of a hypokinetic cardiac syndrome in patients with GH deficiency that can be reversed with GH replacement therapy (3-5). Fazio et al. (6) reported that GH therapy in patients with idiopathic dilated cardiomyopathy was associated with significant improvement in left ventricular ejection fraction, isovolumic relaxation time, and efficiency of myocardial energy utilization. Subsequent to these landmark findings, some studies have supported a beneficial effect of exogenous GH on cardiac function (7), whereas other investigators were unable to demonstrate salutary effects of GH on cardiac function in patients with heart failure (8).A particularly well studied animal model is that of the transplanted GH-secreting pituitary tumor cell line, GH 3. In this model of GH excess, there is increased myocardial contractility and calcium sensitivity of myocardial contractile proteins (1). Similarly, normal rats given recombinant GH show an increase in left ventricular mass, as well as an increase in several aspects of cardiac performance (9). In the rodent model of myocardial infarction, administration of GH results in improvements in myocardial ...