Abstract-Major interest surrounds how angiotensin II triggers cardiac hypertrophy via epidermal growth factor receptor transactivation. G protein-mediated transduction, angiotensin type 1 receptor phosphorylation at tyrosine 319, and -arrestin-dependent scaffolding have been suggested, yet the mechanism remains controversial. We examined these pathways in the most reductionist model of cardiomyocyte growth, neonatal ventricular cardiomyocytes. Analysis with [ 32 P]-labeled cardiomyocytes, wild-type and [Y319A] angiotensin type 1 receptor immunoprecipitation and phosphorimaging, phosphopeptide analysis, and antiphosphotyrosine blotting provided no evidence for tyrosine phosphorylation at Y319 or indeed of the receptor, and mutation of Y319 (to A/F) did not prevent either epidermal growth factor receptor transactivation in COS-7 cells or cardiomyocyte hypertrophy. Instead, we demonstrate that transactivation and cardiomyocyte hypertrophy are completely abrogated by loss of G-protein coupling, whereas a constitutively active angiotensin type 1 receptor mutant was sufficient to trigger transactivation and growth in the absence of ligand. These results were supported by the failure of the -arrestin-biased ligand SII angiotensin II to transactivate epidermal growth factor receptor or promote hypertrophy, whereas a -arrestin-uncoupled receptor retained these properties. We also found angiotensin II-mediated cardiomyocyte hypertrophy to be attenuated by a disintegrin and metalloprotease inhibition. Thus, G-protein coupling, and not Y319 phosphorylation or -arrestin scaffolding, is required for epidermal growth factor receptor transactivation and cardiomyocyte hypertrophy via the angiotensin type 1 receptor. A ngiotensin II (Ang II) contributes to progression of left ventricular hypertrophy, a major independent risk factor for myocardial infarction and sudden death, 1 yet the molecular mechanisms governing cardiac hypertrophy remain controversial. Recently, a new paradigm for Ang II hypertrophy has emerged. We and others have shown that angiotensin type 1 receptors (AT 1 Rs) hijack the epidermal growth factor (EFR) receptor (EGFR) via a process termed the "triple membrane-passing signaling paradigm of EGFR transactivation." 2-5 More specifically, AT 1 R activation causes metalloprotease-dependent EGF-like ligand release and subsequent EGFR binding to initiate hypertrophic signaling cascades. Yet the process is likely more complicated: multiple G protein-coupled receptor (GPCR) signals, a disintegrin and metalloproteases (ADAMs), EGF-like ligands, and EGFR subtypes have been implicated in this process. 2 A major focus of Ang II research is the mechanism by which the AT 1 R signals to the EGFR. Recent studies suggested a G protein-independent pathway for growth activation, 6 -9 despite evidence that G␣ q/11 , a heterotrimeric G protein that couples to the AT 1 R, is essential for hypertrophy. 10 Indeed, others indicate that G-protein coupling to AT 1 R is required for EGFR transactivation in COS-7 and vascular smoot...