SummaryAdult heart suffering from increased workload will undergo myocardial hypertrophy, subsequent cardiomyocyte (CM) death, and eventually heart failure. However, the effect of increasing afterload on the neonatal heart remains unknown. We performed ascending aortic constriction (AAC) in neonatal rats 8-12 hours after birth (P0, P indicates postpartum). Seven days after surgery, in vivo heart function was evaluated using cardiac ultrasonography. Haematoxylineosin and Masson staining were used to assess CM diameter and collagen deposition. Moreover, expression of both EdU and Ki67 were evaluated to determine DNA synthesis levels, and pH3 and aurora B as markers for mitosis in CMs. CM isolation was performed by heart perfusion at P0, P3, P5, and P7, respectively. CM number on P0 was 1.01 ± 0.29 × 10 6 . We found that CM cell cycle activation was significantly increased among constricted hearts, as demonstrated by increased Ki67, EdU, pH3, and aurora B positive cells/1000 CMs. At day 7 (P7), constriction group hearts manifested increased wall thickness (0.55 ± 0.05 mm versus 0.85 ± 0.10 mm, P < 0.01, n = 6), and improved hemodynamics as well as left ventricular ejection fraction (65.5 ± 3.7% versus 77.7 ± 4.8%, P < 0.01, n = 6). Of note, the population of CMs was also markedly increased in the constriction group (2.92 ± 0.27 × 10 6 versus 3.41 ± 0.40 × 10 6 , P < 0.05, n = 6). In summary, we found that during the first week after birth significant numbers of neonatal CMs can reenter the cell cycle. Ascending aortic constriction promotes neonatal rat CM proliferation resulting in 16.7% more CMs in the heart. (Int Heart J 2017; 58: 264-270) Key words: Cell cycle reentry, Regeneration H eart failure is an increasing burden on health care systems around the world. 1) Many forms of heart diseases result in significant and permanent losses of functional cardiomyocytes (CMs), such as coronary artery disease and pressure-loading cardiomyopathies. Efforts to address this issue have led to the exploration of methods for CM regeneration even though the mammalian heart has long been considered a postmitotic organ. Recently, it was shown that individual CMs may be not as old as the person -almost 50% of CMs are replaced during a normal life span.2) By combining different genetic fate-mapping approaches, scientists have found that the genesis of CMs occurs by division of preexisting CMs.3,4) Although it happens at a very low rate, this evidence suggests that the heart is not terminally differentiated but instead an organ with regenerative potential. More lately, the discovery of an epimorphic regeneration potential in neonatal mammal hearts has contributed greatly to new insights in cardiac biology. In particular, neonatal mice can fully regenerate their heart after apex resection in a very short time.5) BrdU, pH3 labeling, and genetic fate-mapping have indicated that the majority of regenerated CMs originated from preexisting ones. A similar conclusion was obtained by another research group working on a different animal mode...