P athological cardiac remodeling is the process by which a compensatory response is transformed to a maladaptive response on reacting to mechanical load (eg, valvular regurgitation or stenosis) or humoral factors (eg, catecholamine) and is the strongest predictor of heart failure, arrhythmia, and sudden death. In the early stage of this pathological process, to enhance cardiac pump function, the heart undergoes hypertrophic growth via the enlargement of individual myocytes without effects on cardiac function. However, continued insult would ultimately leads to cardiac chamber enlargement and fibrosis with perturbed contractile performance. In addition to histological and functional deterioration, cardiac remodeling is a composite of cellular and molecular changes, including protein synthesis, sarcomeric organization, fibrosis, cell death, and energy metabolism. Although the pathogenesis and development of pathological hypertrophy have been studied extensively, the complete molecular network has not been sufficiently dissected. Moreover, we have recently demonstrated that a number of protein molecules traditionally regarded as immunologic molecules exert key regulatory effects on this process. [1][2][3] Given the prominent and omnipresent role of the immune network in cell biology, the identification of new immune regulators in cardiac hypertrophy will provide additional insights into the mechanism and treatment of this life-threatening disease.Since its discovery, adaptor protein Src homology 2-B3 (SH2B3) has been highlighted as a nonredundant negative modulator in hematopoietic and B-cell development. [4][5][6] Adaptor proteins, which function as molecular scaffolds to orchestrate cellular signals, possess multiple functions, including organization and control of protein translocation, mediation of protein-protein interactions, and recruitment of required enzyme substrates. Based on structural similarities, SH2B3 (also referred to as Lnk) belongs to the SH2B family Abstract-The adaptor protein Src homology 2-B3 (SH2B3), which belongs to a subfamily of Src homology 2 proteins, is a broad inhibitor of growth factors and cytokine signaling in hematopoietic cells. However, the role of SH2B3 in nonhematopoietic systems, particularly cardiomyocytes, has not been defined. In this study, we observed noticeable increase in SH2B3 protein expression during pathological cardiac remodeling in both humans and rodents. Follow-up in vitro gain-and loss-of-function studies suggested that SH2B3 promotes the cardiomyocyte hypertrophy response. Consistent with the cell phenotype, SH2B3 knockout (SH2B3 −/− ) mice exhibited attenuated cardiac remodeling with preserved cardiac function after chronic pressure overload. Conversely, cardiac-specific SH2B3 overexpression aggravated pressure overload-triggered cardiac hypertrophy, fibrosis, and dysfunction. Mechanistically, SH2B3 accelerates and exacerbates cardiac remodeling through the activation of focal adhesion kinase, which, in turn, activates the prohypertrophic downstream phosph...