Certain aspects of cytoplasmic protein synthesis have been studied during the early stages (0 to 5 days) of left ventricular hypertrophy produced by supravalvular constriction of the ascending aorta in adult rabbits. At 5 days after constriction, cell-free protein synthesis by microsomal preparations from hypertrophied heart muscle was increased, both from free phenylalanine or leucine (50 to 130*), and from phenylalanyl-soluble RNA, both with (70 to 250%) or without (70 to 150SS) polyuridylic acid as artificial messenger. Such increased activity was observed as early as 24 hr, and persisted to 5 days (the limit of the study). Sham preparations also displayed increased activity at 24 hr, which subsided by 5 days. The increased activity could be localized to the microsomal fraction: no differences were found when soluble fractions from normal, sham, and hypertrophied hearts, or from liver, were interchanged. Ribosomes from hypertrophied hearts were no more active than normal ribosomes. Increased yields of microsomal, ribosomal, and soluble RNA were found. It is suggested that the increased protein synthesis occurring in hypertrophy is localized in the microsomes, that soluble factors are not of major significance, and that an increased number of ribosomes (and microsomes) play a major role.ADDITIONAL KEY WORDS thyroid ribosomal RNA transfer enzymes transfer RNA soluble RNA aortic constriction activating enzymes polymerization factors• Hypertrophy is an increase in the mass of a tissue or organ without an increase in the number of cells in that organ. The demand for increased functional tissue is met by an increase in size and organelle content of preexisting cells, without parallel increases in cell number (1-3). This process, characterized by marked increases in tissue ribonucleic acid (RNA) and protein content in the face of minimal or no change in deoxyribonucleic acid (DNA) content, is of particular interest because it provides an opportunity From the Rockefeller University, New York, New York 10021.This investigation was supported by grants from the National Science Foundation and the U. S. Public Health Service.Dr. Moroz is a Fellow of the Helen Hay Whitney Foundation; his present address is Division of Immunochemistry and Allergy Research, Royal Victoria Hospital, Montreal 2, Canada.Accepted for publication August 21, 1967. to study accelerated protein synthesis uncomplicated by significant cellular proliferation. Typically, hypertrophy occurs in muscle, both skeletal and cardiac, and one of the most clear-cut experimental models is provided by the hypertrophy of the left ventricle of the heart subsequent to supravalvular constriction of the ascending aorta in mature animals. Such a preparation has been used to examine changes in the protein synthesizing apparatus of heart muscle during the early stages (0 to 5 days) of the hypertrophic process. A preliminary report of this work has appeared (4).