Cardiac hypertrophy is initially an adaptive response to cardiac stresses, including mechanical overload, ischemia, and endocrine disorders.1,2 At the beginning, it elicits beneficial effects by reducing ventricular wall stress and maintaining cardiac output without adverse pathology. However, sustained hypertrophy of the myocardium can progress into a decompensated state that is characterized by fetal gene expression, contractile dysfunction, and extracellular remodeling, eventually leading to heart failure. 3,4 During this complicated process, specific signaling pathways mediate the critical transition from compensated hypertrophy to decompensated hypertrophy and heart failure. 5,6 Therefore, a better understanding of the molecular mechanisms regulating the hypertrophy-related signaling pathways is important for the development of new strategies to treat pathological cardiac hypertrophy and heart failure.Regulator of G-protein signaling (RGS) proteins represent a family of proteins originally defined by the presence of a semiconserved region of ≈120 amino acids called the RGS domain. They function as GTPase-activating proteins for Gα proteins to repress G-protein-coupled receptor signaling. 7,8 To date, several members of the RGS family have been found to participate in pathological cardiac hypertrophy. [9][10][11][12][13] Recently, a growing number of studies demonstrated that RGS proteins could regulate cardiac hypertrophy independent of GTPaseactivating protein activity. Among them, RGS3, RGS5, and RGS10 protect against pressure overload-induced hypertrophic response and improve cardiac function by inhibiting MEK1/2-ERK1/2 signaling. 11,13,14 RGS12 is the largest, typical multidomain member of the RGS family. 15 In addition to a central RGS domain, RGS12 contains a PDZ (PSD-95/ discslarge/ZO-1 homology) domain, with putative CXCR2-binding properties, and a phosphotyrosine-binding domain at the N terminus, whereas a tandem repeat of Ras-binding domains and a Gai/o-Loco motif are located at the C terminus of RGS12. [16][17][18][19] This multidomain architecture contributes to the regulatory role of RGS12 in diverse signaling pathways. 18 Huang et al 20 reported that RGS12 inactivates phosphorylated Gαi to ameliorate the inhibition of cAMP formation and thus facilitates muscle relaxation. In addition, Willard et al 21 found that RGS12 serves as a scaffold and organizes Abstract-Cardiac hypertrophy is a major predictor of heart failure and is regulated by diverse signaling pathways. As a typical multi-domain member of the regulator of G-protein signaling (RGS) family, RGS12 plays a regulatory role in various signaling pathways. However, the precise effect of RGS12 on cardiac hypertrophy remains largely unknown.In this study, we observed increased expression of RGS12 in the development of pathological cardiac hypertrophy and heart failure. We then generated genetically engineered mice and neonatal rat cardiomyocytes to investigate the effects of RGS12 during this pathological process. P<0.05). RGS12 also contri...