Cardiomyocyte hypertrophy and extracellular matrix remodeling, primarily mediated by inflammatory cytokine-stimulated cardiac fibroblasts, are critical cellular events in cardiac pathology. The molecular components governing these processes remain nebulous, and few genes have been linked to both hypertrophy and matrix remodeling. Here we show that p8, a small stress-inducible basic helix-loop-helix protein, is required for endothelin-and ␣-adrenergic agonist-induced cardiomyocyte hypertrophy and for tumor necrosis factorstimulated induction, in cardiac fibroblasts, of matrix metalloproteases (MMPs) 9 and 13-MMPs linked to general inflammation and to adverse ventricular remodeling in heart failure. In a stimulus-dependent manner, p8 associates with chromatin containing c-Jun and with the cardiomyocyte atrial natriuretic factor (anf) promoter and the cardiac fibroblast mmp9 and mmp13 promoters, established activator protein 1 effectors. p8 is also induced strongly in the failing human heart by a process reversed upon therapeutic intervention. Our results identify an unexpectedly broad involvement for p8 in key cellular events linked to cardiomyocyte hypertrophy and cardiac fibroblast MMP production, both of which occur in heart failure.The progression to heart failure involves an initial phase of pathological cardiomyocyte hypertrophy, which develops as a consequence of excess hemodynamic work load and may be triggered by ␣-adrenergic agents, angiotensin II, and/or endothelin. Pathological cardiomyocyte hypertrophy is followed by left ventricular decompensation, characterized by cardiomyocyte loss, and interstitial fibrosis-direct contributors to adverse ventricular remodeling. Ultimately, the contractile properties of the heart are compromised, resulting in heart failure (17,18,27). The molecular components and cellular events required for heart failure remain incompletely understood, and few genes have been linked to both pathological hypertrophy of cardiomyocytes and matrix remodeling (9,17,18,27).Post-myocardial infarction, in addition to hypertrophy of surviving cardiomyocytes, remodeling of the extracellular matrix occurs, particularly within the territory of the infarct, as lost myocytes are replaced by fibrous tissue (22, 23). Key to this remodeling process is the production and release of matrix metalloproteases (MMPs) from both resident cells, especially cardiac fibroblasts, and infiltrating leukocytes. Inflammatory cytokine production (especially tumor necrosis factor [TNF], interleukin-1 [IL-1], and IL-6 family members) by these cells is believed to be the major trigger for induction of MMP expression.Studies employing broad-spectrum inhibitors of MMPs have shown that cytokine (TNF)-stimulated upregulation of the expression of MMPs is a central factor leading to left ventricular dilation post-myocardial infarction, a harbinger of heart failure (28,32,48). Studies of mice with a targeted deletion of mmp9 clearly implicate this factor in not only left ventricular dilation but also in inhibition of neo-an...