ErbB2 interacting protein (Erbin) is a widely expressed protein and participates in inhibition of several intracellular signaling pathways. Its mRNA has been found to be present in relatively high levels in the heart. However, its physiological role in the heart has not been explored. In the present work, we elucidated the role of Erbin in cardiac hypertrophy. Cardiac hypertrophy was induced in mice either by isoproterenol administration or by aortic constriction. The level of Erbin was significantly decreased in both models. Erbin −/− mice rapidly develop decompensated cardiac hypertrophy, and following severe pressure overload all Erbin −/− mice died from heart failure. Down-regulation of Erbin expression was also observed in biopsies derived from human failing hearts. It is known that Erbin inhibits Ras-mediated activation of the extracellular signal-regulated kinase (ERK) by binding to Soc-2 suppressor of clear homolog (Shoc2). Our data clearly show that ERK phosphorylation is enhanced in the heart tissues of Erbin −/− mice. Furthermore, we clearly demonstrate here that Erbin associates with Shoc2 in both whole hearts and in cardiomyocytes, and that in the absence of Erbin, Raf is phosphorylated and binds Shoc2, resulting in ERK phosphorylation. In conclusion, Erbin is an inhibitor of pathological cardiac hypertrophy, and this inhibition is mediated, at least in part, by modulating ERK signaling.C ardiovascular disease remains the number one cause of mortality in the Western world, with heart failure representing the fastest-growing subclass over the past decade (1, 2). In myocardial hypertrophy caused by exercise, pregnancy, or developmental signals, cardiac structure and function are normal. However, in response to insults such as sustained excessive workloads, pathological cardiac hypertrophy is characterized by changes in contractility, loss of myocytes with fibrosis, systolic or diastolic dysfunction, and fetal gene reactivation. Pathological cardiac hypertrophy predisposes individuals to heart failure, arrhythmia, and sudden death (1, 2). The tyrosine kinase receptor avian erythroblastic leukemia viral oncogene homolog 2 (ErbB2), also known in humans as Her2, is an important regulator in cardiac hypertrophy development and heart failure (3). ErbB2-deficient conditional mutants develop dilated cardiomyopathy (3). ErbB2 signaling in cardiomyocytes is therefore essential for the prevention of dilated cardiomyopathy. However, the mechanism by which ErbB2 exerts its cardiac effects in general, and on cardiac hypertrophy in particular, is poorly defined.ErbB2 interacting protein (Erbin), a member of the leucine-rich repeat and PDZ domain proteins (4), was originally reported as a binding partner of Her2/neu (ErbB2) (4). Erbin is a widely expressed protein, and high levels of Erbin are present in the heart (5). Recently, Erbin has been demonstrated to form a complex with Her2 and β2-adrenergic receptor in cardiomyocytes. Also, Erbin has been shown to protect cardiomyocytes from apoptosis induced by chronic ca...