Cohen RA, Colucci WS. Cytosolic H2O2 mediates hypertrophy, apoptosis, and decreased SERCA activity in mice with chronic hemodynamic overload. Am J Physiol Heart Circ Physiol 306: H1453-H1463, 2014. First published March 14, 2014 doi:10.1152/ajpheart.00084.2014.-Oxidative stress in the myocardium plays an important role in the pathophysiology of hemodynamic overload. The mechanism by which reactive oxygen species (ROS) in the cardiac myocyte mediate myocardial failure in hemodynamic overload is not known. Accordingly, our goals were to test whether myocyte-specific overexpression of peroxisomal catalase (pCAT) that localizes in the sarcoplasm protects mice from hemodynamic overload-induced failure and prevents oxidation and inhibition of sarco(endo)plasmic reticulum Ca 2ϩ -ATPase (SERCA), an important sarcoplasmic protein. Chronic hemodynamic overload was caused by ascending aortic constriction (AAC) for 12 wk in mice with myocyte-specific transgenic expression of pCAT. AAC caused left ventricular hypertrophy and failure associated with a generalized increase in myocardial oxidative stress and specific oxidative modifications of SERCA at cysteine 674 and tyrosine 294/5. pCAT overexpression ameliorated myocardial hypertrophy and apoptosis, decreased pathological remodeling, and prevented the progression to heart failure. Likewise, pCAT prevented oxidative modifications of SERCA and increased SERCA activity without changing SERCA expression. Thus cardiac myocyte-restricted expression of pCAT effectively ameliorated the structural and functional consequences of chronic hemodynamic overload and increased SERCA activity via a post-translational mechanism, most likely by decreasing inhibitory oxidative modifications. In pressure overload-induced heart failure cardiac myocyte cytosolic ROS play a pivotal role in mediating key pathophysiologic events including hypertrophy, apoptosis, and decreased SERCA activity. apoptosis; catalase; H2O2; hypertrophy; SERCA THE ROLE OF REACTIVE OXYGEN species (ROS) in mediating myocardial failure in response to chronic hemodynamic overload is well appreciated (29,32,34). Systemic administration of small molecule antioxidants ameliorated pathological remodeling and failure in mice with hemodynamic overload due to chronic aortic constriction (8,35). Transgenic total body overexpression of mitochondrial catalase (mCAT) likewise decreased left ventricular (LV) hypertrophy and failure in mice with aortic constriction (6), further suggesting that mitochondria are a source of ROS in hemodynamic overload. However, several nonmitochondrial sources of ROS in the myocardium have been implicated in hemodynamic overload including uncoupled endothelial nitric oxide synthase (23, 33), NADPH oxidases (4), and xanthine oxidase (21). Because these nonmitochondrial sources of ROS are located in the sarcoplasm, we reasoned that their effects should be susceptible to catalase that is targeted to the sarcoplasm of the cardiac myocyte. Accordingly, our first goal was to test whether LV hypertrophy and failur...