Abstract-Hypertension and cardiac remodeling are associated with myocardial fibrosis, left ventricular (LV) hypertrophy, and diastolic heart failure. Fenofibrate suppresses aldosterone-mediated increases in myocyte matrix metalloproteinase activity and extracellular signal-regulated kinase phosphorylation. It is unknown whether the peroxisome proliferatoractivated receptor-␣ agonist, fenofibrate, improves cardiac remodeling in a model of aldosterone-induced hypertension and LV hypertrophy. Twelve-week-old uninephrectomized FVB mice received 1% NaCl drinking water. Miniosmotic pumps delivered saline or aldosterone for 4 weeks. Mice were either untreated (nϭ14) or treated with fenofibrate 100 mg/kg per day (nϭ12) for 1 week before and 4 weeks after surgery. Key Words: fibrosis Ⅲ aldosterone Ⅲ hypertension Ⅲ cardiac remodeling Ⅲ matrix metalloproteinases Ⅲ peroxisome proliferator-activated receptor-␣ D iastolic heart failure (HF) refers to "HF with preserved left ventricular (LV) ejection fraction" 1-3 and is observed in almost half of the patients who present with clinical HF. 2 Hypertension, a significant risk factor for diastolic dysfunction and HF, 4 is frequently associated with cardiac remodeling and LV hypertrophy (LVH). 5 Similarly, LVH and diastolic dysfunction are associated with matrix metalloproteinase (MMP) activation that favors decreased extracellular matrix degradation and increased interstitial collagen, 6 thus perpetuating fibrosis. Tissue inhibitors of metalloproteinases (TIMPs) may predict HF in chronic hypertension. 7 Likewise, aldosterone antagonists (used in chronic HF and in hypertension) exert positive effects by downregulating MMP activity. 8 -11 Despite the increasing incidence of diastolic HF and elevated mortality rates, 12 there remains a paucity of therapies that target these potential underlying mechanism(s).Fenofibrate, a peroxisome proliferator-activated receptor-␣ (PPAR-␣) agonist, is used clinically for the treatment of dyslipidemias. Intriguingly, fibrates are being considered as possible therapeutic agents for the treatment of cardiac remodeling. 13 The myocardial effects of fenofibrate are independent of its lipid-lowering actions and are partly due to PPAR-␣-mediated suppression of inflammatory transcription factors (eg, nuclear factor-B and activating protein-1) 14 -16 and inhibition of macrophage recruitment. 17 Inhibition of nuclear factor-B with fenofibrates in hypertension prevents the development of diastolic dysfunction. 18 We previously demonstrated in isolated adult cardiomyocytes that fenofibrate