Chronic renal failure often induces left ventricular hypertrophy. We assessed whether the heart is affected in the Zucker obese rat, a model of chronic renal failure associated with obesity, glucose intolerance, and insulin resistance without hypertension or hyperglycemia. After systemic blood pressure measurement, the heart, the aorta, and the kidneys were removed from anesthetized 9-and 13-mo-old Zucker obese and lean control male rats (n ϭ 33, n ϭ 24, n ϭ 25, and n ϭ 21, respectively). Determination of left ventricular geometry, quantification of myocardium collagen density, and measurement of heart antioxidant enzyme activity were made, as well as aorta and kidney parameters. Mean blood pressure remained at a normal range whatever the age and group considered. Whereas kidney structure and function were severely impaired, no sign of myocardial infarction or inflammatory process was noticed. A moderate left ventricular hypertrophy was observed in 13-mo-old obese rats. While heart malondialdehyde was stable with age and among groups, antioxidant enzyme activity was higher in obese rats. In conclusion, in the absence of hypertensive or hyperglycemic disorders, the heart seems to display a sufficient line of defense against oxidative stress during the development of cardiac hypertrophy. left ventricular hypertrophy; renal failure; oxidative stress; Zucker rats; hyperlipidemia ZUCKER OBESE RATS develop, at 3 mo and onward, severe structural alterations of the kidneys and renal impairment, leading to renal failure in 9-mo-old animals (31,36,37,44,48,61). We have recently shown that these alterations are initiated in the absence of hypertension, diabetes, and inflammatory cell infiltration (37) but might derive from an oxidative stress in kidney tissue (48,49). Oxidative stress is associated with an increase in the production of reactive oxygen species (ROS), such as superoxide anion (O 2 Ϫ ⅐) and hydrogen peroxide (H 2 O 2 ), two molecules playing a key role in the generation of toxic ROS during mitochondrial respiration. Cells contain both enzymatic and nonenzymatic antioxidants that form the first line of defense against ROS (59). Briefly, superoxide dismutase (SOD) isoforms present in the cytosol (Cu/Zn-SOD) and mitochondria (Mn-SOD), convert O 2 Ϫ ⅐ to H 2 O 2 , which is detoxified to H 2 O by glutathione peroxidase (GPx) and catalase. The activity of GPx requires a supply of reduced glutathione, which is the main intracellular antioxidant. Left ventricular hypertrophy (LVH) is an independent predictor of cardiovascular morbidity and mortality (30,40). Chronic renal failure induces LVH in ϳ40% of the patients, a figure that rises up to 75% by the onset of end-stage renal disease (4, 27). Mild-to-moderate obesity, another predictor of coronary heart disease, congestive heart failure, stroke, and cardiovascular death (54), are associated with increased LVH (2,7,8,23,35,41), even in absence of hypertension or other confounding factors (3).Due to these relationships between renal failure, obesity, and LVH, we might...