Dobrzyn P, Pyrkowska A, Duda MK, Bednarski T, Maczewski M, Langfort J, Dobrzyn A. Expression of lipogenic genes is upregulated in the heart with exercise training-induced but not pressure overload-induced left ventricular hypertrophy. Am J Physiol Endocrinol Metab 304: E1348 -E1358, 2013. First published April 30, 2013 doi:10.1152/ajpendo.00603.2012.-Cardiac hypertrophy is accompanied by molecular remodeling that affects different cellular pathways, including fatty acid (FA) utilization. In the present study, we show that cardiac lipid metabolism is differentially regulated in response to physiological (endurance training) and pathological [abdominal aortic banding (AAB)] hypertrophic stimuli. Physiological hypertrophy was accompanied by an increased expression of lipogenic genes and the activation of sterol regulatory element-binding protein-1c and Akt signaling. Additionally, FA oxidation pathways regulated by AMPactivated protein kinase (AMPK) and peroxisome proliferator activated receptor-␣ (PPAR␣) were induced in trained hearts. Cardiac lipid content was not changed by physiological stimulation, underlining balanced lipid utilization in the trained heart. Moreover, pathological hypertrophy induced the AMPK-regulated oxidative pathway, whereas PPAR␣ and expression of its downstream targets, i.e., acylCoA oxidase and carnitine palmitoyltransferase I, were not affected by AAB. In contrast, pathological hypertrophy leads to cardiac triglyceride (TG) and diacylglycerol (DAG) accumulation, although the expression of lipogenic genes and the levels of FA transport proteins (CD36 and FATP) were not changed or reduced compared with the sham group. A possible explanation for this phenomenon is a decrease in lipolysis, as evidenced by the increased content of adipose triglyceride lipase inhibitor G0S2, the increased phosphorylation of hormone-sensitive lipase at Ser 565 , and the decreased protein levels of DAG lipase that attenuate TG and DAG contents. The increased TG and DAG accumulation observed in AAB-induced hypertrophy might have lipotoxic effects, thereby predisposing to cardiomyopathy and heart failure in the future. lipogenesis; endurance training; sterol regulatory element-binding protein-1; adipose triglyceride lipase; hormone-sensitive lipase CARDIAC HYPERTROPHY IS ASSOCIATED with extensive remodeling, which in due course will affect cardiac function and ultimately contribute to the transition from compensatory hypertrophy to cardiac failure (70). Molecular remodeling in the heart caused by hypertrophy differs between physiological and pathological stimuli. The physiological cardiac hypertrophy caused by endurance training shows enhancement of cardiac function at rest and during exercise and is not a risk factor for heart failure (19, 29). The adaptations include increases in cardiac mass and dimension, maximum oxygen consumption, and coronary blood flow (35). Additionally, exercise results in a balanced growth of cardiomyocytes with a normal myofibril to mitochondrial ratio (52, 71). Conversely, the hype...