Pro)renin receptor in skeletal muscle is involved in the development of insulin resistance associated with postinfarct heart failure in mice. Am J Physiol Endocrinol Metab 307: E503-E514, 2014. First published July 29, 2014; doi:10.1152/ajpendo.00449.2013.-We previously reported that insulin resistance was induced by the impairment of insulin signaling in the skeletal muscle from heart failure (HF) via NAD(P)H oxidase-dependent oxidative stress. (Pro)renin receptor [(P)RR] is involved in the activation of local renin-angiotensin system and subsequent oxidative stress. We thus examined whether (P)RR inhibitor, handle region peptide (HRP), could ameliorate insulin resistance in HF after myocardial infarction (MI) by improving oxidative stress and insulin signaling in the skeletal muscle. C57BL6J mice were divided into four groups: sham operated (Sham, n ϭ 10), Sham treated with HRP (ShamϩHRP, 0.1 mg·kg Ϫ1 ·day Ϫ1 , n ϭ 10), MI operated (MI, n ϭ 10), and MI treated with HRP (MIϩHRP, 0.1 mg/kg/day, n ϭ 10). After 4 wk, MI mice showed left ventricular dysfunction, which was not affected by HRP. (P)RR was upregulated in the skeletal muscle after MI (149% of sham, P Ͻ 0.05). The decrease in plasma glucose after insulin load was smaller in MI than in Sham (21 Ϯ 2 vs. 44 Ϯ 3%, P Ͻ 0.05), and was greater in MIϩHRP (38 Ϯ 2%, P Ͻ 0.05) than in MI. Insulin-stimulated serine phosphorylation of Akt and glucose transporter 4 translocation were decreased in the skeletal muscle from MI by 48 and 49% of Sham, both of which were ameliorated in MIϩHRP. Superoxide production and NAD(P)H oxidase activities were increased in MI, which was inhibited in MIϩHRP. HRP ameliorated insulin resistance associated with HF by improving insulin signaling via the inhibition of NAD(P)H oxidaseinduced superoxide production in the skeletal muscle. The (P)RR pathway is involved in the development of insulin resistance, at least in part, via the impairment of insulin signaling in the skeletal muscle from HF.