When chronically provoked to increased physiologic activity, organs increase in mass through augmented protein synthesis. This process of compensatory hypertrophy can involve cell division as well as cell growth. To test for molecules that might regulate organ size, by inducing hypertrophy, we performed a series of experiments using isolated, perfused, canine hearts in which theleft ventricle was beating but performed no work. Hypertrophying hearts and kidneys as well as normal control organs were extracted and the extracts were perfused through isolated heart preparations. Before and after perfusion, RNA was extracted from fragments of the isolated hearts and translated in cell-free media containing [3sSlmethi-onine. Incorporation of methionine into protein was measured by liquid scintillation spectrometry. WCen erfused through normal hearts, extracts from hypertrophying heart and kidney were able to increase greatly the translational ability of RNA extracted from the normal hearts; corresponding perfusates from nonhypertrophying hearts and kidneys had no effect. Our results indicate that molecules that initiate hypertrophic organ growth are extractable, are generated by the cells of the organ under stress, and are probably similar in heart and kidney and perhaps in many other organs as well. When stimulated to increased function, many organs respond by growing larger. Such growth may involve hypertrophy (increased cell size) or hyperplasia (increased cell division) or both (1). The initial stimulus to growth may be mediated through the nervous (2) or endocrine (3) system or by chemical changes produced by the stressed cells themselves. Determination of organ size is critically important to the structure and function of an organism, and the problem of hypertrophic growth regulation has attracted the attention of investigators for many years.Several hypotheses can be advanced to account for the regulation of organ size: (i) stimulating or inhibiting molecules released by the target organ and acting in feedback loops upon the organ have often been suggested as a basic mechanism for fixing organ size in accord with the physiological needs of the organism (4, 5); (ii) growth may occur as a consequence of the production of specific kinds of molecules (6, 7) within the target cells themselves without the involvement of any circulating molecules; (iii) shifting patterns of metabolic events may bring functional activity and size into concordance, with changes in the proportions of existing molecular species but without the production of regulatory molecules (8, 9). In an attempt to test these various hypotheses and to discover substances that might be involved in regulating organ size, we performed a series of experiments using the canine heart as a target organ.The muscle cells of mammalian hearts do not increase in number after birth, but they do increase in size in response to increased work loads-that is, the heart hypertrophies. An early biochemical indication of impending hypertrophy is increased RNA synt...