Cardiac hypertrophy is an important and independent risk factor for the development of heart failure. To better understand the mechanisms and regulatory pathways involved in cardiac hypertrophy, there is a need for improved in vitro models. In this study, we investigated how hypertrophic stimulation affected human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (CMs). The cells were stimulated with endothelin-1 (ET-1) for 8, 24, 48, 72, or 96h. Parameters including cell size, ANP-, proBNP-, and lactate concentration were analyzed. Moreover, transcriptional profiling using RNA-sequencing was performed to identify differentially expressed genes following ET-1 stimulation. The results show that the CMs increase in size by approximately 13% when exposed to ET-1 in parallel to increases in ANP and proBNP protein and mRNA levels. Furthermore, the lactate concentration in the media was significantly increased indicating that the CMs consume more glucose, a hallmark of cardiac hypertrophy. Using RNA-seq, a hypertrophic gene expression pattern was also observed in the stimulated CMs. Taken together, these results show that hiPSC-derived CMs stimulated with ET-1 display a hypertrophic response. The results from this study also provide new molecular insights about the underlying mechanisms of cardiac hypertrophy and may help accelerate the development of new drugs against this condition. hypertrophy including adverse gene expression profile, increase in ANP and BNP protein levels, and increased lactate production due to a higher glucose consumption (8-10). This type of cardiac hypertrophy is induced by conditions such as chronic hypertension, aortic stenosis, myocardial infarction, or gene mutations. Until recently, only animal-based models have been available to study cardiac hypertrophy in a pre-clinical setting. These models are in many ways useful, but there are significant differences between human-and animal-cardiovascular systems, including stress response and ion channel expression, that makes translation to the human situation challenging (11). Novel technologies, based on human stem cells, could offer clinically relevant in vitro-based alternatives.Human pluripotent stem cells (hPSCs) have a unique capability to self-renew and differentiate into all cell types in the body (12). These features make them useful for various in vitro applications, such as toxicity testing and disease modeling. In particular, hPSC-derived CMs have proven to be useful in many in vitro assays (13)(14)(15). Human cell-based models are anticipated to provide alternatives to the use of animal models for studies of cardiac hypertrophy mechanisms. Besides providing systems that are scalable and may improve the translation of the results to the clinical situation, the availability of human cell-based models can also help to reduce the need for animal experiments.Cardiac hypertrophy can be induced by different methods in vitro, where the most commonly used are neurohormonal stimulation and physical stretching. The neurohormonal appr...