Cell hypertrophy of cardiomyocytes induced by endothelin-1 (ET-1) was inhibited by pre-treatment with fenofibrate. (A) To assess cellular hypertrophy, the cell size of cardiomyocytes was observed using Confocal Immunofluorescence study. ET-1 significantly increased the cell size of cardiomyocytes (upper right panel), compared to that of the control group (upper left panel); however, fenofibrate inhibited ET-1-induced cellular hypertrophy (lower left panel). In addition, the small interfering RNA (siRNA) of peroxisome proliferator-activated receptor α (PPARα), instead of Negative Contral (NC) siRNA, abolished the effects of fenofibrate (lower middle and right panels). (B) Quantitative results of the cell surface area of cardiomyocytes treated with fenofibrate, PPARα siRNA, or NC siRNA in response to ET-1 for 48 hours (n ≧ 10 cells per experimental group). Results are representative of three independent experiments.