Experimental studies have confirmed that dynamic changes in estrogen levels are significantly correlated with blood pressure levels in rats (Guivarc’h et al. 2020). In recent years, compelling evidence has demonstrated that the prevalence of hypertension and LVH in postmenopausal women have increased significantly worldwide (Luczak & Leinwand 2009, Brahmbhatt et al. 2019). It is known that left ventricular hypertrophy (LVH) is one of the most important manifestations of hypertension-mediated organ damage (HMOD) (Cao et al. 2019, Yildiz et al. 2020). Our team’s previous research identified that androgen was an underlying factor contributing to increased blood pressure and LVH in postmenopausal women. Of interest, DN-IGF-I receptor-expressing muscle showed a similar level of activation of Akt and p70S6K1. Androgens, especially testosterone, play a key role in cell growth (Hanson et al. 2020, Stone & Stachenfeld 2020). More importantly, our research results suggest that the protective effect of mTORC1 inhibitor is correlated with the application dose, that is, the protective effect of mTORC1 inhibitor on testosterone-induced myocardial injury in rats may be in the range of 1.5–2 mg/kg. (D, E, F, G and H) Rapamycin alleviated the expression of mTOR signaling pathway proteins. (A, B and C) Rapamycin attenuated the effect of testosterone on mRNA expression of mTOR signaling pathway. MTOR and 4EBP1 protein and mRNA expression in chlorthalidone group was paralleled with the low-dose group in myocardial tissue (Fig. 6A, C, D, E and G). The expression levels of mTOR, S6K1, 4EBP1 and eIF4E in myocardial tissue of high-dose group were lower than those of low-dose and medium-dose group (Fig. 6D, E, F, G and H). The mRNA expression levels of TIMP-1 in myocardial tissue of vehicle group were significantly lower than those of the other four groups (Fig. 5E). However, the protein expression levels of S6K1 in myocardial tissue were different from the same pattern of mTOR protein expression. These studies led us to propose the hypothesis that the mTOR signaling pathway is involved in testosterone-induced elevated blood pressure and cardiac hypertrophy in postmenopausal women. Aortic constriction-induced myocardial hypertrophy is accompanied by an increase in mTOR activity (McMullen et al. 2004). MTOR is localized on the lysosome in the basal state and the mTOR-LAMP2 complex is translocated to the cell periphery under resistance exercise, which provide close proximity to the capillaries. However, the kinase for TSC phosphorylation was unclear in this study since mechanical stimulation was previously shown to activate mTOR in PI3K/Akt-independent manner (Hornberger et al., 2004; O'Neil et al., 2009). The Hornberger group found that mTOR and TSC2 were highly enriched in the lysosome of the muscle in the resting state (Jacobs et al., 2013). It has been established that mTORC1 translocates to the lysosome through regulation of Ragulator-Rag in amino acid signaling (Sancak et al., 2008, 2010). Cell death induced by glucose deprivation was assessed in both high testosterone- and low testosterone-acclimated cells after three days. In the scrambled siRNA control cells, the activity of AR was enhanced by adding testosterone to the culture. The protein kinase mammalian target of rapamycin (mTOR) is a crucial signal transducer for cell growth and survival (2). Finally, it is clear that rapamycin reversed the effect of myocardial hypertrophy under specific conditions and further screened the optimal dose. Our findings aim to elucidate the cellular basis for increased relative tendency of hypertension and left ventricular hypertrophy in postmenopausal women and serve to help open up new research pathways. Considering that the treatment of myocardial hypertrophy by rapamycin is not proportional to the degree of high blood pressure overload damage, we used echocardiography to evaluate LVEF and LVFS as measures of cardiac function. In addition, the protective effect of mTORC1 inhibitor on testosterone-induced myocardial injury in rats may be in the range of 1.5–2 mg/kg. Our findings also support the standpoint that the mTOR inhibitor, rapamycin, can eliminate testosterone-induced cardiomyocyte hypertrophy. MTOR, ribosomal protein S6 kinase (S6K1), 4E-binding protein 1 (4EBP1) and eukaryotic translation initiation factor 4E in myocardial tissue of OVX + estrogen + testosterone group were expressed at higher levels than those of the other four groups. Akt signaling can control skeletal muscle mass through mTOR regulation of protein synthesis and FoxO regulation of protein degradation, and this pathway has been previously identified as a target of androgen signaling. The deficiency of either mTOR or raptor reduces the phosphorylation of mTORC1 downstream targets, such as p70S6K1 and 4EBP1 and increases the phosphorylation of Akt at S473 and T308. To avoid the early embryonic mortality of mice deficient for mTOR and rictor/raptor, muscle-specific knockout mice of mTOR and mTOR components were generated (Guertin et al., 2006; Bentzinger et al., 2008). MTORC1 controls protein synthesis by activating S6 kinase 1 (S6K1) and inhibiting 4E-binding protein 1 (4EBP1) (Ma and Blenis, 2009). The tumor suppressor tuberous sclerosis complex TSC1-TSC2 mediates the upstream signals of mTORC1 except for amino acid availability by acting as a GTPase-activating protein (GAP) for the small GTPase Rheb. Hence, the maintenance of muscle mass has been recognized as a determinant which directly influences quality of life. MTOR inhibitor rapamycin alleviated the…