Abstract-Preeclampsia is associated with structural/functional alterations in placental and maternal vasculature.Voltage-dependant potassium channels encoded by KCNQ1-5 genes have been detected in several types of blood vessels where they promote vascular relaxation. Voltage-dependant potassium channel function can be modulated by KCNE1-5-encoded accessory proteins. The aim of this study was to determine whether KCNQ and KCNE genes are differentially expressed in placentas from women with preeclampsia compared with normotensive controls and to examine any differences in those who delivered preterm (Ͻ37 weeks) or term. Key Words: potassium channel Ⅲ placenta Ⅲ preeclampsia Ⅲ KCNQ Ⅲ KCNE P reeclampsia is a pregnancy-specific condition affecting 2% to 7% of women and is associated with maternal multiorgan dysfunction. 1 This disorder, which is responsible for Ϸ60 000 maternal deaths each year worldwide, 2 increases perinatal mortality 5-fold 3 and is commonly associated with preterm delivery and fetal growth restriction. 4 Women who develop preeclampsia and their infants are at increased risk of hypertension, metabolic disorders, cardiovascular disease, and cardiovascular death in later life. 5,6 The pathophysiology underpinning the disorder is complex. Impaired placentation almost certainly plays a part. Placental and maternal oxidative stress and generalized systemic inflammatory activation 7 are main components of the syndrome. 8 Altered maternal and placental vascular reactivity and endothelial cell function have been implicated in the clinical manifestations of preeclampsia, for example, an increase in total peripheral vascular resistance, 9,10 hypertension, and altered hemodynamics.There is emerging evidence to suggest that potassium channels play important roles in the feto-placental vasculature. 11-15 Specifically, it is proposed that suppression of voltage-dependant potassium channel function may increase vascular tone and, hence, be a mechanism affecting perfusion in placentas from women with preeclampsia.The subfamilies of voltage-gated K V 7 channels (potassium channel complexes encoded by KCNQ1-5 and KCNE1-5 genes) are of particular interest, because preliminary data indicate the presence of functional K V 7 channels in human chorionic plate arteries. 15 K V 7 channel activity is generally associated with outwardly rectifying, voltage-dependent K ϩ