Abstract-We have tested the hypothesis that increased gap junctional communication contributes to the augmented endothelium-dependent vasodilation in pregnancy. Contractile force and connexin43 expression were measured in aortic rings from nonpregnant and pregnant rats. Norepinephrine-constricted aortas from pregnant rats were more sensitive to acetylcholine, but not to sodium nitroprusside, compared with those from nonpregnant rats. Vessels from pregnant rats, constricted either with 45 mmol/L KCl or with norepinephrineϩ10 Ϫ4 mol/L N G -monomethyl-L-arginine (L-NMMA), an inhibitor of nitric oxide synthase, also exhibited greater relaxation to acetylcholine. Heptanol, an uncoupler of gap junctional communication, inhibited acetylcholine responses in norepinephrine-constricted aortas from nonpregnant rats but greatly impaired acetylcholine relaxation in aortas from pregnant rats. Heptanol also inhibited in both groups acetylcholine responses in vessels constricted with KCl, only minimally affected acetylcholine relaxation in arteries constricted with norepinephrineϩL-NMMA, and did not change sodium nitroprusside-induced relaxation. Tetraethylammonium chloride induced greater contractions in control aortas compared with aortas from pregnant rats. Increased connexin43 mRNA levels were found in the uterus and in the mesenteric, uterine, and thoracic aortic arteries, but not in the heart and brain, from pregnant rats. These results suggest that increased gap junctional communication, possibly due to increased gap junction protein expression, may facilitate the effects of endothelium-derived relaxing factors, contributing to the augmented endothelium-dependent relaxation in arteries from pregnant rats. Key Words: preeclampsia Ⅲ rats Ⅲ gap junctions Ⅲ nitric oxide Ⅲ endothelium-derived factor P regnancy is associated with a decrease in systemic vascular resistance, which maintains or reduces maternal blood pressure despite the increase in plasma volume and cardiac output. 1 Pregnancy in women and in other mammals, such as the rat, is also characterized by a blunted pressor response 2,3 and decreased vascular reactivity 4,5 to a series of vasoconstrictors. The mechanism(s) responsible for these cardiovascular changes in pregnancy is not fully understood but has been under intense investigation, particularly because its malfunction may have a role in preeclampsia. 6 Because blunted constrictor responses in arteries from pregnant animals are observed in vitro 4,5 and no changes in receptor number or affinity seem to occur, 2,7 it has been suggested that a general mechanism, occurring within the blood vessel wall, is involved. Enhanced endothelium-dependent vasodilation, which may contribute to the attenuated vasoconstriction during pregnancy, has been systematically shown in vessels from pregnant animals, including the uterine, mesenteric, thoracic, and abdominal aortic arteries. 8 -11 Nitric oxide (NO), but not prostaglandins, is considered to contribute substantially to the increased endothelium-dependent relaxation in...