This study was performed to assess the biological significance of miR-210 in preeclampsia and smallfor-gestational-age (SGA) pregnancies. Placental miR-210 expression was evaluated by quantitative RT-PCR (RT-qPCR) in the following groups: i) appropriate-forgestational-age pregnancies (n ؍ 72), ii) preeclampsia (n ؍ 52), iii) SGA (n ؍ 66), and iv)preeclampsia with SGA (n ؍ 31). The effects of hypoxia (1% O 2 ) on miR-210 and iron-sulfur cluster scaffold homologue (ISCU) expressions and miR-210 binding to ISCU 3= UTR were examined in Swan 71 and BeWo cell lines. Perls' reaction (n ؍ 229) and electron microscopy (n ؍ 3) were conducted to verify siderosis of trophoblasts. miR-210 expression was increased in preeclampsia and SGA cases and was decreased with birth weight and gestational age. In both cell lines, miR-210 was induced by hypoxia, whereas ISCU expression was decreased. The luciferase assay con- Preeclampsia is a major pregnancy disorder, affecting 5% to 8% of all pregnancies, and is associated with increased maternal and perinatal morbidity.1,2 This disorder clearly has features of systemic inflammation and endothelial dysfunction in the mother.3,4 Many studies [5][6][7] have described changes of placental gene expression in pregnancies affected with preeclampsia, notably in-