Preeclampsia impairs fetoplacental vascular function and increases risks of adult-onset cardiovascular disorders in children born to preeclamptic mothers, implicating that preeclampsia programs fetal vasculature in utero. However, the underlying mechanisms remain elusive. We hypothesize that preeclampsia alters fetal endothelial gene expression and disturbs cytokines-and growth factors-induced endothelial responses. RNAseq analysis was performed on unpassaged human umbilical vein endothelial cells (HUVECs) from normotensive and preeclamptic pregnancies. Functional assays for endothelial monolayer integrity, proliferation, and migration were conducted on passage 1 HUVECs from normotensive and preeclamptic pregnancies. Compared with normotensive cells, 926 and 172 genes were dysregulated in unpassaged female and male HUVECs from preeclamptic pregnancies, respectively. Many of these preeclampsiadysregulated genes are associated with cardiovascular diseases (e.g., heart failure) and endothelial function (e.g., cell migration, calcium signaling, and endothelial nitric oxide synthase signaling). TNFα-, TGFβ1-, FGF2-, and VEGFA-regulated gene networks were differentially disrupted in unpassaged female and male HUVECs from preeclamptic pregnancies. Moreover, preeclampsia decreased endothelial monolayer integrity in responses to TNFα in both female and male HUVECs. Preeclampsia decreased TGFβ1-strengthened monolayer integrity in female HUVECs,