SUMMARY Several isoforms of superoxide dismutase (SOD), including copper/zinc (cytosolic) and manganese (mitochondrial), exist. In the human placenta, SOD may prevent excessive superoxide accumulation and any potential deleterious oxidative effects. In preeclampsia, increased levels of lipid peroxide and decreased SOD activity have been described in the placenta. Oxidative stress such as occurs in pre-eclampsia can alter expression of SOD isoforms. The objective of this study was to localize the copper/zinc and manganese SOD isoforms in the placenta using immunohistochemistry and to compare localization and intensity of immunostaining in tissues from normotensive pregnancies with those from pregnancies complicated by pre-eclampsia and/or intrauterine growth restriction (IUGR). Western blotting with specific antibodies recognized a 17-kD copper/zinc and a 23-kD manganese SOD subunit in placental homogenates. Intense immunostaining for the manganese SOD isoform was seen in villous vascular endothelium, but only faint staining was found in the syncytiotrophoblast or villous stroma. In serial sections, intense immunostaining for copper/ zinc SOD was seen in certain cells of the villous stroma but only faint immunostaining in syncytiotrophoblast and vascular endothelium. No apparent differences in localization or intensity of immunostaining for either isoform were seen between tissues of normotensive or pre-eclamptic pregnancies, with or without IUGR. The different cellular localizations of the SOD isoforms suggest that they fulfill different functional roles within the placenta. I n the absence of autonomic innervation, blood flow in the human placenta must be determined by humoral mechanisms and by autocrine/paracrine factors produced in the placental vasculature itself (Myatt 1992). We have previously shown that the nitric oxide (NO) radical is a potent vasodilator of the human fetal placental vasculature in vitro (Myatt et al. 1991), where it serves to maintain basal blood flow and to attenuate the action of vasoconstrictors ). The bioactivity of NO is limited by its interaction with the superoxide anion, which causes its inactivation (Moncada et al. 1991). Conversely, the activity of NO is prolonged by the presence of the enzyme superoxide dismutase (SOD), which removes superoxide. Therefore, the bioactivity of NO may be determined by the local level of superoxide, which itself may depend on the local activity of SOD. We have shown that in the perfused human placental cotyledon, infusion of SOD into the placental fetal vasculature promotes vasodilatation (Holcberg et al. 1995b), presumably by scavenging superoxide and hence prolonging the half-life of endogenously produced NO.The action of superoxide is normally limited by its low lipid solubility, its limited membrane transport, and also by its removal by SOD, the rate constant of