RT Journal Article T1 Identification of Structural and Molecular Signatures Mediating Adaptive Changes in the Mouse Kidney in Response to Pregnancy A1 Lopez-Tello, Jorge A1 Jiménez Martínez, María de los Ángeles A1 Salazar-Petres, Esteban A1 Patel, Ritik A1 George, Amy A1 Kay, Richard A1 Sferruzzi-Perri, Amanda AB Pregnancy is characterized by adaptations in the function of several maternal body systems that ensure the development of the fetus whilst maintaining health of the mother. The renal system is responsible for water and electrolyte balance, as well as waste removal. Thus, it is imperative that structural and functional changes occur in the kidney during pregnancy. However, our knowledge of the precise morphological and molecular mechanisms occurring in the kidney during pregnancy is still very limited. Here, we investigated the changes occurring in the mouse kidney during pregnancy by performing an integrated analysis involving histology, gene and protein expression assays, mass spectrometry profiling and bioinformatics. Data from non-pregnant and pregnant mice were used to identify critical signalling pathways mediating changes in the maternal kidneys. We observed an expansion of renal medulla due to proliferation and infiltration of interstitial cellular constituents, as well as alterations in the activity of key cellular signalling pathways (e.g., AKT, AMPK and MAPKs) and genes involved in cell growth/metabolism (e.g., Cdc6, Foxm1 and Rb1) in the kidneys during pregnancy. We also generated plasma and urine proteomic profiles, identifying unique proteins in pregnancy. These proteins could be used to monitor and study potential mechanisms of renal adaptations during pregnancy and disease. PB MDPI SN 1661-6596 YR 2022 FD 2022 LK https://hdl.handle.net/20.500.14352/95696 UL https://hdl.handle.net/20.500.14352/95696 LA eng NO Author ContributionsConceived and designed the study, J.L.-T. and A.N.S.-P.; animal work, J.L.-T.; investigation and data curation, J.L.-T., M.A.J.-M., E.S.-P., R.P., A.L.G., R.G.K. and A.N.S.-P.; formal analysis, J.L.-T., E.S.-P., A.L.G. and R.G.K.; visualization, J.L.-T.; writing—original draft preparation, J.L.-T. and A.N.S.-P.; review and editing, all authors. All authors have read and agreed to the published version of the manuscript. NO Wellcome Trust NO Lister Institute DS Docta Complutense RD 17 abr 2025