Preeclamptic pregnancies involve mild renal injuries. However, there has been evidence that women with a history of preeclampsia (PE) have an increased risk to develop kidney disease in association to high blood pressure later in life. This study aims to characterize renal injury during pregnancy and postpartum in an established transgenic rat model for PE. Female Sprague-Dawley rats transgenic for the human angiotensinogen gene develop a PE phenotype in pregnancy, including cardiac remodeling, when mated with male rats harboring the human renin gene. Postpartum, blood pressure restores but cardiac remodeling persists. We hypothesize that PE during pregnancy mediates kidney injuries but does not fully restore after ending of the high blood pressure (postpartum). The renal alterations were analyzed by histological staining, gene expression and urine analysis. PE rats have elevated mean arterial blood pressure during pregnancy (PE
d19
148.4 ± 20.7 mmHg) compared to normotensive values in control animals (WT
d19
105.3 ± 4.6 mmHg). During PE increased expression of
kidney injury marker 1
(
Kim-1/18S
: PE
d21
4.14 ± 3.26; WT
d21
0.08 ± 0.02),
neutrophil gelatinase associated lipocalin 2
(
Ngal/18S
: PE
d21
1.64 ± 0.83; WT
d21
0.59 ± 0.28) and
connective-tissue growth factor
(
Ctgf/18S:
PE
d21
1.51 ± 0.46; WT
d21
0.92 ± 0.32) were detected. Kidneys of PE rats showed mild glomerular (PAS-positive glomerular area PE
d21
86.2 ± 4.4%; WT
d21
79.1 ± 3.2%) and tubular changes during PE pregnancy resulting in albuminuria (albumin/creatinine ratio PE
d19
2193.8 ± 1878.2; WT
d19
290.4 ± 252.0). However, 4 weeks after pregnancy (approx. 2 years in humans) most of the PE related renal damages were absent including albuminuria and elevated expression of biomarkers (
Kim-1/18S
: PE
d50
0.09 ± 0.05; WT
d50
0.23 ± 0.13;
Ctgf/18S
: PE
d50
0.78 ± 0.25; WT
d50
0.8 ± 0.25;
Ngal/18S
: PE
d50
0.37 ± 0.17; WT
50
0.47 ± 0.11). Only mild enlargement of glomerular tuft area (PE
d50
7523.8
± 418.7 μm
2
; WT
d50
7058.4 ± 198.8 μm
2
) was detected. Overall, the glomerular and tubular injuries are present during pregnancy in this transgenic PE rat. Most restore postpartum, speculating long-term kidney failure observed in humans is associated to hypertension and additional cardiovascular events.