Proper kidney function is intricately linked to cardiovascular health. To help maintain homeostasis, the kidney is innervated by peripheral nerves which play significant roles in the regulation of renal function. Our lab has recently established that peripheral neurons composed of both sympathetic and sensory fibers innervate the kidney concomitantly during arterial differentiation, following guidance cues released by renal stromal cells. Yet, it remains unknown whether renal nerves actively direct organogenesis as they establish neuroeffector junctions to begin mediating physiology. In this study, we hypothesize that renal nerves release spatially and temporally important signaling factors which regulate kidney development. To test this hypothesis, we genetically ablated renal nerves in utero utilizing a whole animal Ntrk1 knockout (TrkA) which is required for neuronal survival. Using 3D light-sheet imaging and IMARIS analysis on wild-type ( TrkA+/+) (n=6), heterozygous ( TrkA+/-) (n=6), and mutant ( TrkA−/−) (n=6) mice, we assessed morphology and number of renal structures in at P0. We found total glomeruli number was decreased (P1-way Anova <0.001) and glomeruli diameter was increased (P1-way Anova <0.001) in heterozygous TrkA+/- and further in mutant TrkA−/− denervated kidneys compared to TrkA+/+ wild-type kidneys at P0. Using immunofluorescence (IF) on kidney section, we observed that proximal tubule diameter was increased (PT-test < 0.0001) in mutant TrkA−/− denervated kidneys compared to TrkA+/+ wild-type kidneys at P0. These data suggest that renal nerves are poised to impact nephron morphology and/or function during kidney development. We further established that renal nerves traffcked Synapsin 1+ vesicles showing that they establish neuro-effector junctions with developing kidney structures like glomeruli and tubules suggesting potential cellular crosstalk important for development. Future efforts will aim to conditionally delete sensory or sympathetic renal nerves independently and investigate the developmental and resulting functional phenotypes. Taken together our findings will significantly bridge the gap in knowledge concerning the establishment of renal innervation and the role of nerves in kidney development and disease. O'Brien Lab Startup Fund, R01DK121014 (O'Brien, PI). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.