Identifying the genes underlying quantitative trait loci (QTL) for disease is difficult, mainly because of the low resolution of the approach and the complex genetics involved. However, recent advances in bioinformatics and the availability of genetic resources now make it possible to narrow the genetic intervals, test candidate genes, and define pathways affected by these QTL. In this study, we mapped three significant QTL and one suggestive QTL for an increased albumin-to-creatinine ratio on chromosomes (Chrs) 1, 4, 15, and 17, respectively, in a cross between the inbred MRL/MpJ and SM/J strains of mice. By combining data from several sources and by utilizing gene expression data, we identified Tlr12 as a likely candidate for the Chr 4 QTL. Through the mapping of 33,881 transcripts measured by microarray on kidney RNA from each of the 173 male F2 animals, we identified several downstream pathways associated with these QTL, including the glycan degradation, leukocyte migration, and antigen-presenting pathways. We demonstrate that by combining data from multiple sources, we can identify not only genes that are likely to be causal candidates for QTL but also the pathways through which these genes act to alter phenotypes. This combined approach provides valuable insights into the causes and consequences of renal disease. Chronic kidney disease is a growing medical problem caused by various environmental and genetic factors. Identifying the genes underlying common forms of kidney disease in humans has proven difficult, expensive, and time consuming. However, quantitative trait loci (QTL) for several complex traits, including renal phenotypes, 1 are concordant among mice, rats, and humans, suggesting that genetic findings from animal models are relevant to human disease. With respect to chronic kidney disease, QTL analysis using mice is likely to contribute new findings in the near future.In addition to mapping the causative loci, it is of equal importance to identify the pathways regulated by the loci so that we gain a better understanding of the processes that drive renal damage. One approach to identify the genes that are driven by certain loci is a method known as genetical genomics, in which gene transcripts are treated as quantitative traits and mapped in a cross in the same way as any other phenotype. 2 In this study we generated an F2 intercross between the kidney damage-susceptible SM/J (SM) and the nonsusceptible MRL/MpJ (MRL) mouse inbred strains. In addition to measuring the urinary albumin-to-creatinine ratio (ACR), we obtained a kidney expression profile from each mouse using Affymetrix arrays. This allowed us to identify the loci responsible for the difference in ACR between