Laboratory tests revealed marked elevation of liver enzymes with coagulopathy and renal failure (AST, 22,291 IU/L; ALT, 7666 IU/L; PT-INR, 5.51; APTT, 73.6 s; Cre, 4.64 mg/dL; BUN, 83 mg/dL; CRP, 7.15 mg/dL; ferritin, 7668 ng/mL). The gene discussed is GPT; the disease is acute kidney injury.