Laboratory evaluation revealed marked elevations (Figure 1A shows urea levels, Figure 1B creatinine, Figure 1C glomerular filtration, and Figure 1D liver enzymes) in creatine kinase (CK 23,260 U/L), myoglobin (>3000 μg/L), liver enzymes (AST 90.4 μkat/L, ALT 43.2 μkat/L), and acute kidney injury (AKI) (creatinine peak 446 μmol/L, urea 16.5 mmol/L). The gene discussed is GPT; the disease is acute kidney injury.