Experimental design to measure early perturbations in rat endogenous metabolism, and preliminary studies to determine the dose of gentamicin and time points after exposure to assess injury. Levels of kidney-injury molecule 1 (KIM-1) in urine samples collected at different time windows for rats treated with vehicle (control) or gentamicin (0.50 g/kg) (A) and for rats treated with 0.25 or 0.50 g/kg of gentamicin (B). * Indicates statistically significant differences based on a p value of less than .05. Schematic showing the design of the study, using Sprague Dawley rats exposed to a single dose of 0.50 g/kg of gentamicin under fasting conditions (C). Animals were catheterized 1 week before each experiment and allowed to recover. In Study 1, we administered either gentamicin or vehicle to rats (n = 8 each), and after 13 h, infused them with a combination of 2H/13C tracers to obtain isotope labeling measurements required for metabolic flux analysis. In Studies 2 and 3, we administered gentamicin to rats and observed them for 7 or 13 h (n = 8 in each group with corresponding controls), respectively. We collected samples of liver/kidney tissues and blood/urine after gentamicin exposure (at 7 or 13 h), which we subjected to RNA-sequencing and global metabolic profiling analysis, respectively.