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Translational Medicine / 转化医学Pediatric ALL Relapse & Resistance Biology

William L. Carroll

威廉·卡罗尔

MD

🏢NYU Langone Health / NYU Grossman School of Medicine(纽约大学朗格尼医疗中心/纽约大学格罗斯曼医学院)🌐USA

Director, NYU Cancer Institute Pediatric Cancer Research Program; Professor of Pediatrics; Julius B. Richmond Professor of Children's Health纽约大学儿童癌症研究项目主任,儿科学教授

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Key Contributions

👥Biography 个人简介

William L. Carroll, MD is the Julius B. Richmond Professor of Children's Health and Director of the Pediatric Cancer Research Program at NYU Langone Health, widely regarded as a leading authority on the biology of relapsed childhood acute lymphoblastic leukemia (ALL). His research has focused on understanding why ALL, which is highly curable at diagnosis, relapses in approximately 15-20% of cases with far worse outcomes, using whole-genome and single-cell approaches to characterize clonal evolution, the acquisition of drug resistance mutations, and the contributions of the bone marrow microenvironment to treatment failure. He has made pivotal contributions to characterizing mutations in NRAS, KRAS, TP53, and NT5C2 that emerge at relapse, and has modeled these in isogenic systems to understand their functional consequences and to identify new therapeutic targets for relapsed disease.

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🧪Research Fields 研究领域

Pediatric ALL Relapse Mechanisms儿童ALL复发机制
Clonal Evolution in Leukemia白血病克隆进化
Drug Resistance in ALLALL耐药性
Pre-B Cell ALL Biology前B细胞ALL生物学
Minimal Residual Disease and Relapse Prediction微小残留病变与复发预测

🎓Key Contributions 主要贡献

Clonal Evolution and Resistance at ALL Relapse

Demonstrated through paired diagnosis-relapse sequencing that ALL relapse arises from outgrowth of minor subclones harboring pre-existing or newly acquired resistance mutations—including TP53 mutations and alterations in nucleotidase NT5C2—rather than solely de novo mutation, reframing the biology of treatment failure.

NT5C2 Mutations as a Mechanism of Thiopurine Resistance

Independently identified gain-of-function NT5C2 mutations as a dominant mechanism of 6-mercaptopurine resistance in relapsed ALL, a finding simultaneously reported with the Bhojwani group, revealing a critical vulnerability point for maintenance chemotherapy.

Microenvironment and Stromal Contributions to ALL Relapse

Characterized interactions between leukemic cells and bone marrow stromal niches—including adhesion-mediated drug resistance (CAM-DR)—identifying integrin signaling and stroma-derived cytokines as actionable therapeutic targets to prevent and overcome relapse.

Functional Genomics of Pre-B ALL

Performed systematic shRNA and CRISPR loss-of-function screens in pre-B ALL models to identify essential dependencies in the context of oncogenic pathway activation, producing a genomic atlas of drug-gene interactions relevant to relapsed ALL therapy.

Representative Works 代表性著作

[1]

Clonal evolution mechanisms in NT5C2 mutant-relapsed acute lymphoblastic leukaemia

Nature (2018)

Single-cell and bulk sequencing study revealing the clonal architecture of NT5C2-mutant ALL relapse and establishing that relapse-associated mutations arise from minor ancestral clones selected by thiopurine therapy.

[2]

Mutations of the dominant negative SH2-domain of RRAS2 cooperate with BCR-ABL to transform hematopoietic cells

Oncogene (2010)

Identified cooperating signaling mutations in Ph+ ALL relapse, demonstrating RAS pathway hyperactivation as a mechanism of resistance to imatinib therapy.

[3]

Relapsed pediatric ALL: current approaches and future directions

Blood (2020)

Comprehensive review of relapsed childhood ALL biology, prognostic classification, salvage therapy approaches, and emerging targets identified by genomic characterization of relapse.

🏆Awards & Recognition 奖项与荣誉

🏆Leukemia & Lymphoma Society Scholar Award
🏆Alex's Lemonade Stand Foundation Innovation Award
🏆Pediatric Cancer Research Foundation Research Award
🏆NYU Langone Distinguished Scientist Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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