Stanford Medicine · Department of Pediatrics

Creating biotechnologies that improve human health

We invent single-cell and cell-free genomics methods, then use them to understand how childhood cancers arise, evolve, and resist treatment, and to build faster, more accurate diagnostics.

Cover art: PNAS, 2021
Our mission

What we will conquer together

Three things a lab can do that a company or a clinic alone cannot: invent the measurement, use it to find the answer, and carry it to the bedside.

01

Invent new ways to read single cells

The lab invented primary template-directed amplification (PTA), which recovers the genome of a single cell more completely and accurately than earlier methods, and has extended it to paired genome, transcriptome, and methylation readouts from the same cell.

02

Discover how cancer evolves and escapes

We follow individual leukemia cells through diagnosis, treatment, and relapse to learn why a small fraction of cells survive therapy, and how somatic mutations accumulate in normal tissues throughout life.

03

Translate discoveries into diagnostics

As a practicing pediatric oncologist, Chuck Gawad leads the lab toward tests that detect relapse and infection earlier, from plasma cell-free DNA sequencing to single-microbe genomics.

Research

The projects that will make it happen

Six connected programs, each pairing a technology we build with a biological or clinical question it is built to answer. Together they take a single cell's genome from the bench to a child's bedside.

Read about each program
  1. 01

    Leukemia clonal evolution and treatment resistance

    Sequencing rare persistent leukemia cells to find the mechanisms of resistance, and building assays that detect relapse before it is clinically visible.

    Pediatric ALLAMLRelapse
  2. 02

    Viral origins of childhood leukemia

    Testing whether common respiratory viruses infect preleukemic B-cell precursors and, through interferon and APOBEC3A, write the mutations that turn a silent fusion into leukemia.

    ETV6-RUNX1APOBEC3AInfluenza
  3. 03

    Somatic mosaicism in human tissues

    Measuring the genetic and epigenetic state of the same single cells from normal and diseased tissues to learn how mutations acquired over a lifetime shape disease.

    NeuronsmtDNAEpigenetics
  4. 04

    Single-cell and cell-free genomics technologies

    PTA and its multi-omic extensions for accurate variant, transcript, and methylation measurements from one cell, plus methods for cell-free DNA.

    PTAMulti-omicsMethylation
  5. 05

    Infectious disease diagnostics

    Plasma cell-free metagenomic sequencing that predicts bloodstream infection in children with cancer, and rapid, low-cost approaches to diagnosing sepsis.

    cfDNASepsisPoint of care
  6. 06

    Single-microbe genomics

    scMicrobe PTA recovers near-complete genomes from individual bacterial cells without culture, opening strain-level views of microbial communities and antimicrobial resistance.

    scMicrobe PTACulture-freeAMR
News

From the lab

All news
Support

Our work is made possible by

Alex's Lemonade Stand Foundation Burroughs Wellcome Fund Hyundai Hope On Wheels NIH Director's New Innovator Award Stanford University American Society of Hematology Chan Zuckerberg Biohub Leukemia & Lymphoma Society Alex's Lemonade Stand Foundation Burroughs Wellcome Fund Hyundai Hope On Wheels NIH Director's New Innovator Award Stanford University American Society of Hematology Chan Zuckerberg Biohub Leukemia & Lymphoma Society
Join us at Stanford Medicine

Build the next generation of single-cell tools, steps from the patients they are for

The lab is growing and hiring now. We work in the Biomedical Innovations Building, a short walk from Lucile Packard Children's Hospital, Stanford's genomics cores, and the Chan Zuckerberg Biohub. Postdocs, scientists, analysts, students, and collaborators are all welcome.

Main Quad and Hoover Tower. Photo: Frank Schulenburg, CC BY-SA 4.0