T-cell receptor (TCR)-engineered T cells are a novel option for adoptive cell therapy used for the treatment of several advanced forms of cancer. Work using TCR-engineered T cells began more than two decades ago, with numerous preclinical studies showing that such cells could mediate tumor lysis and eradication.

TCR-engineered T cell Development

Three features are required for candidate target antigens that are used for TCR-engineered T cell treatment:

  • They must be selectively expressed in tumors and not in normal tissues (tumor specificity);
  • They are related to oncogenesis (tumor addiction);
  • They are able to evoke a T-cell response (immunogenicity). Broadly speaking, choosing an appropriate antigen is the first and most important step to determine the effectiveness of TCR-engineered T cells.

A great deal of scientific studies have shown that TCR-engineered T cells can target and kill cancer cells expressing appropriate antigens. However, for treatment to be feasible, it is necessary to first enrich TCR-gene modified antigen-specific T cells in vitro. Adoptive cell therapy with these engineered cells would be a precise therapy as it targets antigens expressed on cancer cells present in the patient.

Identifying TCR sequences is inherently difficult because each T cell contains its own unique TCR that recognizes a distinct set of pMHC molecules. Several methods have been developed to identify TCR sequences from single T cells.

TCR-engineered T cell Development

Three typical procedures to obtain TCR sequence. Antigen responsive T cells are isolated; specific TCR genes are identified by single clone derived-cDNA sequencing; paired sequencing; paired sequencing of bulk DNA.

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