“…As few as one or two amino acid changes in the complementarity determining regions can increase the affinity of TCRs ( 8 , 65 , 114 , 123 ), evident by slower TCR off rates ( 124 ). High throughput methods such as phage ( 124 , 125 ), yeast ( 126 , 127 ), and T cell display libraries ( 128 , 129 ), along with somatic hypermutation ( 130 ), and in-vitro T cell differentiation ( 131 ) have been employed to generate high affinity TCRs, sometimes in conjunction with available structure data ( 132 ). While increasing TCR affinity has been shown to increase the effectiveness of the T cell ( 65 , 74 , 123 ), TCRs whose affinities are too high can become less effective ( 115 ) and are at higher risk for cross reactivity ( 74 , 115 , 123 ).…”