IntroductionThe application of molecular technologies to identify proteins differentially expressed by transformed cells is providing large numbers of candidate antigens that can be potentially targeted to selectively eliminate tumor cells by cancer immunotherapy. 1,2 Efforts to vaccinate patients to such antigens have yielded some provocative results, but only a small subset of patients have demonstrated therapeutic responses, likely reflecting the many in vivo obstacles to generating potent responses to these proteins, particularly in patients with an established malignancy. 3 An alternative approach of isolating and expanding reactive T cells ex vivo followed by adoptive transfer into the patient circumvents many of these in vivo obstacles. Although this adoptive therapy approach has demonstrated significant clinical promise, 4 generating the large numbers of T cells required for adoptive therapy of cancer patients, particularly within the time constraints posed by progressive tumors, is often not feasible. Molecular technologies have now provided a means to more broadly capture the therapeutic potential of this treatment strategy. Genes encoding the ␣ and  chains of a T-cell receptor (TCR) can be isolated from a T cell reactive with the antigen of interest and restricted to a defined HLA allele, inserted into a shuttle expression vector, and then introduced into large numbers of T cells of individual patients sharing the restricting allele and the targeted protein. 5 This approach is already being pursued clinically, 6 and the goal is to establish a library of such defined TCR genes that could provide reagents for treating a diverse set of patients and diseases. Multiple virus-and tumor-reactive TCR genes have already been successfully isolated and re-expressed in T cells, including TCR genes with specificity for HLA*0201 (HLA-A2)-restricted epitopes from melanoma antigens 7-9 and HLA-A2-and HLA*2402-restricted WT1-derived epitopes. 10,11 The avidity of a T cell for its target reflects many factors, including the affinity of the TCR for its cognate antigen 12 and the level of TCR expression. [13][14][15] One difficulty with the TCR-transfer approach is that the TCR-transduced T cells are often of lower avidity than the parental T cell from which the TCR was derived due to failure to achieve wild-type levels of TCR expression, which likely contributed to the limited efficacy observed in the recently reported clinical trial pursuing this strategy. 6 Thus, the TCR chains introduced into T cells need to be initially selected for appropriate affinity 10,16 and inserted into vectors that can achieve and maintain high-level expression. 17 However, even if these criteria are met, the introduced exogenous ␣ and  chains can potentially assemble as pairs not only with each other but also with the endogenous TCR ␣ and  chains, thereby reducing the number of appropriately matched exogenous ␣TCR pairs at the cell surface and decreasing the achievable T-cell avidity. Such mismatched pairing poses a second substantive p...