A key issue in advancing the use of adoptive cell transfer (ACT) of T cell receptor (TCR) engineered lymphocytes for cancer therapy is demonstrating how TCR transgenic cells repopulate lymphopenic hosts and target tumors in an antigen-specific fashion. ACT of splenocytes from fully immunocompetent HLA-A2.1/K b mice transduced with a chimeric murine/human TCR specific for tyrosinase, together with lymphodepletion conditioning, dendritic cell (DC)-based vaccination, and highdose interleukin-2 (IL-2), had profound antitumor activity against large established MHC-and antigen-matched tumors. Genetic labeling with bioluminescence imaging (BLI) and positron emitting tomography (PET) reporter genes allowed visualization of the distribution and antigen-specific tumor homing of TCR transgenic T cells, with trafficking correlated with antitumor efficacy. After an initial brief stage of systemic distribution, TCR-redirected and genetically labeled T cells demonstrated an early pattern of specific distribution to antigenmatched tumors and locoregional lymph nodes, followed by a more promiscuous distribution 1 wk later with additional accumulation in antigen-mismatched tumors. This approach of TCR engineering and molecular imaging reporter gene labeling is directly translatable to humans and provides useful information on how to clinically develop this mode of therapy.adoptive cell transfer therapy | molecular imaging | tumor immunotherapy A doptive cell transfer (ACT) of antigen-specific T cells involves the administration of large pools of autologous antigen-specific T cells generated by ex vivo expansion of cytotoxic T lymphocytes (CTLs) from peripheral blood mononuclear cells (PBMC) (1) or by expanding tumor antigen-reactive tumor-infiltrating lymphocytes (TIL) (2). These approaches have resulted in significant antitumor activity in patients with metastatic melanoma, but they are primarily limited by the need for lengthy ex vivo cell expansion time (several weeks) followed by the selection of antigen-specific cells for ACT. T cell receptor (TCR) engineering represents an alternative approach that attempts to shorten this process because the transfer of the alpha and beta TCR genes is necessary and sufficient to endow recipient T cells with the specificity of donor T cells (3, 4). The pioneering work by investigators at the Surgery Branch, National Cancer Institute, provided proof of principle that the ACT of TCR-engineered lymphocytes in humans is feasible and leads to objective tumor responses in patients with metastatic melanoma (5, 6).However, early clinical studies with ACT of TCR-engineered cells suggest that their antitumor activity lags behind the response rates achieved with ACT of TILs (2). Using two different TCRs, the response rate of ACT of TCR transgenic cells to patients with metastatic melanoma was in the range of 25%, whereas the same full ACT protocol but using TILs generated response rates in the 50-70% range in patients with metastatic melanoma (6, 7). There are several possible explanations for this di...