Adoptive cell therapy (ACT) has transformed treatment options for patients with advanced or refractory cancers by redirecting the immune system to recognize and eliminate malignant cells.
Engineered TCR therapies represent a major branch of ACT, using synthetic or optimized T-cell receptors to target tumor-specific antigens. The workflow typically begins with sequencing the tumor biopsy to identify actionable mutations and the peripheral blood to map the patient’s TCR repertoire.
TCR repertoire profiling can be performed using bulk or single-cell sequencing, each offering distinct advantages:
Bulk sequencing provides broad coverage of the repertoire and captures large numbers of clonotypes, but does not preserve α–β chain pairing.
Single-cell sequencing preserves α–β receptor pairing and full receptor architecture, but at a much lower throughput than bulk methods.







