The notion that the immune system has the capacity to prevent, control and eradicate cancer has been present for many years, but truly effective potent immunotherapeutic strategies have materialized only recently. One of the most successful and effective of these strategies involves adoptive transfer of genetically engineered T cells expressing chimeric antigen receptor (CAR) targeting the B-cell antigen CD19 present on B-cell lymphomas, acute lymphoblastic leukemia and chronic lymphocytic leukemia (1,2). Although the CD19 appears to represent an excellent safe target and the initial reports of efficacy are highly promising, it is clear that many aspects of the adoptive immunotherapy protocols still must be perfected. Generation of specific anti-tumor T cells in vitro requires their stimulation and significant expansion. The quality of the in vitroegenerated T-cell product appears to be as critical as the antigenic specificity of the T cells and can profoundly affect the treatment outcome. Traditionally, these highly cytotoxic, armed effectors were thought to be the most desirable by tumor immunologists because they displayed target killing capacity in vitro. Paradoxically, however, the in vivo function of these cells in animal models and in many clinical trials was disappointing (3). Gradually, it became clear that these armed terminal effectors displayed functional features of senescence and were unable to survive, expand and eradicate the tumor in vivo (4). In contrast, T cells under various conditions promoting less terminally differentiated central memory (CM) or even earlier stem cellelike phenotype display absent or low in vitro cytotoxic effector activity but much higher in vivo anti-tumor functionality that was
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