This document summarizes the process of CAR T-cell immunotherapy. T cells are isolated from a cancer patient via leukapheresis and infected with a viral vector containing the gene for a chimeric antigen receptor (CAR). The CAR gene modifies the T cells to target specific tumor antigens. The CAR T cells are expanded in culture and then infused back into the patient. Once in the patient, the CAR T cells activate and proliferate upon recognition of tumor cells. They then work to destroy tumor cells through immune activation pathways involving cytokines and cytotoxic mechanisms like perforin pores and granzyme activity.