CTLA4 and neoplasm: Undoubtedly, one of the major breakthroughs is the finding that the combination of radiation and immunotherapy to boost the immune system (e.g., with the human monoclonal anti-CTLA-4 antibody ipilimumab) induces immune-mediated abscopal effects in poorly immunogenic preclinical tumor models and in patients with metastatic melanoma or other cancer types (62, 100, 237).