In detail, they determine an action of “releasing the brakes” of the immune system, where the anti-CTLA4 agents are able to contrast the inactivation of the immune response and to stimulate the induction of an anti-neoplastic immune reaction, while the anti-PD1 and anti-PD-L1 drugs act by enhancing the effector activity of T cells in the peripheral tissues, most importantly in the tumor microenvironment, to selectively recognize and kill cancer cells [7,9]. This evidence concerns the gene CTLA4 and neoplasm.