CTLA4 and graft versus host disease: In 2009, Li XC et al. pointed out that costimulatory molecules play an important role in acute graft-versus-host disease (GVHD) [15] and it was found that polymorphism of costimulatory molecules, including CTLA4 and ICOS, might be associated with GVHD in allogeneic hematopoietic stem cell transplantation (HSCT) [16].