In order to investigate the immunological effects of H-1PV in combination with ipilimumab and/or nivolumab, a human ex vivo melanoma model was used by Goepfert et al. Similar to the observations made in CRC-derived cells [70], upregulation of immune checkpoints, CTLA-4, PD-1 and PD-L1 in particular, was seen in H-1PV-infected melanoma cells. This evidence concerns the gene CTLA4 and melanoma.