Furthermore, we found that further inhibition of the PD-L1 expression at the cellular level could cause changes in a series of tumor microenvironmental cytokines represented by tumor-related macrophages, as well as the apoptosis of lung adenocarcinoma cells, which preliminarily confirmed the close relationship among the signalling pathway promoting tumor growth and the immune microenvironment and immune efficacy [28]. This evidence concerns the gene CD274 and neoplasm.