In another study of a mouse model with PD-L1 knock-out tumor cells, platelet-derived PD-L1 could regulate and protect PD-L1-negative solid tumors from death by T cells and interference with platelet binding to PD-L1 negative cancer cells by anti-platelet agent (aspirin) promoted T cell-induced cancer cytotoxicity, assuming that a successful outcome of ICI in PD-L1 negative tumors may be explained by the presence of intra-tumoral platelets [38]. This evidence concerns the gene CD274 and neoplasm.