“…More recently, much attention has been directed toward understanding the tumor microenvironment as a possible mean for the development of new therapies or predictive biomarkers [ [18] , [19] , [20] , [21] , [22] , [23] ]. One emerging promising target is the immune microenvironment, where the extracellular milieu is an important regulator [ [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] ]. The use of the immune checkpoint programmed cell death-1 (PD-1) blocking agents, the blockage of its ligands (PD-L1 or B7-H1), as well as the cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), have shown remarkable therapeutic efficacy against several solid tumors [ 39 ], and may also represent a significant advance in GC treatment [ 40 ].…”