Impact of GITR, GITRL, 4-1BB, or 4-1BBL expression on CLL patients’ survival. (A) Exemplary histogram plots for each surface marker of high and low expressing patients are shown by flow cytometry. (B–E) Overall survival of CLL patients according to GITRlo and GITRhi, GITRLlo and GITRLhi, 4-1BBlo and 4-1BBhi, and 4-1BBLlo and 4-1BBLhi expression (SFI) in Kaplan-Meier analysis. Low and high GITR/GITRL/4-1BB/4-1BBL expression levels are sub-grouped according to median of SFI levels of surface markers. Median OS for GITRhi (continuous line) and GITRlo cases (dotted line) was not reached (log-rank test). Median OS was reached in GITRLhi (continuous line) and GITRLlo (dotted line) was not reached (log-rank test). In 41BBhi the median OS was 152 month (continuous line) and was not be reached in 4-1BBlo (dotted line) and differed significantly (log-rank test). Median OS in 4-1BBLhi and 4 1BBLlo was not reached (dotted line; log-rank test).