In a recent model of DCs-MM and T lymphocytes interactions in BM microenvironment, the expression of the costimulatory molecule CD28 on MM plasma cells and of ligands CD80/CD86 (that normally activate T cells) on BM DCs induced DCs to produce both IL-6 and the immunosuppressive enzyme indoleamine 2,3 dioxygenase (IDO). This evidence concerns the gene IL6 and Miyoshi myopathy.