It was reported that PD-L1 expression on plasma cells was associated with increased risk of progression from smoldering MM (SMM) into MM [57], whereas other reports showed that no difference was detected in PD-L1 expression on plasma cells between MM, SMM, monoclonal gammopathy of undetermined significance (MGUS), and healthy individuals [58, 59]. This evidence concerns the gene CD274 and Miyoshi myopathy.