On the CD138+ MM cells, GAL-9 and ICOS-L were more highly expressed than PD-L1 and PD-L2, with higher intracellular than cell surface expression of PD-L1, PD-L2, GAL-9, and ICOS-L (Fig. 4B; histograms, bar graph). The gene discussed is ICOSLG; the disease is Miyoshi myopathy.