Intramuscular AAV transduction efficiency in human xenografts. (A) Experimental scheme depicting the xenograft time course. Strips of human biopsies were xenografted into the empty tibial compartment of immunodeficient Rag2−/− Il2rb−/− mice. Four months later, rAAV serotypes 8 and 9 (3 × 1010 vg/TA) were injected into the graft. Mice were sacrificed 4 weeks postinjection and muscles were analyzed. (B) Immunofluorescent staining of human spectrin (green), human lamin a/c (red), and laminin (blue) on a cryosection of human xenograft. (C) Cryosection of xenograft injected with AAV8, stained for β-galactosidase, and counterstained with H&E. Scale bar = 100 μm. (D) Cryosection of xenograft injected with AAV9 and stained for β-galactosidase and colored with H&E. Scale bar = 100 μm. (E) Fiber type (MyHCI-red and MyHCII-green) and β-galactosidase (blue) immunostaining on rAAV8- and rAAV9-injected xenograft. (F) Quantification of cross-sectional xenograft β-galactosidase-positive nuclei related to fiber number on a cross-sectional human xenograft and compared with a C57BL/6 mouse injected with AAV8 and AAV9 (n = 3). ANOVA Tukey test. (G) Sirius red coloration of mouse muscle versus xenograft. Fibrosis was quantified with ImageJ software. ***p < 0.0001, t test. (H) Cryosection of xenograft injected with AAV9, stained for β-galactosidase (blue), and stained with H&E. No β-gal+ interstitial cells are observed. H&E, hematoxylin and eosin.