Duchenne muscular dystrophy (DMD)* is due to a mutation occurring on a gene located on the X chromosome that normally encodes for the expression of a large, 420-kDa protein called dystrophin (Dys) (1). This protein, which is normally located along the inner part of the plasma membrane of skeletal muscle cells, is absent from DMD patient muscles (2). The lack of Dys is responsible for the absence of Dys-associated proteins and glycoproteins. The absence of this complex would be responsible for the progressive degeneration of skeletal muscles in DMD patients (3). A point mutation in the Dys gene leads to the expression of a truncated protein in the mdx mouse, considered as an animal model of human DMD (4). Normal myoblast transplantation restores Dys expression in the grafted muscles of mdx mice. Indeed, normal myoblasts contain a normal Dys gene, and when they fuse together or with the host myoblasts, nuclei from these normal myoblasts restore Dys expression (5, 6). Normal myoblast transplantation had only limited success in human. Some groups demonstrated, a short time after grafting, the presence of Dys+ fibers in some patients (7–10). Moreover, transient strength increases have been measured in a few patients (10). In some cases, hosts produced antibodies (Ab) against the myoblasts and/or myotubes of the donor, even when donor and recipient were fully compatible for class I and class II DR MHC (7, 10). Some Abs were able to induce a complement-dependent lysis of myotubes, and some were also directed against the donor Dys (10). Such immune reactions have also been demonstrated in mdx mice transplanted either with human or rat (xenografts) or mouse (allografts) myoblasts (11, 12). High doses of CsA apparently diminish or suppress in some animals this humoral reaction (12, 13). Thus, controlling the immune system seems to be a crucial step to performing successful myoblast transplantations. CsA is not very efficient for myoblast transplantation in mice. It is toxic and may not be used for long-term treatments. Therefore, the new immunosuppressant, rapamycin (RAPA), has been tested to evaluate its potential to reduce immune reactions and allow myoblast graft success. RAPA is a fungal, FK506 structurally related macrolid (14). Rapa inhibits cytokine and immunoglobulin synthesis, blocks lymphocyte proliferation, and leads to T lymphocyte unresponsiveness upon cytokine stimulation (15,16). RAPA allows, at low doses, long-term graft survival in many models and many animal species (17–19). Short-term graft success under RAPA treatment has been evaluated in this study in 4 different muscle-grafting models. Graft success has been assessed mainly by the characterization of donor fibers in the host muscles, by the examination of Dys expression, and by the analysis of production of anti-donor cell Ab. Finally, the infiltration of cells involved in inflammation and immune reactions has been studied in grafted muscles.