Objective. To determine whether injury and regeneration of the skeletal muscles induce an inflammatory milieu that facilitates the development and relapse of autoimmune myositis.Methods. The quadriceps of C57BL/6 mice were injured with bupivacaine hydrochloride (BPVC) and evaluated histologically. Macrophages and regenerating myofibers in the treated muscles and differentiating C2C12 myotubes were examined for cytokine expression. Mice were immunized with C protein fragments at the base of the tail and in the right hind footpads (day 0) to evoke systemic anti-C protein immunity and to induce local myositis in the right hind limbs. The contralateral quadriceps muscles were injured with BPVC or phosphate buffered saline (PBS) on day 7 or after spontaneous regression of myositis (day 42). The quadriceps muscle in nonimmunized mice was injured with BPVC on day 7. The muscles were examined histologically 14 days after treatment.Results. The BPVC-injured muscles had macrophage infiltration most abundantly at 3 days after the injection, with emergence of regenerating fibers from day 5. The macrophages expressed inflammatory cytokines, including tumor necrosis factor ␣, interleukin-1, and CCL2. Regenerating myofibers and C2C12 myotubes also expressed the cytokines. The BPVC-injected muscles from nonimmunized mice had regenerating myofibers with resolved cell infiltration 14 days after treatment. In mice preimmunized with C protein fragments, the muscles injected with BPVC on day 7 as well as on day 42, but not those injected with PBS, had myositis accompanied by CD8؉ T cell infiltration.Conclusion. Injury and regeneration could set up an inflammatory milieu in the muscles and facilitate the development and relapse of autoimmune myositis.Polymyositis (PM) is a chronic autoimmune disease that affects the systemic striated muscles. Histologic examination of the affected muscles revealed invasion of CD8ϩ T cells into the non-necrotic muscle fibers (1). The CD8ϩ T cells surrounding muscle fibers expressed perforins, which were located eccentrically in the vicinity of the muscle fibers (2). PM patients were found to have clonal CD8ϩ T cell expansions in the peripheral blood more frequently than healthy donors (3). These expanded clones were identified in the affected muscles. All of these clues indicate involvement of CD8ϩ cytotoxic T lymphocytes (CTLs) in the pathogenesis of PM.We developed C protein-induced myositis (CIM) as a mouse model of PM, in which cytotoxic CD8ϩ T cells are responsible for the muscle injury (4,5). Investigation of its pathologic processes re-