Humanized cytokine KI mice support robust engraftment of favorable-risk AML and closely model disease biology. (A) Schematic representation of experimental setup. Scatter plots depict blast count in patients with inv(16) or NPM1mut AML (left columns) and human engraftment in transplanted NSG or cytokine KI mice, in the bone marrow (B) and peripheral blood (C) (mean ± standard deviation [SD], N = 15-45 per group, 1-way ANOVA P < .0001 for both bone marrow and peripheral blood). Data stem from >20 independent experiments. Scatter plots compare human engraftment in NSG and MI(S)TRG mice transplanted with NPM1mut AML in the bone marrow (D) and peripheral blood (E) (mean ± SD, N = 19-36 per group). (F) Mean expression of NPM1Amut allele normalized to PBGD in engrafted NSG and MISTRG mice (mean ± SD, N = 4 per group). (G) Allelic frequency of NPM1 mutation (TCTG insertion at position chr5:170837542) in patient (PID250), transplanted cytokine KI mice (n = 3) and untransplanted cytokine KI mouse (ctrl) when mapping to HG19:chr5:170837542 (human reference genome). (H) Frequency of subclones of NPM1 insertion at HG19:chr5:170837542 in patient (PID250) and 3 cytokine KI mice.