Hepatitis C virus (HCV) 3The abbreviations used are: HCVhepatitis C virussE2soluble E2HCVgpHCV glycoproteinHCVppHCV pseudoparticle(s)HCVcccell culture-grown HCVSR-BIscavenger receptor class B, type ILDLlow density lipoproteinVLDLvery LDLCLDN1claudin-1GAGsglycosaminoglycansCD81LELCD81 large extracellular loopHDLhigh density lipoproteinHSheparan sulfateLDLrLDL receptorCVBcoxsackievirus group B. is a leading cause of chronic hepatitis, cirrhosis, and liver cancer. There are currently ∼120 million individuals infected worldwide, with the majority remaining undiagnosed or untreated (1Shepard C.W. Finelli L. Alter M.J. Lancet Infect. Dis. 2005; 5: 558-567Abstract Full Text Full Text PDF PubMed Scopus (2213) Google Scholar). The available therapy, a combination of pegylated interferon and ribavirin, has limited efficacy and significant side effects; drugs that specifically target viral enzymes have yet to reach the market (2De Francesco R. Migliaccio G. Nature. 2005; 436: 953-960Crossref PubMed Scopus (398) Google Scholar). hepatitis C virus soluble E2 HCV glycoprotein HCV pseudoparticle(s) cell culture-grown HCV scavenger receptor class B, type I low density lipoprotein very LDL claudin-1 glycosaminoglycans CD81 large extracellular loop high density lipoprotein heparan sulfate LDL receptor coxsackievirus group B. HCV is a small, enveloped virus with a single-stranded RNA genome of positive polarity that replicates primarily, if not exclusively, within hepatocytes (3Lindenbach B.D. Thiel H.-J. Rice C.M. Knipe D.M. Howley P.M. 5th Ed. Fields Virology. Lippincott-Raven, Philadelphia2007: 1101-1152Google Scholar). Host cell infection is initiated by binding of the virion to cell-surface receptors, followed by endocytosis, low pH-induced fusion of viral and cell membranes, and release of nucleocapsid into the cytosol (Fig. 1, left). The 9.6-kb RNA genome is translated by cellular ribosomes to yield a single polyprotein of ∼3000 amino acids, which is cleaved by host and viral proteases into the final gene products core, E1, E2, p7, NS2, NS3, NS4A, NS4B, NS5A, NS5B, and possibly an alternative reading frame protein termed ARFP (3Lindenbach B.D. Thiel H.-J. Rice C.M. Knipe D.M. Howley P.M. 5th Ed. Fields Virology. Lippincott-Raven, Philadelphia2007: 1101-1152Google Scholar, 4Appel N. Schaller T. Penin F. Bartenschlager R. J. Biol. Chem. 2006; 281: 9833-9836Abstract Full Text Full Text PDF PubMed Scopus (172) Google Scholar). The structural proteins core, E1, and E2 are components of the viral particle, whereas the NS gene products mediate genome replication, a process that occurs exclusively in cytoplasm (4Appel N. Schaller T. Penin F. Bartenschlager R. J. Biol. Chem. 2006; 281: 9833-9836Abstract Full Text Full Text PDF PubMed Scopus (172) Google Scholar). Progeny virions are thought to bud at intracellular membranes and egress via the cellular secretory pathway before going on to infect a naïve cell. This review describes the mechanisms of HCV cell entry, beginning with the infectious virion in plasma and ending with fusion of the viral envelope and endosomal membrane. For unknown reasons, HCV derived from the plasma of infected individuals replicates poorly in cultured cells, forcing researchers to employ strand-specific reverse transcription-PCR as a readout for infection. This approach is cumbersome, and its ability to discriminate reliably between replicating genomes and nucleic acid material from input virus in everyday use is questionable (5Takyar S.T. Li D. Wang Y. Trowbridge R. Gowans E.J. Hepatology. 2000; 32: 382-387Crossref PubMed Scopus (32) Google Scholar, 6Lanford R.E. Sureau C. Jacob J.R. White R. Fuerst T.R. Virology. 1994; 202: 606-614Crossref PubMed Scopus (282) Google Scholar). This problem has limited the usefulness of plasma-derived HCV and triggered the development of several in vitro systems for the study of HCV entry. sE2, a form of the HCVgp E2 from which the transmembrane domain has been deleted (7Michalak J.P. Wychowski C. Choukhi A. Meunier J.C. Ung S. Rice C.M. Dubuisson J. J. Gen. Virol. 1997; 78: 2299-2306Crossref PubMed Scopus (150) Google Scholar), has been extremely useful with regard to receptor discovery (8Scarselli E. Ansuini H. Cerino R. Roccasecca R.M. Acali S. Filocamo G. Traboni C. Nicosia A. Cortese R. Vitelli A. EMBO J. 2002; 21: 5017-5025Crossref PubMed Scopus (940) Google Scholar, 9Pileri P. Uematsu Y. Campagnoli S. Galli G. Falugi F. Petracca R. Weiner A.J. Houghton M. Rosa D. Grandi G. Abrignani S. Science. 1998; 282: 938-941Crossref PubMed Scopus (1776) Google Scholar). On the viral particle, however, the HCVgps E1 and E2 are thought to function as a noncovalently linked heterodimer (10Deleersnyder V. Pillez A. Wychowski C. Blight K. Xu J. Hahn Y.S. Rice C.M. Dubuisson J. J. Virol. 1997; 71: 697-704Crossref PubMed Google Scholar, 11Op De Beeck A. Voisset C. Bartosch B. Ciczora Y. Cocquerel L. Keck Z. Foung S. Cosset F.-L. Dubuisson J. J. Virol. 2004; 78: 2994-3002Crossref PubMed Scopus (190) Google Scholar), making it unlikely that sE2 recapitulates all characteristics and functions of the native envelope proteins. HCVpp, retroviral particles that display HCV E1/E2 heterodimers instead of retroviral glycoproteins, were the first robust in vitro assay of HCVgp-mediated entry (12Drummer H.E. Maerz A. Poumbourios P. FEBS Lett. 2003; 546: 385-390Crossref PubMed Scopus (167) Google Scholar, 13Bartosch B. Dubuisson J. Cosset F.-L. J. Exp. Med. 2003; 197: 633-642Crossref PubMed Scopus (938) Google Scholar, 14Hsu M. Zhang J. Flint M. Logvinoff C. Cheng-Mayer C. Rice C.M. McKeating J.A. Proc. Natl. Acad. Sci. U. S. A. 2003; 100: 7271-7276Crossref PubMed Scopus (686) Google Scholar). 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