Infection with hepatitis C virus (HCV) leads to viral persistence and
chronic disease in a very high proportion of cases, despite a broad im
munological response to viral proteins. These responses may be thwarte
d by the high rate of mutation, which leads to the generation of 'esca
pe' variants of HCV that persist as a quasi-species in infected indivi
duals. The specificity of the immune responses of infected patients su
ggests that responses directed at certain viral epitopes may be associ
ated with less aggressive disease and, possibly, good interferon respo
nse and virus clearance, The identification of such epitopes may hold
the key for future development both of prophylactic and therapeutic va
ccines.