To develop a cell culture system susceptible to infection by hepatitis
C virus (HCV), human fetal hepatocytes, grown in serum-free medium, w
ere inoculated with serum samples from two HCV-infected patients. Vira
l RNA sequences were detected by polymerase chain reaction, using prim
ers specific for the 5' noncoding region of HCV, in extracts prepared
from the hepatocyte cultures as early as 5 days after inoculation. Vir
us was also released from the infected cells into the medium. The HCV
strains could be serially passaged three times into fresh liver cell c
ultures using intracellular virus as inoculum. Evidence that HCV repli
cation really took place in primary human fetal hepatocytes was also o
btained by detection of minus-strand viral RNA (replication intermedia
te) in cell extracts and of viral antigens in the infected cells.