Analysing significant numbers of cDNA clones of the hepatitis C virus (HCV)
from single isolates provides unquestionable proof that the viral genome c
annot be defined by a single sequence, but rather by a population of varian
t sequences closely related to one another. This way of organizing the gene
tic information is referred to as quasispecies. Throughout HCV infection, t
he number and composition of the variants in the viral population keeps cha
nging owing to environmental influences, resulting in a virus that is const
antly redefining itself both genetically and phenotypically, Therefore, the
virus has often been investigated in population terms. Many clinical studi
es have tried to unravel, through the parameters that characterize the HCV
quasispecies, prognostic markers of the disease and its response to treatme
nt. Other investigations have focused on discovering how the virus and host
interact during chronic infection. The consensus sequence, the rate of fix
ation of mutations and the complexity of the viral population are useful pa
rameters for describing the viral population behaviour and its interaction
with the host. In addition to sequencing, several other methods, based on e
lectrophoretic mobility, have been used to study these parameters. such as
temperature gradient-gel electrophoresis, single-strand conformation polymo
rphism and gel-shift analysis. The viral region examined, the source of cli
nical specimen, as well as the methodology employed, will be decisive in in
terpreting the information obtained.