Hepatitis C virus (HCV) infects approximately 170 million individuals worldwide and nearly 3 million in the United States alone. Most cases of HCV infection become persistent and may result in chronic liver disease, cirrhosis, and hepatocellular carcinoma. The current combination antiviral therapy of pegylated alpha interferon (IFN-α) with ribavirin is effective in approximately 50% of individuals treated, while monotherapy with IFN-α alone is successful in less than 20% of patients (
13). IFN-α allows cells to become innately primed for defense against eventual virus attack by inducing the transcription of many genes, some of which are activated during virus infection. Only a few genes have been identified and characterized as mediators of the IFN-α-induced antiviral response, including the Mx proteins, major histocompatibility complex proteins, 2′,5′ oligoadenylate synthetase, and the double-stranded RNA (dsRNA)-activated protein kinase (PKR) (
21). PKR is activated during viral infection, which results in the phosphorylation of the α subunit of eukaryotic translation initiation factor 2 (eIF-2α) and subsequent translational shutoff. An adenosine deaminase that acts on dsRNA (ADAR1) is also IFN-α induced and catalyzes the deamination of adenosine residues in dsRNA (for a review, see reference
17), resulting in inosine substitution. Inosine residues are not abundantly found in cellular mRNAs, but when inosine residues are present, they are transcribed and translated as guanosine residues, which may lead to mutations (
1,
24). An RNase that specifically degrades inosine-containing RNA has been described and was proposed to be part of a putative antiviral pathway (
18,
19). Although antiviral activity has not been attributed to ADAR1, hepatitis delta virus utilizes ADAR1 editing to promote its viral life cycle (
15).
Typically, dsRNA is found only in cells that are virus infected, and both DNA and RNA viruses may present dsRNA in the cell in the form of replicative intermediates (
12). ADAR1 contains three copies of a conserved dsRNA-binding motif also found in PKR (
25). Most viruses have developed strategies to evade the effects of IFN-α. For instance, a single-stranded virus-encoded RNA with partially dsRNA features, adenovirus-associated (VA) RNA
I, enhances translation and counteracts the effects of IFN-α in adenovirus-infected cells by inhibiting PKR (
14). VA RNA has also been shown to bind and inhibit ADAR1 (
10). This is the first report implicating RNA editing by ADAR1 in the control of viral replication and may provide a potent strategy for an effective treatment against HCV based on ADAR1 activation.