Our understanding of the humoral immune response to hepatitis C virus (HCV) is limited because the virus can be studied only in humans and chimpanzees and because previously described neutralization assays have not been robust or simple to perform. Nevertheless, epidemiologic and laboratory studies suggested that neutralizing Ab to HCV might be important in preventing infection. We have recently described a neutralization assay based on the neutralization of pseudotyped murine retrovirus constructs bearing HCV envelope glycoproteins on their surface. We have applied the assay to well characterized clinical samples from HCV-infected patients and chimpanzees, confirmed the existence of neutralizing Ab to HCV, and validated most previously reported neutralizations of the virus. We did not find neutralizing anti-HCV in resolving infections but did find relatively high titers (>1:320) of such Ab in chronic infections. Neutralizing Ab was directed not only to epitope(s) in the hypervariable region of the E2 envelope protein but also to one or more epitopes elsewhere in the envelope of the virus. Neutralizing Ab was broadly reactive and could neutralize pseudotype particles bearing the envelope glycoproteins of two different subgenotypes (1a and 1b). The ability to assay neutralizing anti-HCV should permit an assessment of the prospects for successful Ab-mediated passive and active immunoprophylaxis against hepatitis C. H epatitis C virus (HCV) is a small enveloped virus containing single-stranded positive sense RNA. It infects up to 170 million people worldwide and is a major cause of chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Although HCV accounts for only Ϸ12% of acute hepatitis in the United States, its high rate of persistence (70-80%) makes it responsible for almost half of the economic burden of this disease.A better understanding of the pathogenesis of hepatitis C and its control is hampered by certain characteristics of the virus. (i) HCV is genetically and probably serologically heterogeneous.(ii) The only animal model for HCV infection is the chimpanzee. (iii) Although the virus replicates sparingly in some cell lines, the in vitro method developed for detecting neutralizing antibodies (Nt Ab) to HCV in this system is so difficult to perform that it has not been widely used. Consequently, although the two envelope proteins of HCV, E1 and E2, have been expressed individually and as heterodimers, and Ab to them has been measured, there is no confirmation that such Ab accurately reflects the response to the virus or that it is Nt Ab.Previously, we identified Nt Ab to HCV by their ability to prevent replication of the virus in a lymphoid cell line (1, 2) or to prevent hepatitis C in chimpanzees (3, 4). These and a small number of similar studies (5) have provided, for almost a decade, the only direct evidence for Ab-mediated neutralization of HCV. Consequently, although considerable new knowledge has been gained about the cellular immune response to HCV, little is known about the role of the hum...