Interferon (IFN) ␣ inhibits hepatitis C virus (HCV) replication both clinically and in vitro;however, the complete spectrum of interferon-stimulated genes (ISGs) expressed in the HCV-infected liver or the genes responsible for control of HCV replication have not been defined. To better define ISG expression in the chronically infected HCV liver, DNA microarray analysis was performed on 9 individuals with chronic hepatitis C (CHC). A total of 232 messenger RNAs were differentially regulated in CHC compared with nondiseased liver controls. A significant proportion of these were potential ISGs that were transcriptionally elevated, suggesting an ongoing response to endogenous IFN and/or double-stranded RNA. H epatitis C virus (HCV) is the leading cause of chronic hepatitis and liver disease-related morbidity worldwide. A significant proportion of infected individuals escape the host antiviral response and develop a chronic infection, which can result in progressive liver disease such as cirrhosis and hepatocellular carcinoma. 1 The current and only therapy for chronic hepatitis C (CHC) infection is interferon (IFN) ␣/ribavirin combination therapy that results in response rates to sustained viral clearance in at best 50% of patients. Clearly a significant number of individuals cannot be cured of HCV infection, many of whom will progress to serious liver disease.Viral infection activates the host innate antiviral response, which results in the induction of cellular protective genes, including type I IFNs (IFN-␣ and IFN-), proinflammatory cytokines, and a subset of interferonstimulated genes (ISGs) that directly limit viral replication. 2,3 Microarray studies in vitro have revealed that hundreds if not thousands of ISGs may be expressed in response to stimulation with IFN, some of which are known to have direct antiviral and immunomodulatory action. 4 Of the best-characterized antiviral ISGs, MxA, double-stranded RNA (dsRNA)-activated protein kinase R, and 2Ј-5Ј-oligoadenylate synthesase (OAS) are most renowned; however, the complete spectrum of ISGs has not been identified, thus ISGs with potential antiviral action remain unknown. The ISGs that limit HCV replication at the molecular level are ill-defined, although recent work has shown that ISG6-16 can enhance the anti-HCV activity of IFN-␣, 5 and ISG-56 has direct anti-HCV activity through its ability to suppress HCV IRES