Hepatitis C virus (HCV) induces microtubule aggregates in infected hepatocytes. To determine if cytoskeletal elements are important for HCV RNA synthesis, we examined the effect of cytoskeleton inhibitors on HCV replicon transcription in Huh7 cells. The data demonstrate that HCV replication complex-mediated RNA synthesis requires microtubule and actin polymerization.Hepatitis C virus (HCV) infection is the leading cause of liver transplantation in the United States, with sequelae including liver fibrosis, cirrhosis, and hepatocellular carcinoma (reviewed in reference 19). Identified in 1989 as a plus-strand RNA virus (4), HCV causes an infection that was originally distinguished by its characteristic induction of microtubule (MT) aggregates in infected hepatocytes, implicating MTs in HCV-associated disease (2,11,23,28,29,32,36). Studies with a related flavivirus (Kunjin virus) have demonstrated that MT aggregates similar to those induced by HCV are also important for Kunjin RNA synthesis (15,22). Moreover, MT paracrystals have recently been detected in cultured cells transfected with an HCV subgenomic replicon (21). Taken together, these studies suggest that cytoskeletal elements may be required for HCV replication. Yet, despite the historical emphasis on MTs and HCV from a clinical perspective, the role of MTs in the HCV life cycle at a molecular level remains poorly understood.To determine if HCV RNA synthesis requires functional actin or MT networks, we examined the effects of cytoskeleton inhibitors on the efficiency of HCV RNA synthesis in the HCV replicon cell system ( Fig. 1) (18). In this system, Huh7 cells stably transfected with an HCV replicon RNA are used to mimic the RNA synthesis that occurs in an ongoing, persistent infection with HCV. Because the replicon construct encodes a neomycin resistance gene for G418 (Geneticin) selection, HCV RNA synthesis in the replicon cells can be detected by quantitative PCR using a primer-probe set specific for the neomycin sequence. We have validated this approach by demonstrating a dose-dependent decrease in replicon RNA levels upon alpha interferon treatment (data not shown), using alpha interferon concentrations similar to those cited previously by other laboratories (1, 10, 18). In addition, we have confirmed that transcription of the replicon in our HCV replicon cells is resistant to actinomycin D, as originally demonstrated by Lohmann et al. (18), verifying that transcription of replicon RNA is specific to the RNA-dependent RNA polymerase activity of the HCV replication complex. A single HCV replicon cell line-a serially passaged line originally generated by stable transfection of Huh7 cells with a replicon with a sequence identical to that used by Lohmann et al. (18) (Fig. 1)-was used for all experiments.Because vinblastine sulfate (VS) is a well-characterized inhibitor of MT polymerization and has been shown to alter Kunjin virus replication (15, 22), we first determined the effect of VS on HCV replicon RNA synthesis. One day prior to addition of the inhib...