“…There are, however, many factors that influence the success of IFN and RBV combination therapy. The resistance or sensitivity to IFN or peg-IFN, not to RBV, might also affect the early viral response, and many factors in both viral and host sides are known to affect IFN responsiveness, such as NS5A mutations [Enomoto et al, 1996], immunological status [Saito et al, 2000], or irf-1 gene promoter polymorphisms [Saito et al, 2002. Together, these factors might determine the efficacy of anti-viral therapy in vivo, and the present in vitro data provides evidence partially supporting our clinical observations that NS5B polymorphisms are associated with early viral clearance during IFN and RBV therapy.…”