Protease inhibitors (PIs) of hepatitis C virus (HCV) provide an additional or alternative therapy for chronic infection. However, assessment of their efficacy and ability to inhibit replication of different genotypes is hampered by the lack of a convenient animal model or a method for in vitro culture of HCV other than the type 1/2-based replicons and the infectious genotype 2a clone JFH1. To address this problem, we constructed a panel of replication-competent chimeric Jc1 (pFK JFH1/J6/C-846) clones containing protease and NS4A coding sequences from all six major genotypes, enabling the determination of replication and the susceptibility to PIs. Chimeras showed substantial variability in replication kinetics, attributable in part to naturally occurring polymorphisms and differing requirements for adaptive mutations in NS3 and NS4A. Through calculation of 50% inhibitory concentrations (IC 50 s) of BILN 2061, measuring reduction in the number of focus-forming units/ml (FFU/ml) and replication inhibition, consistent genotype-associated differences in antiviral susceptibilities were observed. IC 50 s for genotype 1b, 4a, and 6a-derived chimeras (1 to 3 nM) were approximately 100-fold lower than those for genotypes 2a, 3a, and 5a (range, 80 to 720 nM), implying major differences in response to therapy. In vitro passage in increasing concentrations of BILN 2061 rapidly induced resistance-associated mutations at position 168 in chimeras of all 6 genotypes and at position 156 in genotypes 1b and 4a, each with substantial variability in the identity of substituted amino acids. The system will allow future comprehensive phenotypic characterization of naturally occurring and treatment-induced mutations for PIs in trial or entering clinical use.Worldwide, about 170 million individuals are estimated to be infected with hepatitis C virus (HCV) (1, 48). Chronic HCV infection is a leading cause of chronic liver diseases, such as cirrhosis and hepatocellular carcinoma (6). HCV has a positive-sense, single-stranded RNA genome of approximately 9,600 nucleotides, belonging to the family Flaviviridae (7). A single polyprotein of around 3,000 amino acids (53) is translated and processed by cellular and viral proteases to generate 10 different structural and nonstructural proteins (16,18,19).The error-prone RNA-dependent RNA polymerase (RdRp) NS5B, and the resulting high mutation frequencies during replication, contributes to the substantial genetic and antigenic heterogeneity of HCV, with seven major genotypes showing Ͼ30% nucleotide sequence divergence from each other and numerous subtypes identified to date (5, 50-52). The distribution of genotypes varies by geographical location and risk groups for infection; the predominant genotypes within the United States, Europe, Australia, and East Asia (Japan, Taiwan, Thailand, and China) are 1, 2, and 3. Genotype 4 is largely confined to the Middle East, Egypt, and Central Africa, whereas genotypes 5 and 6 are found predominantly in South Africa and Southeast Asia, respectively (49).The c...