The hypervariable region 1 (HVR1) of the putative envelope protein E2 of hepatitis C virus (HCV) contains a principal neutralization epitope, and anti-HVR1 antibodies have been shown to possess protective activity in ex vivo neutralization experiments. However, the high rate of variability of this antigenic fragment may play a major role in the mechanism of escape from host immune response and might represent a major obstacle to developing an HCV vaccine. Thus, even if direct experimental evidence of the neutralizing potential of anti-HVR1 antibodies by active immunization is still missing, the generation of a vaccine candidate with a cross-reactive potential would be highly desirable. Hepatitis C virus (HCV) is the major etiologic agent of blood transfusion-associated and sporadic non-A non-B hepatitis worldwide, with an estimated prevalence of 0.4% to 2% in the blood donor population. 1 Despite a wide array of humoral and cell-mediated host immune responses, HCV infection leads to chronic disease in about 70% of cases, among which a significant proportion eventually develops cirrhosis and hepatocellular carcinoma. 2 Interferon treatment (also in combination with ribavirin) is the only antiviral therapy available at the moment, but it is effective only in 20% to 40% of patients, 3-5 thus making the development of an HCV vaccine a high priority target.Vaccination of chimpanzees (the only other species susceptible to HCV infection) using recombinant forms of the putative envelope proteins E1 and E2 has been shown to induce protective immunity against low-dose challenge with the homologous virus, whose efficacy seems to correlate with the titer of anti-E2 antibodies. [6][7][8] More recently, HCV was shown to bind to its putative receptor component CD81 via E2. 9 These data point toward the E2 protein as a likely candidate for vaccine development. However, a major concern still remains as to whether the anti-E2 response elicited by one recombinant protein would be effective against heterologous viral inocula. 10 In fact, HCV displays a high rate of mutation during replication and exists in the bloodstream of infected patients as a quasispecies, [11][12][13][14][15] which fluctuates during the course of the disease mainly as a result of immune pressure. [15][16][17][18][19][20][21][22][23] The major target of this immune response is the 27 amino acid-long N-terminal segment of the E2 glycoprotein. This protein fragment is the most variable region of the whole HCV polyprotein 11 and contains a principal neutralization determinant, 24 but anti-hypervariable region 1 (HVR1) antibodies specific for one variant display only a limited ability to block different viral variants. 24 In this scenario, the most difficult task in developing an HCV vaccine would be to find a solution to the issue of viral variability.We have recently described a novel approach to this problem by selecting highly cross-reacting "synthetic variants" of the HCV HVR1 from a vast repertoire of HVR1 surrogates as fusion to the major coat protein of ba...