Tumor necrosis factor a (TNF-a) is a cytokine with infectious agents and has been shown to exert direct pleiotropic properties that is induced in a variety of antiviral effects. [3][4][5] Although low levels of TNF-a can pathological situations including viral infections. In this contribute to cell protection, excessive amounts may work, we analyzed the expression of TNF-a gene in pa-cause cell damage. 2,6 tients with chronic hepatitis C. Serum TNF-a levels wereThe biosynthesis of TNF-a is tightly regulated by found to be elevated in all chronic hepatitis C patients transcriptional and post-transcriptional mechanisms. 1 including those cases presenting sustained biochemical A variety of viruses have been shown to induce the remission of the disease after interferon therapy. Unexpression of TNF-a in vitro. [6][7][8][9] The accumulation of treated patients with chronic hepatitis C showed in-TNF-a messenger RNA (mRNA) that occur in virus- ever, only about 50% of the treated patients respond to IFN-a therapy with normalization of serum transTumor necrosis factor a (TNF-a) is a cytokine, proaminases, and half of these patients relapse after interduced primarily by activated monocytes and lymphoruption of the treatment. 23 cytes, that possesses pleiotropic properties. 1,2 It particiLittle is known about the mechanisms determining pates in the induction of the immune response to the severity of the liver damage and the response to IFN-a in HCV infection. In this paper, we have studied the presence of HCV RNA in the liver or in PBMC is