Hepatitis C virus (HCV) envelope glycoprotein E2 has been considered as a major target for vaccine design. Epitope II, mapped between residues 427-446 within the E2 protein, elicits antibodies that are either neutralizing or nonneutralizing. The fundamental mechanism of antibody-mediated neutralization at epitope II remains to be defined at the atomic level. Here we report the crystal structure of the epitope II peptide in complex with a monoclonal antibody (mAb#8) capable of neutralizing HCV. The complex structure revealed that this neutralizing antibody engages epitope II via interactions with both the C-terminal α-helix and the N-terminal loop using a bifurcated mode of action. Our structural insights into the key determinants for the antibody-mediated neutralization may contribute to the immune prophylaxis of HCV infection and the development of an effective HCV vaccine.H epatitis C virus (HCV) infection is a major public health problem with an estimated 170 million people infected worldwide (1). HCV is transmitted primarily through direct contact with the blood or other bodily fluids of an infected individual. Although acute hepatitis C is typically mild or even subclinical, the infection becomes chronic in more than 75% of those infected (2, 3). Patients with chronic HCV infection have a high risk of developing cirrhosis and, in some cases, hepatocellular carcinoma (2, 3).Significant advances have been made in the treatment of hepatitis C with the recent introduction of HCV-specific protease and polymerase inhibitors; sustained virologic responses, tantamount to cure, can now be achieved in more than 70% of the most difficult to treat HCV genotype 1-infected patients (4). However, the use of such drugs for treatment is not economically or logistically feasible in most parts of the world; therefore, vaccine development remains an important goal for the global control of HCV infection. Thus far, no HCV vaccine formulation has been able to induce sterilizing immunity, but a recombinant envelope protein vaccine has significantly reduced the rate of chronic HCV infection in a chimpanzee model (5). Thus, designing a vaccine that successfully elicits neutralizing antibodies remains a practical strategy to either prevent primary HCV infection or to reduce the frequency of progression from acute to chronic HCV infection (6).HCV envelope glycoprotein E2 has been studied extensively as a potential candidate for the immune prophylaxis of HCV infection and vaccine development. Several segments of the E2 protein have been identified as key components of conformational or linear epitopes that are critical to antibody-mediated neutralization of HCV in vitro (7-16). Interestingly, naturally evoked antibodies and those produced in vitro that are specifically directed against a short peptide located in the E2 protein between residues 427-446, also known as epitope II, displayed one of three activities: virus neutralization, E2 binding but no neutralization, or interference with virus neutralization (15, 16). To capture the f...