Spontaneous resolution of hepatitis C virus (HCV) infection is a relatively infrequent event, and these individuals provide a unique opportunity to characterize correlates of protective immunity as an important first step in the development of vaccine candidates. The aim of this study was to directly and comprehensively enumerate HCV-nonstructural protein 3 (NS3) specific CD4 ؉ and CD8 ؉ T cells ex vivo from HLA diverse individuals who had been successful in spontaneously resolving HCV infection. We measured interferon gamma (IFN-␥) production with an ELISPOT assay using magnetic bead-separated CD4 ؉ or CD8 ؉ T cells in response to autologous DCs that had been pulsed with 15mer per peptides overlapping by 11 amino acids and spanning all of the NS3 protein (150 total peptides). All subjects with spontaneously recovered HCV infection demonstrated vigorous and multispecific CD4 ؉ T-cell responses to NS3 peptides, and 6 of 10 subjects demonstrated CD8 ؉ T-cell responses. More importantly, we identified novel, previously unpredicted antigenic regions, which in most cases elicited high frequencies within a given individual. In conclusion, subjects who have spontaneously eradicated HCV infection up to 35 years earlier demonstrate persistent CD4 ؉ and CD8 ؉ T-cell responses specific to NS3. By providing a comprehensive screening of all potential T-cell epitopes contained in the NS3 region, our strategy defines the breadth of the T-cell response and identifies novel, unpredicted specificities. (HEPATOLOGY 2003;37:577-589.) H epatitis C virus (HCV) is the major causative agent of chronic hepatitis and has an estimated global prevalence of 3%. 1 Several reports have indicated that viral clearance during acute HCV infection is associated with a multispecific CD4 ϩ T-cell response and that it must be maintained permanently to achieve long-term control of HCV. 2,3 Interestingly, although the vigor and breadth of the early cytotoxic T-lymphocyte (CTL) response are undisputedly crucial for recovery from acute infection, it has been suggested that ongoing exposure to HCV may be needed to maintain virus-specific memory CTL. 4,5 This latter notion is based on studies that found extremely low frequencies of HCV-specific CD8 ϩ T cells in recovered patients with peptide-major histocompatibility complex (MHC) tetramer staining or with intracellular interferon gamma (IFN-␥) staining following stimulation with human leukocyte antigen A2 (HLA-A2)-restricted peptides. For example, one study 4 found that the frequency of circulating HCV-specific CD8 ϩ T cells in recovered subjects averaged less than .01%. However, studies that screen responses to single predicted epitopes are unlikely to provide an accurate representation of the total breadth of HCV-specific immune responses.To test our hypothesis that HCV-specific CD4 ϩ and CD8 ϩ responses against selected, previously identified epitopes are not representative of the total T-cell response, we have adopted the strategy of using overlapping pep-