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Hepatitis C virus genome RNA (HCV genome RNA)

Target
HCV genome RNA
Molecular classification
Viral RNA genome, Functional RNA domain, Cis-acting replicating element, Internal ribosome entry site (IRES), Riboregulatory element, Other (as not a classical receptor, enzyme, transporter, etc.)
01

Overview

The Hepatitis C virus genome RNA is a single-stranded, positive-sense RNA molecule of ~9,650 nucleotides that encodes the entire viral proteome and is essential for all stages of the virus lifecycle, including replication, translation, and immune escape[2][5][3][6]. The genome is highly structured, containing elaborate secondary and tertiary RNA motifs distributed throughout untranslated regions (UTRs) and coding domains; these regulate critical functions such as polyprotein synthesis via an internal ribosome entry site (IRES) at the 5′ UTR, replication control elements (CREs) in the coding region, and specialized domains in the 3′ UTR for genome stability and packaging[1][4][6]. The HCV genomic RNA also interacts directly with host factors such as microRNA-122, enhancing viral replication and contributing to hepatotropism[2][4]. While not a classical drug target like a receptor or enzyme, the genome itself and its RNA elements are emerging as therapeutic targets due to their central role in the viral lifecycle and the success of drugs that indirectly inhibit HCV replication by targeting polymerase or protein-processing enzymes encoded by the genome[5][3]. Complex RNA folding and high sequence variability pose significant challenges for direct RNA-targeted therapies and monitoring, but quantitative detection of HCV RNA in blood remains the gold standard for diagnosis and monitoring of infection and response to treatment[5][2][4].

Other names
HCV RNA genomeHepatitis C virus genomic RNAHCV genomic RNA
02

Mechanism of action

Inhibition of RNA-dependent RNA polymerase (NS5B); Blockage of viral RNA replication; Interference with polyprotein processing; Inhibition of RNA structure recognition

03

Biological functions

Viral replicationTranslation initiationRegulation of viral lifecycleImmune evasionRNA stability controlInteraction with host cellular proteinsOther
04

Disease associations

InfectionLiver cirrhosisLiver cancer (hepatocellular carcinoma)Chronic liver disease
05

Safety considerations

Rapid emergence of drug resistance due to RNA polymerase errorsExtensive genetic and structural diversity (quasispecies)Difficulty in targeting highly structured RNA regions without off-target effects
06

Interacting drugs

Sofosbuvir

6 more in the full profile.

07

Biomarkers

HCV RNA plasma/serum levels (for diagnosis, monitoring, and therapeutic efficacy)miR-122 binding (for prognostic/therapeutic stratification)

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