Hepatitis C virus infection affected approximately 170 million population worldwide, which 60% to 80% of them are chronically infected. HCV has been classified into 6 different major genotypes and 11 different subtypes (
1). The genome of HCV consists of 9.6 kb positive stranded RNA, which is translated into a polyprotein precursor of 3000 amino acids. The polyprotein encodes functional structural proteins, core, envelope (E1 and E2), P7 and nonstructural proteins like NS2, NS3, NS4A, NS4B, NS5A and NS5B (
2). NS4A is a nonstructural protein compromising of 54 amino acids, 7-KDa protein composed of three domains: the N-terminal membrane anchor, the central domain that functions as cofactor and C-terminal domain and highly hydrophobic amino acid residues (
3,
4). It acts as enhancer viral serine protease, helicase activities and NS3 cleavage. The central domain region of NS4A, amino acid 21 - 34, suffices to mimic the effects of the full protein. NS4A rearranges the secondary structure of both the N-terminus and catalytic site of the NS3 protease, reduces the mobility of the global structure of the NS3 protease, especially the catalytic site, and provides a rigid and tight structure (
5). The hydrophobic N-terminal region is indicated to form transmembrane alpha helix and collectively NS3-4A complex has role in membrane anchorage (
6). The complex of NS3 protease with NS4A cofactor plays a key role in replication and maturation of HCV (
7). The C terminal of NS4A role has been verified in the regulation of NS5A hyperphosphorylation and replication (
8). Among its described functions, NS4A transactivator of interleukin 8 promoter, enhances production of IL-8 protein. NS4A (amino acids 21 - 34) is also involved in diminishing both cap-dependent and HCV IRES-mediated translation through interaction with eukaryotic elongation factor 1A (eEF1A). As already mentioned, NS4A is a cofactor of NS3 serine protease and facilitates the NS4A-dependent cleavage at the NS3 - NS4A and NS4B - NS5A junctions. NS4A has also been reported to enhance the phosphorylation of NS5A by cellular kinase(s). The structure of the NS3 protease without NS4A is not suitable for binding and hydrolysis of substrates (
5).