The hepatitis C virus (HCV) genomic RNA possesses conserved structural elements that are essential for its replication. The 3 nontranslated region (NTR) contains several of these elements: a variable region, the poly(U/UC) tract, and a highly conserved 3 X tail, consisting of stem-loop 1 (SL1), SL2, and SL3. Studies of drug-selected, cell culture-adapted subgenomic replicons have indicated that an RNA element within the NS5B coding region, 5BSL3.2, forms a functional kissing-loop tertiary structure with part of the 3 NTR, 3 SL2. Recent advances now allow the efficient propagation of unadapted HCV genomes in the context of a complete infectious life cycle (HCV cell culture [HCVcc]). Using this system, we determine that the kissing-loop interaction between 5BSL3.2 and 3 SL2 is required for replication in the genotype 2a HCVcc context. Remarkably, the overall integrity of the 5BSL3 cruciform is not an absolute requirement for the kissing-loop interaction, suggesting a model in which trans-acting factor(s) that stabilize this interaction may interact initially with the 3 X tail rather than 5BSL3. The length and composition of the poly(U/UC) tract were also critical determinants of HCVcc replication, with a length of 33 consecutive U residues required for maximal RNA amplification. Interrupting the U homopolymer with C residues was deleterious, implicating a transacting factor with a preference for U over mixed pyrimidine nucleotides. Finally, we show that both the poly(U) and kissing-loop RNA elements can function outside of their normal genome contexts. This suggests that the poly(U/UC) tract does not function simply as an unstructured spacer to position the kissing-loop elements.Hepatitis C virus (HCV) is a major cause of liver disease, with more than 130 million people currently chronically infected worldwide (46, 47). There is no vaccine, and existing antiviral therapies, interferon in combination with ribavirin, induce a sustained response in less than 50% of genotype 1-infected patients. There is thus an urgent need for the development of effective preventative and therapeutic strategies, an effort that will benefit greatly from a detailed understanding of the molecular mechanisms of HCV replication. HCV is a member of the genus Hepacivirus in the family Flaviviridae (2). The viral genome is a single-stranded, positive-sense RNA molecule approximately 9.6 kb in length. The majority of the genome consists of a single open reading frame that encodes a polyprotein of about 3,000 amino acids. This polyprotein is coand posttranslationally processed by viral and host proteases to yield the individual gene products, designated C, E1, E2, p7, NS2, NS3, NS4A, NS4B, NS5A, and NS5B. Core (C) and two envelope glycoproteins (E1 and E2) compose the physical virion, while the remainder of the proteins are involved in RNA replication and virion morphogenesis. NS3 possesses protease activity and is responsible for liberating the majority of the nonstructural proteins from the polyprotein. NS5B is the RNA-dependent RNA polymera...