Infection with the hepatitis C virus (HCV) has a huge impact on global health putting more than 170 million people at risk of developing severe liver disease. The HCV encoded p7 ion channel is essential for the production of infectious viruses. Despite a growing body of functional data, little is known about the 3-dimensional (3D) structure of the channel. Here, we present the 3D structure of a full-length viroporin, the detergent-solubilized hexameric 42 kDa form of the HCV p7 ion channel, as determined by single-particle electron microscopy using the random conical tilting approach. The reconstruction of such a small protein complex was made possible by a combination of high-contrast staining, the symmetry, and the distinct structural features of the channel. The orientation of the p7 monomers within the density was established using immunolabeling with N and C termini specific F ab fragments. The density map at a resolution of Ϸ16 Å reveals a flower-shaped protein architecture with protruding petals oriented toward the ER lumen. This broadest part of the channel presents a comparatively large surface area providing potential interaction sites for cellular and virally encoded ER resident proteins. membrane protein ͉ viroporin ͉ single particle analysis ͉ random conical tilt reconstruction T he hepatitis C virus (HCV) poses a major global health problem. It puts more than 170 million people worldwide at risk of developing liver cirrhosis and hepatocellular carcinoma. HCV comprises 6 different genotypes and is one of the fastest mutating viruses known to man. There is no vaccine available, and treatment options are genotype-specific, prone to viral escape mutations, and inadequate.The HCV p7 ion channel is a more recent addition to the growing list of potential drug targets encoded by HCV, reflecting the urgent need for a therapeutic approach. p7 is critical for the release of infectious virions in vitro (1, 2) and in vivo (3). It is not involved in HCV RNA replication (4, 5), but is required for late steps of viral particle assembly (2) and potentially cell entry (6). However, the prerequisite incorporation of p7 into budding virions has not been demonstrated. p7 belongs to the viroporins, small virally encoded proteins with at least 1 membrane-spanning helix that oligomerize to form channels or pores that modify the permeability of the cell membrane to ions and other small molecules (7). In planar lipid bilayers, p7 monomers oligomerize to form cation-selective ion channels that can be specifically inhibited by long alkylchain iminosugars, amiloride, and amantadine derivatives, with varying reported efficacies (6,(8)(9)(10)(11)(12)(13)(14)(15). Each HCV p7 monomer consists of 63 aa, most of which are hydrophobic and possibly contain endoplasmic reticulum (ER) retention signals (16-18). Computational secondary structure predictions suggest that the monomers contain 2 transmembrane spanning helices connected by a short basic loop (19,20). The loop is assumed to face the cytoplasm, with the N and C termini facing...