RNA-dependent RNA replication is a special process reserved exclusively for RNA viruses but not cellular RNAs. Almost all RNA viruses (except retroviruses) undergo RNAdependent RNA replication by a virus-encoded RNA-dependent RNA polymerase (RdRP), which specifically replicates the viral RNA genome. Satellite viral RNAs do not encode their own polymerase but rely on the RdRP from the coexisting helper virus for their replication. Hepatitis delta virus (HDV) and plant viroids present an exception which still confounds the conventional thinking. None of them encode an RdRP, and yet they can undergo robust RNA replication autonomously once inside the cells. It is intuitive that they have to replicate their RNA genome using a cellular enzyme. However, unlike plants and lower animal species, which encode RdRPs that are putatively involved in gene silencing (11,13,57,58), no mammalian cells have been shown to encode any RdRP or its equivalent. Nevertheless, the RNA interference phenomena suggest the possibility that RNA-templated RNA amplification may also take place in the mammalian cells (61). Thus, viroids and HDV present both a challenge and an opportunity for understanding a potentially physiological flow of genetic information from RNA to RNA in the mammalian cells. Viroids and HDV differ in that viroids do not encode any protein, whereas HDV encodes a protein (hepatitis delta antigen [HDAg]) which is intimately involved in RNA replication. In addition, HDV RNA not only has to replicate itself but also needs to transcribe a subgenomic mRNA species that encodes HDAg. The transcription of the HDAg-encoding mRNA has all of the hallmarks of the conventional mRNA transcription in the cells except for the nature of the template (DNA versus RNA). Therefore, HDV represents a hybrid of the conventional DNA-dependent transcription and the unique RNAdependent RNA synthesis in the absence of an RdRP.HDV causes chronic, and occasionally fulminant, hepatitis (20). It is always associated with hepatitis B virus (HBV) infection because HDV cannot form virus particles on its own (54). It was prevalent worldwide, with a particularly high prevalence rate in the Mediterranean countries. In recent years, the incidence of new HDV infection has precipitously declined, partially due to HBV vaccination. Nevertheless, the scientific mystery surrounding HDV replication thickens.
STRUCTURE OF HDV RNA AND HDAgHDV contains a circular RNA genome of 1.7 kilobases which can replicate on its own but requires HBV as the helper virus to supply HBV surface antigen for the production of virus particles. The genome sequence is nearly self-complementary such that the viral RNA forms a rodlike double-stranded RNA structure under the native conditions (29, 70). As such, HDV RNA is very similar to viroid RNAs; indeed, part of the HDV RNA sequence is evolutionarily related to viroids (15). However, HDV RNA is 3 to 4 times longer than the typical viroid, with the additional sequences being attributed to a coding sequence for HDAg on the complementary (anti...