Previous studies have defined a novel cell culture system in which a modified RNA genome of hepatitis delta virus (HDV) is able to maintain a low level of continuous replication for at least 1 year, using a separate and limited DNA-directed source of mRNA for the essential small delta protein. This mode of replication is analogous to that used by plant viroids. An examination was made of the nucleotide changes that accumulated on the HDV RNA during 1 year of replication. The length of the RNA genome was maintained, except for some single-nucleotide deletions and insertions. There was an abundance of single-nucleotide substitutions, with a 22-fold excess of these being base transitions rather than transversions. Of the detected transitions, at least 70% were consistent with being the consequences of posttranscriptional RNA editing by an adenosine deaminase acting on RNA. The remainder of the changes, including the single-nucleotide insertions and deletions, are likely to be the consequence of misincorporation during transcription. In addition, an intermolecular competition assay was used to show that the majority of the genomes present after 1 year of replication were essentially as competent in replication as the original single HDV RNA sequence that was used to initiate the genome replication. A model is provided to explain how, in this experimental system, the observed singlenucleotide changes were essentially neutral in terms of their effect on the ability of the HDV genome to carry out continued rounds of replication.Previous studies have considered the nucleotide changes that accumulate during the replication of the approximately 1,700-nucleotide single-stranded circular RNA genome of human hepatitis delta virus (HDV) (1,12,15,22,25,28,37). Some of these changes are considered to arise via misincorporations during RNA-directed RNA transcription, a process that is considered to involve redirection of host DNA-directed RNA polymerase II (34). In contrast, one much-studied nucleotide change that occurs at position 1012, in the middle of the amber termination codon of the open reading frame for the essential small delta protein, ␦Ag-S (23), is not caused by misincorporation. This change occurs during genome replication but is a consequence of posttranscriptional RNA editing by ADAR, an adenosine deaminase acting on RNA (2). This change leads to inactivation of the termination codon and allows the synthesis of a longer protein, the 214-amino-acid large delta protein, ␦Ag-L, that is a dominant negative inhibitor of genome replication (6) and yet is essential for the process of virus assembly which is mediated by the envelope proteins of a helper virus, hepatitis B virus (3). There are other less-site-specific nucleotide changes that have been noted in previous studies, whether during passage of the virus in infected animals or even during replication in cultured cell lines (12,25,28). It is no doubt because of the accumulation of changes such as these that the different HDV isolates from around the world can be d...