Hepatitis delta virus (HDV) is a unique viroid-like human pathogen tha
t is always associated with hepatitis B infection, Replication of HDV
involves the transcription of genomic RNA, probably by the host RNA po
lymerase II, by a rolling circle mechanism followed by self-cleavage a
nd self-ligation. Editing of antigenomic RNA, possibly involving the e
nzyme adenosine deaminase, generates two functionally distinct forms o
f delta antigen. The molecular basis for HDV pathogenicity remains unc
ertain.