cHepatitis C virus (HCV) exists as six major genotypes that differ in geographical distribution, pathogenesis, and response to antiviral therapy. In vitro replication systems for all HCV genotypes except genotype 5 have been reported. In this study, we recovered genotype 5a full-length genomes from four infected voluntary blood donors in South Africa and established a G418-selectable subgenomic replicon system using one of these strains. The replicon derived from the wild-type sequence failed to replicate in Huh-7.5 cells. However, the inclusion of the S2205I amino acid substitution, a cell culture-adaptive change originally described for a genotype 1b replicon, resulted in a small number of G418-resistant cell colonies. HCV RNA replication in these cells was confirmed by quantification of viral RNA and detection of the nonstructural protein NS5A. Sequence analysis of the viral RNAs isolated from multiple independent cell clones revealed the presence of several nonsynonymous mutations, which were localized mainly in the NS3 protein. These mutations, when introduced back into the parental backbone, significantly increased colony formation. To facilitate convenient monitoring of HCV RNA replication levels, the mutant with the highest replication level was further modified to express a fusion protein of firefly luciferase and neomycin phosphotransferase. Using such replicons from genotypes 1a, 1b, 2a, 3a, 4a, and 5a, we compared the effects of various HCV inhibitors on their replication. In conclusion, we have established an in vitro replication system for HCV genotype 5a, which will be useful for the development of pangenotype anti-HCV compounds. H epatitis C virus (HCV) currently infects approximately 185 million people worldwide, increasing their risk of developing liver cirrhosis and hepatocellular carcinoma (1). No vaccine is available against HCV infection, and the standard of care until 2011, consisting of PEGylated interferon (IFN) and ribavirin, cured only 50% of patients. However, the addition of direct-acting antiviral agents (DAAs) over the past few years has revolutionized HCV treatment, with cure rates now approaching 80 to 90% (2-5). The recently published results of phase 3 clinical trials report even better regimens with Ͼ95% cure rates (6, 7). These are exciting developments, yet the issues of drug resistance, side effects, and drug-drug interactions will remain a challenge. Therefore, the quest to find safe drugs with a pan-genotype activity and a high barrier to drug resistance will continue. To aid these efforts, it is important to have cell culture replication systems for all HCV genotypes. Of the six major HCV genotypes, replication systems for HCV genotypes 1 and 2 were developed over a decade ago (8-10) and provided a strong foundation for the development of currently approved antivirals. Recently, replication systems for genotypes 3, 4, and 6 have also been reported (11)(12)(13)(14). However, a similar system for genotype 5 is still lacking. This genotype is restricted mainly to South Afri...