Coxsackievirus B3 (CVB3) is a picornavirus which causes myocarditis and pancreatitis and may play a role in type I diabetes. The viral genome is a single 7,400-nucleotide polyadenylated RNA encoding 11 proteins in a single open reading frame. The 5 end of the viral genome contains a highly structured nontranslated region (5NTR) which folds to form an internal ribosome entry site (IRES) as well as structures responsible for genome replication, both of which are critical for virulence. A structural model of the CVB3 5NTR, generated primarily by comparative sequence analysis and energy minimization, shows seven domains (I to VII). While this model provides a preliminary basis for structural analysis, the model lacks comprehensive experimental validation. Here we provide experimental evidence from chemical modification analysis to determine the structure of the CVB3 5NTR. Chemical probing results show that the theoretical model for the CVB3 5NTR is largely, but not completely, supported experimentally. In combination with our chemical probing data, we have used the RNASTRUCTURE algorithm and sequence comparison of 105 enterovirus sequences to provide evidence for novel secondary and tertiary interactions. A comprehensive examination of secondary structure is discussed, along with new evidence for tertiary interactions. These include a loop E motif in domain III and a long-range pairing interaction that links domain II to domain V. The results of our work provide mechanistic insight into key functional elements in the cloverleaf and IRES, thereby establishing a base of structural information from which to interpret experiments with CVB3 and other picornaviruses.Coxsackievirus B3 (CVB3) is a member of the Enterovirus genus of the family Picornaviridae. As with all picornaviruses, the CVB3 genome is a single-stranded positive-sense RNA that is organized into four sections: a highly structured 5Ј nontranslated region (5ЈNTR), a single open reading frame encoding a polyprotein, a 3ЈNTR, and a poly(A) tail (48). For CVB3 the 7,400-nucleotide genome is composed of a 5ЈNTR of approximately 742 bases, a coding region that specifies a 2,185-amino-acid polyprotein, a 98-nucleotide (nt) 3ЈNTR, and a poly(A) tail (30,36). Upon entering a permissive host cell, the enterovirus genome first serves as a template for translation, producing the viral polyprotein, and then becomes a template for replication of the minus strand. Both of these functions, as well as the regulatory switch between them, require critical structural elements in the 5ЈNTR RNA (18,19,45,52). Alteration of structural elements in the 5ЈNTR severely compromises viral multiplication and also abrogates virulence (6).The enterovirus cap-independent translation mechanism has been studied extensively, particularly in poliovirus, and serves as a model for all enteroviruses, including CVB3. In this translation mechanism, the 5ЈNTR contains a cis-acting internal ribosome entry site (IRES) (26,50,60) that recruits ribosomes directly to a downstream AUG codon, thereby circu...