We have previously characterized a 21-kDa protein encoded by UL138 (pUL138) as a viral factor inherent to low-passage strains of human cytomegalovirus (HCMV) that is required for latent infection in vitro. pUL138 is encoded on 3.6-, 2.7-, and 1.4-kb 3 coterminal transcripts that are produced during productive and latent infections. pUL138 is encoded at the 3 end of each transcript and is preceded by an extensive 5 sequence (ϳ0.5 to 2.5 kb) containing several putative open reading frames (ORFs). We determined that three putative ORFs upstream of UL138 (UL133, UL135, and UL136) encode proteins. The UL138 transcripts are polycistronic, such that each transcript expresses pUL138 in addition to the most-5 ORF. The upstream coding sequences (CDS) present a significant challenge for the translation of pUL138 in mammalian cells. We hypothesized that sequences 5 of UL138 mediate translation initiation of pUL138 by alternative strategies. Accordingly, a 663-nucloetide (nt) sequence overlapping the UL136 CDS supported expression of a downstream cistron in a bicistronic reporter system. We did not detect cryptic promoter activity or RNA splicing events that could account for downstream cistron expression. These data are consistent with the sequence element functioning as an internal ribosome entry site (IRES). Interestingly, pUL138 expression from the 3.6-and 2.7-kb transcripts was induced by serum stress, which concomitantly inhibited normal cap-dependent translation. Our work suggests that an alternative and stress-inducible strategy of translation initiation ensures expression of pUL138 under a variety of cellular contexts. The UL138 polycistronic transcripts serve to coordinate the expression of multiple proteins, including a viral determinant of HCMV latency.Mechanisms of viral coexistence with hosts are poorly understood. Human cytomegalovirus (HCMV), like all herpesviruses, persists in infected individuals indefinitely through a lifelong, latent infection. HCMV persists in 60 to 99% of the population worldwide and is associated with increased risk of atherosclerosis and age-related immune senescence (46,68,71). A primary HCMV infection during pregnancy is associated with a high incidence of congenital birth defects, whereas reactivation of latent HCMV in individuals with compromised T-cell immunity is associated with increased morbidity and mortality (5,6,9,46). Understanding viral persistence and latency is essential to understanding both the overt and nonovert pathologies of HCMV and to developing antivirals that target the latent infection.The establishment of latency, while poorly understood, involves coordinated interactions between multiple viral (3, 22, 34, 52) and cellular determinants (14, 57, 60). HCMV latency has been best studied in hematopoietic cells of the myeloid lineage (20-22, 42, 58). We have recently identified sequences in the ULbЈ region of the HCMV genome, unique to clinical strains of HCMV, that are required for an in vitro latent infection in CD34 ϩ hematopoietic progenitor cells (22). Specif...