Internal ribosome entry sites (IRESs) are specialized mRNA elements that allow recruitment of eukaryotic ribosomes to naturally uncapped mRNAs or to capped mRNAs under conditions in which cap-dependent translation is inhibited. Putative cellular IRESs have been proposed to play crucial roles in stress responses, development, apoptosis, cell cycle control, and neuronal function. However, most of the evidence for cellular IRES activity rests on bicistronic reporter assays, the reliability of which has been questioned. Here, the mechanisms underlying cap-independent translation of cellular mRNAs and the contributions of such translation to cellular protein synthesis are discussed. I suggest that the division of cellular mRNAs into mutually exclusive categories of "cap-dependent" and "IRESdependent" should be reconsidered and that the implications of cellular IRES activity need to be incorporated into our models of cap-dependent initiation.Eukaryotic mRNAs are modified by the addition of an m 7 GpppN cap structure to their 5Ј-ends. The m 7 G cap is thought to stimulate translation of most mRNAs by enhancing binding of a 43 S preinitiation complex (containing 40 S ribosomal subunits, methionine initiator tRNA, and initiation factors eIF2 and eIF3) to 5Ј-UTRs of mRNAs through recognition of the m 7 G cap by a complex of the cap-binding protein, eIF4E; a large scaffold protein, eIF4G; and an ATP-dependent RNA helicase, eIF4A. Subsequent movement of the 43 S complex in a 5Ј-to 3Ј-direction (scanning) locates the initiating AUG through recognition by the anticodon of the initiator tRNA. The discovery that naturally uncapped picornaviral mRNAs can efficiently recruit the host cell translation machinery via internal ribosome entry sites (IRESs) 2 raised the possibility that certain cellular mRNAs might have a similar capability (1, 2).The cellular IRES hypothesis offered an attractive solution to two problems. First, a number of cellular stress responses involve inhibition of one or more general translation initiation factors, yet the adaptive responses to stress require new protein synthesis. Cellular IRES elements could allow mRNAs encoding key regulatory proteins to escape the general inhibition of translation. The observation that some cellular mRNAs continue to be translated in poliovirus-infected cells after the inhibition of cap-dependent initiation (through cleavage of eIF4G by a virally encoded protease) is consistent with this hypothesis (3). Second, the existence of cellular IRESs could explain how mRNAs with very long 5Ј-UTRs or containing numerous predicted stem-loop structures or upstream AUG codons within their 5Ј-UTRs could be translated with reasonable efficiency, despite evidence that such features can significantly reduce translation of model mRNAs (4 -6).Both arguments in favor of the cellular IRES hypothesis rest on certain assumptions about the predominant mechanism of cap-and scanning-dependent initiation that this minireview will re-examine in light of recent publications that (i) demonstrate that l...