“…Eukaryotic cells and their viruses have evolved at least two mechanisms for recruiting and positioning ribosomes at the start sites for translation of RNA messages+ The primary mechanism involves recognition of a 7-methyl guanosine cap on the 59 terminus of the mRNA by a set of canonical initiation factors that recruit the 43S particle-including the 40S ribosomal subunit and eukaryotic initiation factor 3 (eIF3)-forming the 48S preinitiation complex (Fig+ 1A; for review, see Merrick & Hershey, 1996;Pain, 1996;Sachs et al+, 1997)+ Alternatively, numerous viruses and some eukaryotic mRNAs utilize a cap-independent pathway in which an RNA element, the internal ribosome entry site (IRES), drives preinitiation complex formation by positioning the ribosome on the message, either at or just upstream of the start site+ In hepatitis C virus (HCV), the major infectious agent leading to non-A, non-B hepatitis, the minimum IRES includes nearly the entire 59 untranslated region (UTR) of the message (for review, see Rijnbrand & Lemon, 2000)+ The secondary structure of the HCV IRES RNA, one of the most conserved regions of the entire viral genome, is critical for translation initiation, and is similar to that of the related pestiviruses and GB virus B (Brown et al+, 1992;Wang et al+, 1994Wang et al+, , 1995Le et al+, 1995;Rijnbrand et al+, 1995;Honda et al+, 1996aHonda et al+, , 1996bHonda et al+, , 1999Pickering et al+, 1997;Varaklioti et al+, 1998;Psaridi et al+, 1999;Tang et al+, 1999) + We have previously shown that the HCV IRES RNA adopts a specific three-dimensional fold in the presence of physiological concentrations of metal ions (Kieft et al+, 1999)+ Rather than forming a tightly packed globular structure, the RNA helices extend from two folded helical junctions, JIIIabc and JIIIef (Fig+ 1B)+ This suggests that the IRES RNA acts as a structural scaffold in which specifically placed recognition sites recruit the translational machinery+ This is supported by the observation that eIF3 and the 40S ribosomal subunit, the two largest components of the 43S particle, bind directly to the HCV IRES RNA (Pestova et al+, 1998)+ Unlike IRESs found in some other RNA viruses, such as poliovirus, the IRES RNA•40S•eIF3 ternary pre-initiation complex forms without the involvement of other cellular factors (Fig+ 1A;Pestova et al+, 1998)+ Although several other proteins appear to interact with the HCV IRES RNA, they are not required for 43S binding to the IRES …”