Canonical translation initiation involves ribosomal scanning, but short 5= untranslated region (5=UTR) mRNAs are translated in a scanning-independent manner. The extent and mechanism of scanning-independent translation are not fully understood. Here we report that short 5=UTR mRNAs constitute a substantial fraction of the translatome. Short 5=UTR mRNAs are enriched with TISU (translation initiator of short 5=UTR), a 12-nucleotide element directing efficient scanning-independent translation. Comprehensive mutagenesis revealed that each AUG codon-flanking nucleotide of TISU contributes to translational strength, but only a few are important for accuracy. Using site-specific UV cross-linking of ribosomal complexes assembled on TISU mRNA, we demonstrate specific binding of TISU to ribosomal proteins at the E and A sites. We identified RPS3 as the major TISU binding protein in the 48S complex A site. Upon 80S complex formation, RPS3 interaction is weakened and switched to RPS10e (formerly called RPS10). We further demonstrate that TISU is particularly dependent on eukaryotic initiation factor 1A (eIF1A) which interacts with both RPS3 and RPS10e. Our findings suggest that the cap-recruited ribosome specifically binds the TISU nucleotides at the A and E sites in cooperation with eIF1A to promote scanning arrest.KEYWORDS translation initiation, TISU, RPS3, RPS10e, eIF1A, short 5=UTR, RPS10 C anonical translation initiation in eukaryotes starts with binding of eukaryotic initiation factor 4F (eIF4F) to the m 7 G-capped 5= end of the mRNA, which is then followed by the recruitment of the 43S preinitiation complex (PIC) consisting of the 40S small ribosomal subunit, initiator Met-tRNA, and a subset of initiation factors (eIF2, eIF1, eIF1A, eIF3, and eIF5). The 43S PIC then scans the mRNA 5= untranslated region (5=UTR) and inspects it for an AUG start codon. During scanning, the 43S PIC is in an "open" state, and following AUG recognition, the 48S initiation complex is switched to a "closed" conformation that arrests scanning and promotes joining of the 60S large subunit to create the 80S elongation-competent complex (reviewed in references 1, 2, 3, 4, and 5). Translation usually initiates at the first 5=-proximal AUG codon, but in certain cases, translation initiates at a downstream AUG (DS-AUG) codon, a phenomenon known as leaky scanning. The extent of leaky scanning depends on the 5=UTR length and on the AUG nucleotide context (6,7,8,9). For mRNA with a 5=UTR that is more than 30 nucleotides (nt) long, the optimal AUG context is the Kozak element, RCCAUGG, in which the most significant nucleotides (shown in boldface type) are the