Translation of hepatitis C virus (HCV) 1 is mediated by an internal ribosome entry site (IRES) located mostly within the 5Ј-untranslated region (UTR) and extending a few nucleotides into the open reading frame (1-5). HCV 5Ј-UTR is highly conserved and folds into a complex secondary structure comprising four major structural domains (I-IV) and a pseudoknot in the vicinity of the initiator AUG codon (6, 7). The cis-elements promote assembly of initiation complex independent of the 5Ј-end and thus mediate internal initiation of translation in a cap-independent manner (7). Domain I is not a part of IRES and most likely is involved in RNA replication, whereas domains II and III are complex and consist of multiple stem-loops and bulge-loops. Even minor mutations in domains II and III substantially reduce IRES activity, but this could in most cases be regained by compensatory second site mutations that restored secondary structure. Highly conserved residues are often unpaired and may thus be able to interact with the components of the translation apparatus. Domain IV consists of a stem-loop that contains initiator AUG codon and has been shown to play a key role in regulating the initiation of translation of the HCV RNA (5, 8 -10). It appears from earlier reports that both the sequence and stability of the domain IV stem might control efficiency of HCV IRES translation (11, 12). These observations have led to a model for IRES function in which the structural elements in the IRES act as a scaffold that orients the potential binding sites in such a way that their interactions with initiation factors and ribosomes lead to assembly of functional ribosomal initiation complexes (13).HCV IRES binds to the 40 S ribosomal subunit specifically and stably even in the absence of any initiation factors. Addition of eIF2/GTP/Met-tRNAi is sufficient for 40 S subunit to lock onto initiator AUG (13). eIF3, though not essential for the formation of 48 S complex formation, it has been shown to bind to the apical half of domain III and is likely to be a constituent of the 48 S-IRES complex in vivo (14,15). 48 S complex formation on HCV IRES has no requirement for eIF4A, 4B, 4E, 4G, or for ATP hydrolysis (14 -16). Because the viral 5Ј-UTR forms a binary complex with the 40 S ribosomal subunit in the absence of any canonical or non-canonical initiation factors, it is likely that the additional factors may stimulate internal initiation of translation following the assembly of RNA-40 S complex. Recently, binding of a 25-kDa cellular protein (p25) to HCV IRES has been shown to be important for the efficient translation initiation. p25 was originally suggested to be ribosomal protein S9 but later identified as rpS5 (14,17,18). In fact, HCV IRES has been suggested to have a prokaryotic-like mode of interaction with the 40 S ribosomal subunit, where the 40 S ribosomal subunit is thought to interact with the HCV-IRES through p25 (14). However, eukaryotic mRNAs and picornaviral IRESs have not been reported to require S5 protein for the ribosome asse...