Enteroviruses (EVs) overcome their host cells by usurping the translation machinery to benefit viral gene expression. This is accomplished through alternative translation initiation in a cap-independent manner at the viral internal ribosomal entry site (IRES). We have investigated the role of cis-and trans-acting viral factors in EV IRES translation in living cells. We observed that considerable portions of the viral genome, including the 5-proximal open reading frame and the 3 untranslated region, contribute to stimulation of IRESmediated translation. With the IRES in proper context, translation via internal initiation in uninfected cells is as efficient as at capped messages with short, unstructured 5 untranslated regions. IRES function is enhanced in cells infected with the EV coxsackievirus B3, but the related poliovirus has no significant stimulatory activity. This differential is due to the inherent properties of their 2A protease and is not coupled to 2A-mediated proteolytic degradation of the eukaryotic initiation factor 4G. Our results suggest that the efficiency of alternative translation initiation at EV IRESs depends on a properly configured template rather than on targeted alterations of the host cell translation machinery.Plus-strand RNA viruses are among the most common human pathogens, responsible for devastating pandemics in the past (poliomyelitis) and present (hepatitis C virus infection and dengue hemorrhagic fever). Upon entering susceptible host cells, positive-strand RNA viruses utilize their genome as a template for viral gene expression in competition with host cell mRNAs for the translation machinery. To accomplish this, many positive-strand RNA viruses alter the host cell protein synthesis apparatus and employ unorthodox translation strategies involving 5Ј untranslated region (5ЈUTR) and 3ЈUTR with uncommon structural features. This is exemplified by the Enterovirus genus of Picornaviridae.Conventional translation of eukaryotic mRNAs occurs upon formation of a ribonucleoprotein network that engages the 43S preinitiation complex (53). This network bridges the 5Ј terminus of eukaryotic mRNAs, universally modified by an m 7 Gppp cap, and a poly(A) tail. Components of the eukaryotic initiation factor 4F (eIF4F) complex mediate template closure: the cap-binding eIF4E binds to eIF4G, which interacts with the poly(A)-binding protein (PABP) (16,43,50). Since it also interacts with the RNA helicase eIF4A and via eIF3 with the 40S ribosomal subunit, eIF4G assumes a central scaffolding function for preinitiation complex assembly (20).Despite their extreme genetic austerity, enteroviruses (EVs) devote a considerable portion of their genomes to elaborate, highly structured 5Ј-and 3ЈUTRs and encode a poly(A) tail of ϳ50 nucleotides (nt) in length. The viral 5ЈUTR contains an internal ribosomal entry site (IRES) mediating 5Ј-end, capindependent translation initiation of the uncapped genome (26, 40). The onset of viral gene expression coincides with severe disruptions of the intracellular milieu, incl...