Translation of poliovirus RNA is driven by an internal ribosome entry segment (IRES) present in the 5 noncoding region of the genomic RNA. This IRES is structured into several domains, including domain V, which contains a large lateral bulge-loop whose predicted secondary structure is unclear. The primary sequence of this bulge-loop is strongly conserved within enteroviruses and rhinoviruses: it encompasses two GNAA motifs which could participate in intrabulge base pairing or (in one case) could be presented as a GNRA tetraloop. We have begun to address the question of the significance of the sequence conservation observed among enterovirus reference strains and field isolates by using a comprehensive site-directed mutagenesis program targeted to these two GNAA motifs. Mutants were analyzed functionally in terms of (i) viability and growth kinetics in both HeLa and neuronal cell lines, (ii) structural analyses by biochemical probing of the RNA, and (iii) translation initiation efficiencies in vitro in rabbit reticulocyte lysates supplemented with HeLa or neuronal cell extracts. Phenotypic analyses showed that only viruses with both GNAA motifs destroyed were significantly affected in their growth capacities, which correlated with in vitro translation defects. The phenotypic defects were strongly exacerbated in neuronal cells, where a temperature-sensitive phenotype could be revealed at between 37 and 39.5°C. Biochemical probing of mutated domain V, compared to the wild type, demonstrated that such mutations lead to significant structural perturbations. Interestingly, revertant viruses possessed compensatory mutations which were distant from the primary mutations in terms of sequence and secondary structure, suggesting that intradomain tertiary interactions could exist within domain V of the IRES.Poliovirus (PV) is often considered the prototype of the Enterovirus genus of the Picornaviridae family. As such, its genome is a single-stranded RNA molecule of positive polarity. It is now well established that the long 5Ј untranslated region (5Ј-UTR; 742 nucleotides [nt] for PV type 1 Mahoney strain [PV1(M)]) plays different important roles in the PV life cycle. The first hundred nucleotides form a cloverleaf structure involved in RNA replication (3), acting at the initiation of negative-strand RNA synthesis (4). Similarly, on negativestrand replication intermediates, the complement of the 5Ј-UTR is involved in the synthesis of positive-strand viral RNA (32). Furthermore, the 5Ј-UTR contains an internal ribosome entry segment (IRES) which promotes translation initiation by a cap-and 5Ј-end-independent mechanism, following direct entry of the 40S ribosomal subunit at the 3Ј end of the IRES (for a review, see reference 6). The PV IRES is approximately 450 nt long and has a predicted secondary structure comprised of five complex stem-loops (Fig. 1A), one of which has been reported to be dispensable for efficient translation at least ex vivo (9). The original predicted secondary structure of the PV 5Ј-UTR was initially b...