Picornaviruses are small animal viruses with positive-strand genomic RNA, w
hich is translated using cap-independent internal translation initiation. T
he key role in this is played by cis elements of the 5 ' -untranslated regi
on (5 ' -UTR) and, in particular, by the internal ribosome entry site (IRES
). The function of translational cis elements requires both canonical trans
lation initiation factors (eIFs) and additional IRES transacting factors (I
TAFs). All known ITAFs are cell RNA-binding proteins which play a variety o
f functions in noninfected cells. Specific features of translational cis el
ements substantially affect the phenotype and, in particular, tissue tropis
m and pathogenic properties of picornaviruses. It is clear that, in some ca
ses, the molecular mechanism involved is a change in interactions between v
iral cis elements and ITAFs. The properties and tissue distribution of ITAF
s may determine the biological properties of other viruses that also use th
e IRES-dependent translation initiation. Since this mechanism is also invol
ved in translation of several cell mRNAs, ITAF may contribute to the regula
tion of the most important aspects of the living activity in noninfected ce
lls.