Internal ribosome entry sites (IRESs) facilitate an alternative, end-independent pathway of translation initiation. A particular family of dicistroviral IRESs can assemble elongation-competent 80S ribosomal complexes in the absence of canonical initiation factors and initiator transfer RNA. We present here a cryo-EM reconstruction of a dicistroviral IRES bound to the 80S ribosome. The resolution of the cryo-EM reconstruction, in the subnanometer range, allowed the molecular structure of the complete IRES in its active, ribosome-bound state to be solved. The structure, harboring three pseudoknot-containing domains, each with a specific functional role, shows how defined elements of the IRES emerge from a compactly folded core and interact with the key ribosomal components that form the A, P and E sites, where tRNAs normally bind. Our results exemplify the molecular strategy for recruitment of an IRES and reveal the dynamic features necessary for internal initiation.Initiation of protein synthesis is an essential phase of protein synthesis and a key regulatory step in gene expression 1,2 . In eukaryotes, the canonical 5¢ cap-dependent pathway is facilitated and orchestrated by approximately 11 translation initiation factors. However, IRES RNAs can functionally substitute for initiation factors and facilitate the alternative pathway of internal initiation 3,4 . IRESs are present in 5¢ untranslated regions (UTRs) of many viral RNAs and are efficient tools to hijack the translational apparatus of the host during viral infection. They are also used by a subset of cellular messenger RNAsfor example, several proto-oncogenes [3][4][5] . In this context, they act as regulatory tools and are used to initiate translation during cellular stress or other periods when overall global translation is compromised.The molecular mechanisms of initiation by IRES RNAs are largely unknown. IRES RNAs fall into different classes that are distinguished by their structure and dependence on different sets of canonical initiation factors and IRES trans-acting factors 3-6 . The simplest mechanism of initiation is used by the intergenic IRESs of dicistroviruses, such as the cricket paralysis virus (CrPV). This family of IRESs does not require any initiation factor or even initiator tRNA in order to assemble elongation-competent 80S ribosomes 7-10 . According to biochemical studies, the IRES binds directly to the ribosomal 40S subunit and sets the translational reading frame by positioning the first codon into the ribosomal A site. This is highly unusual, because canonical initiation starts from the P site. Moreover, like the hepatitis C virus IRES 11 , the CrPV IRES actively manipulates the conformation of the translational machinery, suggesting that the IRES acts like an RNA-based translation factor 12 .A detailed knowledge of the CrPV IRES structure, especially in the ribosome-bound state, is a prerequisite for understanding the mechanism of internal initiation without initiation factors. The low resolution of the previous cryo-EM maps limit...