Translation of picornavirus plus-strand RNA genomes occurs via internal ribosomal entry at highly structured 5 untranslated regions. In addition to canonical translation factors, translation rate is likely influenced by supplementary host and viral trans-acting factors. We previously reported that insertion of a heterologous human rhinovirus type 2 internal ribosomal entry site (IRES) into the poliovirus (PV) genome, generating the chimeric virus PV-RIPO, selectively abrogates viral translation and propagation in neurons, which eliminate poliovirus's signature neuropathogenicity. While severely deficient in cells of neuronal lineage, the rhinovirus IRES promotes efficient propagation of PV-RIPO in cancer cells. Tumor-specific IRES function can be therapeutically exploited to direct viral cytotoxicity to cancer cells. Neuron-glioma heterokaryon analysis implicates neuronal trans-dominant inhibition in this effect, suggesting that host trans-acting factors repress IRES function in a cell-type-specific manner. We identified a set of proteins from neuronal cells with affinity for the rhinovirus IRES, including double-stranded RNA-binding protein 76 (DRBP76). DRBP76 associates with the IRES in neuronal but not in malignant glioma cells. Moreover, DRBP76 depletion in neuronal cells enhances rhinovirus IRES-driven translation and virus propagation. Our observations suggest that cell-typespecific association of DRBP76 with the rhinovirus IRES represses PV-RIPO translation and propagation in neuronal cells. Posttranscriptional regulation constitutes an important level of control of gene expression. The global rate of protein synthesis is influenced by modification of translation initiation factors. In addition, the translation of many mRNAs is independently regulated by processes targeting their untranslated regions (UTRs). In many instances, specific UTRs bind ribonucleoprotein complexes that alter conditions for translation of individual messages.The plus-strand RNA genomes of Picornaviridae feature complex UTRs involved in the regulation of viral translation and genome replication. Translation of viral RNA occurs in competition with cellular mRNA in infected host cells (3). Accordingly, picornavirus genomes have adopted unconventional features enabling efficient viral translation while limiting host cell protein synthesis. In contrast to cellular mRNAs, picornaviral genomic RNAs are uncapped (34), and their uncommonly large and highly structured 5ЈUTRs contain internal ribosomal entry sites (IRESs) that mediate translation initiation in a 5Ј-end, cap-independent manner (26, 39). IRESmediated translation is unimpeded by virus-induced cleavage of canonical initiation factors eukaryotic initiation factor 4G and poly(A)-binding protein (13,27), indicating that their involvement in initiation at the IRES deviates from capped mRNAs. Moreover, divergent means of translation initiation imply the involvement of noncanonical translation factors or IRES trans-acting factors (ITAFs) (4). Such factors, by virtue of their cell and ...