Hepatitis C virus (HCV)2 is a single-stranded positive-sense RNA virus capable of establishing a chronic infection in 70 -80% of HCV-infected patients. Approximately 3% of the population of the world are chronically infected with HCV. Over 30% of them will develop cirrhosis within 20 years, which subsequently may lead to hepatocellular carcinoma (1-3). A vaccine is not available and the optimal current therapy for patients infected with HCV is a combination of the pegylated interferon (IFN) and ribavirin. However, the therapy with these agents is prolonged, costly, and associated with a high rate of side effects. Furthermore, the sustained virologic response rate to the combination therapy varies with different genotypes of HCV. Although small molecule inhibitors of viral protease and RNA-dependent RNA polymerase are in clinical development, the error prone nature of the viral RNA polymerase leads to rapid emergence of viral-resistant mutations to these therapeutic candidates. Therefore, a new approach to control HCV proliferation could be identifying the host factors involved in the HCV life cycle. HCV relies heavily on host proteins for all steps of its life cycle, including viral entry, uncoating, replication, assembly, and virion release. Therefore, any step that can interrupt the HCV life cycle will be a putative target for HCV therapy.Nonstructural 5A (NS5A) protein is a multifunctional phosphoprotein consisting of 447 amino acids residues. NS5A protein is localized in the cytoplasm and forms part of the HCV RNA replication complex (4). NS5A has been shown to interact with many host factors, including TRAF2, hVAP-33, PKR, and Grb2, to regulate viral replication and cellular signaling pathways (5-8). A growing body of evidence indicates that NS5A may play important roles in the HCV-induced liver pathogenesis. We have shown that NS5A modulated TNF␣ signaling of the host cells through the NS5A-TRAF2 interaction (5). In addition, we demonstrated that NS5A induced steatosis and hepatocellular carcinoma in transgenic mice (9). Recently, we also showed that NS5A modulated -catenin signaling that might play an important role in HCV pathogenesis (10).Phosphatidylinositol 4-kinase type III␣ (PI4KIII␣) is a lipid kinase that is encoded by the PI4KCA gene in human (11). PI4KIII␣ phosphorylates phosphatidylinositol (PtdIns) to phosphatidylinositol 4-P, which can be further phosphorylated by PIP5 kinases to phosphatidylinositol (4,5)-P 2 . PI4KIII␣ is localized primarily to the endoplasmic reticulum and regulates endoplasmic reticulum exit sites (12, 13). Recently, PI4KIII␣ has been identified as a cellular factor involved in the HCV life cycle using siRNA library screening (14 -19). However, how PI4KIII␣ regulates HCV proliferation is not clearly understood. In this study, we identified PI4KIII␣ as a binding partner for the NS5A protein. Silencing of PI4KIII␣ significantly reduced HCV replication and virion release in HCV-infected cells. These data suggest that HCV may modulate cellular PI4KIII␣ for its own RNA replic...