20Kaposi's sarcoma-associated herpesvirus (KSHV) is a human -herpesvirus associated with the 21 development of Kaposi's sarcoma (KS). KSHV target cells include endothelial cells, B cells, 22 monocytes, epithelial cells, dendritic cells, macrophages, and fibroblasts. KSHV entry into target 23 cells is a complex multistep process and is initiated by the binding and interaction of viral envelope 24 glycoproteins with the cellular receptors. In our current studies, we have found that EphA4 promotes 25 KSHV gH/gL-mediated fusion and infection better than EphA2 in HEK293T cells indicating that 26EphA4 is a new KSHV entry receptor. To confirm that epithelial cells express EphA2 and EphA4, we 27 analyzed the expression of EphA2 and EphA4 in epithelial cells, endothelial cells, B cells, 28 monocytes, fibroblasts using RNA-seq data analysis of existing data sets. We found these cell types 29 broadly express both EphA2 and EphA4 with the exception of monocytes and B cells. To confirm 30EphA4 is important for KSHV fusion and infection, we generated EphA2 and EphA4 single and 31 double knockout cells. We found that both EphA2 and EphA4 play a role in KSHV fusion and 32 infection, since EphA2/EphA4 double knockout cells had the greatest decrease in fusion activity and 33 infection compared to single knockout cells. Fusion and infection of KSHV was rescued in the 34 EphA2/EphA4 double knock cells upon overexpression of EphA2 and/or EphA4. EphA2 binds to 35 both EBV and KSHV gH/gL; however, EphA4 binds only to KSHV gH/gL. Taken together, our 36 results identify EphA4 as a new entry receptor for KSHV. 37 38 Importance. The overall entry mechanism for herpesviruses is not completely known including 39 that for the human -herpesviruses Kaposi's sarcoma-associated herpesvirus (KSHV) and 40Epstein-Barr virus (EBV). To fully understand the herpesvirus entry process, functional receptors 41 need to be identified. In our current study, we found that EphA4 can also function for a KSHV 42 3 entry receptor along with EphA2. Interestingly, we found that EphA4 does not function as an entry 43 receptor for EBV whereas EphA2 does. The discovery of EphA4 as KSHV entry receptor has 44 important implications for KSHV pathogenesis in humans and may prove useful in understanding the 45 unique pathogenesis of KSHV infection in humans and may uncover new potential targets that can be 46 used for the development of novel interventional strategies. 47 48 49 50 51 Herpesviruses are enveloped double-stranded DNA viruses capable of infecting a wide range of 52 hosts and cause a variety of diseases (1). There are nine human herpesviruses that infect humans 53 establishing lifelong latent infections (2). The -herpesviruses Kaposi's sarcoma-associated 54 herpesvirus (KSHV) and Epstein-Barr virus (EBV) are associated with human cancer (1, 3). Kaposi's 55 sarcoma (KS) is a cancer that develops from the endothelium that lines lymph or blood vessels. It 56 usually appears as tumors on the skin or on mucosal surfaces such as inside the mouth, lungs, liver, 57 ...