Hepatitis C virus (HCV) is an important cause of liver disease worldwide. Current therapies are inadequate for most patients. Using a two-hybrid screen, we isolated a novel cellular binding partner interacting with the N terminus of HCV nonstructural protein NS5A. This partner contains a TBC Rab-GAP (GTPase-activating protein) homology domain found in all known Rab-activating proteins. As the first described interaction between such a Rab-GAP and a viral protein, this finding suggests a new mechanism whereby viruses may subvert host cell machinery for mediating the endocytosis, trafficking, and sorting of their own proteins. Moreover, depleting the expression of this partner severely impairs HCV RNA replication with no obvious effect on cell viability. These results suggest that pharmacologic disruption of this NS5A-interacting partner can be contemplated as a potential new antiviral strategy against a pathogen affecting nearly 3% of the world's population.HCV is a positive single-stranded RNA virus whose 9.6-kb genome encodes an ϳ3,000-amino-acid polyprotein that is proteolytically processed into structural proteins (components of the mature virus) and nonstructural proteins (involved in replicating the viral genome) (15,20). The nonstructural protein 5A (NS5A) is part of the intracellular membrane-associated viral replication complex (15). Mutations in NS5A affect the rate of HCV replication (3). NS5A has generated considerable interest because of a postulated role in determining the response to interferon (21). A variety of host proteins have been reported to interact with NS5A, although for most their precise relevance in the HCV life cycle awaits definition.Like that of all positive-strand RNA viruses, HCV replication occurs in intimate association with specific intracellular membrane structures, which for HCV has been termed the membranous web (8). What host machinery is exploited to establish these sites of viral replication is unknown. Rab GTPases are small GTP-binding proteins that regulate vesicular-membrane-trafficking pathways, behaving as membraneassociated molecular switches (22). Rab proteins have been previously implicated in the life cycles of various enveloped viruses and are utilized by these viruses for endocytosis, trafficking, and sorting of their proteins (see, for example, Vonderheit and Helenius [33]). Because NS5A has been implicated in the membrane-associated replication of HCV (10), we hypothesized that among the host cell factors that associate with NS5A might be components of host cell membrane-trafficking machinery. To test this hypothesis, we used the full-length NS5A from genotype 1b as bait to screen a human liver cDNA prey library in a GAL4-based yeast two-hybrid screen. We have identified a TBC protein family member, TBC1D20, as a binding partner of HCV NS5A. TBC domain proteins contain an ϳ200-amino-acid motif initially identified in the TRE2/BUB2/ CDC16 genes (25). Like all TBC family members, TBC1D20 contains a Rab-GTPase-activating protein (GAP) homology domain required fo...