12Only a subset of cancer patients respond to T-cell checkpoint inhibitors, highlighting the need for 13 alternative immunotherapeutics. We performed CRISPR-Cas9 screens in a leukemia cell line to 14 identify perturbations that enhance natural killer effector functions. Our screens defined critical 15 components of the tumor-immune synapse and highlighted the importance of cancer cell 16 interferon-g signaling in modulating NK activity. Surprisingly, disrupting the ubiquitin ligase 17 substrate adaptor DCAF15 strongly sensitized cancer cells to NK-mediated clearance. DCAF15 18 disruption induced an inflamed state in leukemic cells, including increased expression of 19 lymphocyte costimulatory molecules. Proteomic and biochemical analysis revealed that cohesin 20 complex members were endogenous client substrates of DCAF15. Genetic disruption of DCAF15 21 was phenocopied by treatment with indisulam, an anticancer drug that functions through DCAF15 22 engagement. In AML patients, reduced DCAF15 expression was associated with improved 23 survival. These findings suggest that DCAF15 inhibition may have useful immunomodulatory 24 properties in the treatment of myeloid neoplasms. 25 26 T and NK cells share effector functions, releasing cytokines and exocytosing lytic granules upon 58 activation to kill target cells. However, NK activation status is controlled by the integrated signals 59 from germline-encoded NK-activating and -inhibiting receptors (aNKRs/iNKRs). Generally, 60 iNKR ligands are expressed by normal and healthy cells, whereas aNKR ligands are upregulated 61 after DNA damage or viral insult 19,20 . MHC-I molecules provide a potent inhibitory signal sensed 62 by NK cells, enabling the innate immune system to respond productively to MHC-deficient cells. 63As a result, there is considerable interest in amplifying NK responses to cancers, as well as 64 developing NK-based cell therapies [18][19][20] . 65 66 Here, we performed genetic screens in an MHC-deficient leukemic cell line to systematically 67 identify modulators of NK-mediated anti-cancer immunity. These screens, unexpectedly, revealed 68 the potential therapeutic utility of targeting the CRL4 substrate adaptor DCAF15 in myeloid 69 malignancies. Disruption of DCAF15 strongly sensitized cancer cells to NK-mediated killing, 70 resulting from increased cancer cell expression of lymphocyte costimulatory molecules. Proteomic 71 experiments revealed that DCAF15 interacted with and promoted the ubiqitination of the cohesin 72 complex members. Treatment with indisulam, an anticancer drug that modulates DCAF15 73 function, reduced interaction with cohesin members and mimicked DCAF15 loss-of-function 74 immunophenotypes. 75 76 Results 77 78 A genome-scale CRISPR screen identifies modulators of NK effector functions 79 80We performed genome-scale CRISPR screens in K562 cells to identify perturbations that modulate 81 NK-92-mediated killing ( Figure 1A). K562 human chronic myelogenous leukemia cells are a NK-82 sensitive cancer cell line that weakly expresses MHC-...