- Park, Ryan J;
- Wang, Tim;
- Koundakjian, Dylan;
- Hultquist, Judd F;
- Lamothe-Molina, Pedro;
- Monel, Blandine;
- Schumann, Kathrin;
- Yu, Haiyan;
- Krupzcak, Kevin M;
- Garcia-Beltran, Wilfredo;
- Piechocka-Trocha, Alicja;
- Krogan, Nevan J;
- Marson, Alexander;
- Sabatini, David M;
- Lander, Eric S;
- Hacohen, Nir;
- Walker, Bruce D
Host proteins are essential for HIV entry and replication and can be important nonviral therapeutic targets. Large-scale RNA interference (RNAi)-based screens have identified nearly a thousand candidate host factors, but there is little agreement among studies and few factors have been validated. Here we demonstrate that a genome-wide CRISPR-based screen identifies host factors in a physiologically relevant cell system. We identify five factors, including the HIV co-receptors CD4 and CCR5, that are required for HIV infection yet are dispensable for cellular proliferation and viability. Tyrosylprotein sulfotransferase 2 (TPST2) and solute carrier family 35 member B2 (SLC35B2) function in a common pathway to sulfate CCR5 on extracellular tyrosine residues, facilitating CCR5 recognition by the HIV envelope. Activated leukocyte cell adhesion molecule (ALCAM) mediates cell aggregation, which is required for cell-to-cell HIV transmission. We validated these pathways in primary human CD4+ T cells through Cas9-mediated knockout and antibody blockade. Our findings indicate that HIV infection and replication rely on a limited set of host-dispensable genes and suggest that these pathways can be studied for therapeutic intervention.