We have measured the absolute numbers of EBV-infected B cells in the p
eripheral blood of healthy persistently infected individuals. Single m
easurements on a panel of 15 healthy individuals demonstrate that the
frequency varies over a wide range from 1-50 per 10(6) B cells. Repeat
measurements over 1-3.5 years on several individuals whose frequencie
s varied over a 10-fold range showed that the variation does not repre
sent the fluctuation in the frequency that can occur within an individ
ual; rather, the frequencies are specific to the individual. The frequ
ency within an individual measured over time is stable and contributes
less than 10% to the variance seen in the whole population. These mea
surements suggest that the level of EBV-infected B cells is tightly re
gulated and we propose that the same homeostatic mechanisms that regul
ate the levels of normal B cells also regulate B cells latently infect
ed with EBV.