We have developed a PCR assay that can detect a single Epstein-Barr vi
rus (EBV) genome in the presence of 10(6) uninfected cells. Using this
assay, we demonstrate that EBV persists, in the peripheral blood of a
ll seropositive individuals tested, in CD19(+), CD23(-), and CD80 (B7)
(-) B cells. We further show that the virus in these cells is latent,
but readily reactivated to produce infectious immortalizing virus; the
refore, these cells represent a true site of latent persistence. EBV w
as not significantly detected in monocytes or T cells. The frequency o
f infected cells in nine healthy donors varied from 23 to 625 per 10(7
) B cells, but was relatively stable for each individual over the cour
se of 2 years. We conclude that the EBV-infected cells in vivo are B c
ells with a nonactivated phenotype. This represents a novel form of la
tency in normal B cells.