The strategy of the Epstein-Barr virus to persist lifelong in the host
depends on establishing a reservoir, which cannot be detected by the
immune system but allows reactivation of the virus for shedding and tr
ansmission to a new host. Epithelial cells and B-cells play a major ro
le in this viral strategy of EBV, since differentiating epithelial tis
sues were shown to be permissive for lytic replication in vivo, wherea
s the B-lymphocytes become predominantly latently infected. However, w
hich cells are the reservoir and which the sites of lytic replication
are not quite clear. With the technique of reverse transcription, PCR
and immunohistochemistry, we demonstrated that the B-cells of the peri
pheral blood are a major site of virus production during the primary i
nfection during infectious mononucleosis. These permissive B-cells wer
e also detected after convalescence, however, the absence of any lytic
transcripts suggested an efficient immunological control very early i
n the viral lytic cycle. Serological data on reactivation of EBV corre
lated with the detection of lytic cycle transcripts in the blood and t
hus demonstrated that the site of virus production during infectious m
ononucleosis must be different from that of the persistent state. In t
hose cases, where the infection takes a chronic active course, control
of lytic replication is insufficient, either on the level of immune s
urveillance or of viral gene regulation. We have demonstrated a virus
strain with a lytic phenotype in an individual suffering chronic activ
e infection. The impaired capability of this virus to immortalise B-ce
lls correlated with an enhanced expression of the lytic switch gene BZ
LF-1 and downregulation of latent regulatory genes in the early phase
of infection.