Compositions that bind viral proteins that are specifically expressed
during the latent stage of the viral life cycle are disclosed. These
compositions bind the latent viral proteins while the viral proteins are
expressed in their cellular host, and provide a means for targeting cells
that harbor latent virus. In a preferred embodiment the compositions are
antibodies which bind the extracellular region of the latent viral
protein, most preferably LMP-2A, an EBV latent protein, which are
conjugated to a diagnostic or cytotoxic agent or immobilized to a solid
support for removal of the infected cells. These antibodies are capable
of distinguishing cells expressing EBV DNA from cells which are not
expressing EBV DNA. Compositions that can be used to elicit production of
these antibodies, or as a vaccine, are also disclosed. Methods for
generating diagnostic or cytotoxic reagents and vaccines based on the
viral epitopes that identify cells harboring latent virus are also
disclosed. The antibody conjugates can be used in diagnostic assays to
identify cells expressing latent viral protein and people who are
harboring latent viral particles. The antibody conjugates can also be
used to remove the infected cells or to kill the infected the cells.
Alternatively, or in addition, the viral proteins or portions thereof can
be used as a vaccine to induce an immune reaction by the host to kill the
infected cells. These methods can be used to detect or treat patients
harboring latent viruses like EBV and who are at risk of developing a
disease such as an autoimmune disease like systemic lupus erythematosus
(SLE) and rheumatoid arthritis (RA).