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).