The biologic hallmark of Epstein-Barr virus (EBV) and its usual interaction with B lymphocytes is latency. Several types of latency with distinct patterns of viral gene expression have been described. Type I latency is exemplified by Burkitt's lymphomas (BL) in vivo and earlier passages of cultured cell lines derived from BL tissues. EBV nuclear antigen 1 (EBNA-1), and in some cases latent membrane protein 2A (LMP-2A), is expressed in this form of latency (7,35,36,41,59). Several reports suggest that a type I-like form of latency exists in healthy carriers of EBV (7,35,36,41,59). Interestingly, cells in type I latency can escape host immune surveillance because EBNA-1 can interfere with its peptide presentation on major histocompatibility complex class I molecules (29), which might explain the lifelong reservoir of virus in immunocompetent, seropositive persons. Type III latency is represented by lymphoblastoid cell lines established after EBV infection of adult primary B cells in vitro, by some BL lines, and in B-cell lymphomas in immunodeficient states. Nine viral proteins, including six nuclear proteins (EBNA-1, EBNA-2, EBNA-3A, EBNA-3B, EBNA-3C, and EBNA-LP) and three integral membrane proteins (LMP-1, LMP-2A, and LMP-2B), are expressed. In addition, in all three forms of latency, EBV-encoded RNAs (EBERs) are expressed (reviewed in references 25 and 43).EBNA-1 is the sole viral protein needed for the replication of the EBV episome and maintenance of the latent infection state; both events are essential for cell immortalization (reviewed in references 25 and 43). The promoter usage for expression of EBNA-1 differs in different types of latency. In type I latency, the BamHI Q promoter (Qp) is used for the transcription of EBNA-1 mRNA. However, in type III latency, Qp is silent, and the BamHI C and/or BamHI W promoters (C/ Wp) are used. The biological consequence of the Qp-to-C/Wp switch and the conversion to type III latency is the expression of the full spectrum of latency genes (reviewed in references 25 and 43), which confers enhanced cell survival, growth, and invasive potential (8,17,19,22,53,60,65).Since Qp usage not only relates to the survival of the virus in an immunocompetent host but also is associated with several tumors, dissecting the regulation of Qp is essential for understanding the viral program in EBV-associated malignancies. The functional importance of Qp for the EBV life cycle is underscored by the facts that all EBV-positive tumor specimens collected from Africa, North America, and Asia have conserved Qp sequence (58) and that conserved structural and functional cis elements (e.g., an interferon [IFN]-stimulated response element [ISRE] and the Q locus [see Fig. 4A]) also exist in the Old World primate lymphocryptoviruses, which are simian EBVs (47). Both EBNA-1 and host factors are involved in the transcriptional regulation of Qp. The downstream element of Qp, the Q locus (Fig. 4A), contains two binding sites for the EBNA-1 protein, which binds to and acts in an autoregulatory manner to...