Epstein-Barr virus (EBV) is a human herpesvirus that selectively binds to and infects human B lymphocytes (B cells). In the studies presented here, we found that several phenothiazines, including trifluoperazine, chlorpromazine, prochlorpromazine, and promethazine, blocked EBV infectivity of isolated adult human B cells as measured either by outgrowth of transformed cell colonies-or by [3ll~thymidine incorporation. Trifluoperazine, chlorpromazine, and prochlorpromazine were equally effective with 20 ,uM fully inhibiting infectivity, whereas 100 ,AM promethazine was required for a comparable effect. Inhibition by trifluoperazine was partially reversible. Studies with radiolabeled EBV demonstrated that the inhibitors did not impair virus binding to B cells. Electron microscopic examination of B lymphocytes revealed that trifluoperazine reduced the number of large uncoated cell vacuoles and the number of membrane microvilli, indicating that this agent interfered with cell pinocytosis. This process was accompanied by inhibition of EBV endoeytosis iQto B cells.Phenothiazines bind to and inhibit calmodulin, an intracellular calcium-binding protein that regulates several key enzymes, some of which directly affect cytoskeletal elements, although they alsQ may interact nonspecifically with other cellular constituents. In this regard, haloperidol, a non-phenothiazine calmodulin antagonist, and R24571, a derivative of the antimycotic miconazole, which is a potent and highly specific calmodulin inhibitor, also blocked EBV infection. These studies suggest that calmodulin or a calmodulin-regulated cellular enzyme(s) is involved in normal cellular endocytic processes in B lymphocytes and thereby in the early stages of EBV infection.Recent studies in our laboratory have shown that EpsteinBarr virus (EBV) infects normal human B cells by an endocytic pathway that is somewhat different (1) than the clathrin-receptosome-lysosome pathway used by many other protein ligands (2) as well as several viruses (3) to enter cells. One difference in the endocytic pathway of EBV in normal B cells is the lack of participation of clathrin-coated pits and vesicles in the infectious process. The studies presented here were undertaken to further examine the early events in EBV infection and particularly the' mechanisms involved in EBV endocytosis into normal B lymphocytes. One element that provides an early signal for me'mbrane protein redistribution (capping) and cell activation processes in lymphocytes is intracellular calcium (4-8).. Caltcium ions markedly influence many biological processes in lymphocytes, including capping but not patching, cytoplasjnic streaming, endocytosis, and exocytosis (4, 9-11). The effects of calcium on several important cell enzymes such as mefhbrane-associated Ca2+, Mg2+-ATPase, phosphodiesterase, and myosin light chain kinase implicated in the above noted cellular activities are regulated by the intracellular calcium-binding protein calmodulin (7,9,(12)(13)(14). In pursuing our studies of the mechanisms invo...