Nasopharyngeal carcinoma (NPC) is a cancer of the epithelial cells lining the nasopharynx. The incidence of NPC has a distinct geographical distribution, mainly affecting the Chinese population of Southern China. In Malaysia, this cancer is exceptionally prevalent among males. There is a high incidence rate of NPC among the Bidayuh natives in Sarawak, Malaysia. Other than epidemiology reports, there has not been an article describing plausible cancer risk factors contributing to NPC within this native group. Researchers are still trying to understand the reasons the Bidayuh and Southern Chinese are highly susceptible to NPC. This article discusses the risk factors of developing NPC: Epstein-Barr virus infection, genetic predisposition, diet, environmental exposure and tobacco smoking. There is a need to improve the understanding of the role of risk factors to identify new ways to prevent cancer, especially among high-risk groups.

In searching for drugs from natural product scaffolds has gained interest among researchers. In this study, a series of twelve halogenated thiourea (ATX 1-12) via chemical modification of aspirin (a natural product derivative) and evaluated for cytotoxic activity against nasopharyngeal carcinoma (NPC) cell lines, HK-1 via MTS-based colorimetric assay. The cytotoxicity studies demonstrated that halogens at meta position of ATX showed promising activity against HK-1 cells (IC 50 value 15 mM) in comparison to cisplatin, a positive cytotoxic drug (IC 50 value ¼8.9 ± 1.9 mM). ATX 11, bearing iodine at meta position, showed robust cytotoxicity against HK-1 cells with an IC 50 value of 4.7 ± 0.7 mM. Molecular docking interactions between ATX 11 and cyclooxygenase-2 demonstrated a robust binding affinity value of À8.1 kcal/mol as compared to aspirin's binding affinity value of À6.4 kcal/mol. The findings represent a promising lead molecule from natural product with excellent cytotoxic activity against NPC cell lines.

Aspirin and azo derivatives have been widely studied and have drawn considerable attention due to diverse biological activities. In this study, a series of 4-[(halophenyl)diazenyl]phenyl aspirinate derivatives were synthesized from the reaction of aspirin with 4-[(halophenyl)diazenyl]phenol via esterification, in the presence of DCC/DMAP in DCM with overall yield of 45-54%. 4-[(Halophenyl)diazenyl]phenol was prepared prior to esterification from coupling reaction of aniline derivatives and phenol in basic solution. All compounds were characterized using elemental analysis, FTIR, and 1 H and 13 C NMR spectroscopies. All compounds were screened for their anticancer activities against nasopharyngeal cancer (NPC) HK-1 cell lines and the viability of

Nasopharyngeal carcinoma (NPC) is a malignancy arising from the epithelial lining of nasopharynx. It is one of the most common malignancies in the southern area of China and South-East Asia. NPC is frequently reported in Sarawak, Malaysia especially in males and is endemic to certain ethnic groups, including the Bidayuh and Chinese. The development of NPC is associated with multiple factors, with one common mechanism involving persistent infection with Epstein-Barr virus (EBV). This study will aim to gain a clearer understanding regarding the mechanism of EBV influencing p53 pathway to facilitate NPC development. Mutations in p53 mutation have been associated with oncogenesis of several human malignancies, however such mutations are relatively rare in NPC and the mechanisms through which p53 in inactivated in this malignancy remain poorly understood. In this study, we study the activity of p53 in immortalised nasopharyngeal epithelial cells using nutlin-3, an MDM2 antagonist. The impact of EBV infection on the protein expression of p53 and its ability to stimulate its transcriptional target genes is studied. The proteins levels of p53 and its transcriptional activation of target genes was significantly higher in EBV-infected cells, indicating that EBV infection alone is not sufficient to attenuate the p53 pathway in a non-malignant nasopharyngeal cell line. These observations will provide the fundamental steps towards the understanding of p53 and EBV viral proteins interaction that causes NPC. A post-publication change was made to this article on 11 Jun 2020 to correct an author name.