Nasopharyngeal carcinoma is a common malignancy in Southeast Asian countries, and genetic background is a wellknown component of the complexity underlying its tumorigenic process. We have mapped a nasopharyngeal carcinoma susceptibility locus to chromosome 4p15.1-q12 in a previous linkage study on nasopharyngeal carcinoma pedigrees. In this study provided in this communication, we screened all the genes in this region, with a focus on exons, promoters, and the exon-intron boundary to identify nasopharyngeal carcinomaassociated mutations or functional variants. Importantly, we found a novel gene (LOC344967) with a single nucleotide polymorphism À32G/A in the promoter region. This gene is a member of the acyl CoA thioesterase family that plays an important role in fatty acid metabolism and is involved in the progression of various types of tumors. The À32A variant was found cosegregated with the disease phenotype in the nasopharyngeal carcinoma pedigrees that we previously used for the linkage study. Moreover, this À32A variant creates an activator protein (AP-1)-binding site in the transcriptional regulatory region of LOC344967, which significantly enhanced the binding of AP-1 to the promoter region and the transcription activity of the promoter in vivo. Furthermore, the expression of LOC344967 was significantly up-regulated at both mRNA and protein levels in nasopharyngeal carcinoma cells sharing the À32G/A genotype compared with nasopharyngeal carcinoma cells with the À32G/G genotype. Collectively, these results provide evidence that the À32A variant is a functional sequence change and may be related to nasopharyngeal carcinoma susceptibility in the families studied.