2Head and neck squamous cell carcinoma (HNSCC) has a yearly incidence of 600,000 3 cases worldwide with a low survival rate. Ocimum sanctum L. or Ocimum tenuiflorum L. (Holy 4 basil; Tulsi in Hindi), is a traditional medicine herb that demonstrates numerous effects, 5 including anti-oxidant, anti-microbial, and anti-tumor effects. The aim of this study was to 6 evaluate the anti-invasive effect of O. sanctum leaf extract on HNSCC cell lines. Ethanolic 7 extract of O. sanctum leaf (EEOS) was prepared and the phenolic compounds were identified 8 using high-performance liquid chromatography-electrospray ionization-time of flight-mass 9 spectrometry. Genetically-matched HNSCC cell lines derived from primary (HN30 and HN4) 10 and metastatic sites (HN31 and HN12) from the same patient were used in this study. The EEOS 11 cytotoxicity to the cell lines was determined using an MTT assay. The invasion and matrix 12 metalloproteinase (MMP)-2 and -9 activity of EEOS-treated cells were tested using a modified 13 Boyden chamber assay and zymography, respectively. We found that EEOS significantly 14 inhibited the invasion and MMP-2 and MMP-9 activity of HN4 and HN12 cells, but not HN30 15 and HN31 cells. Rosmarinic acid, caffeic acid, and apigenin were detected in EEOS. Moreover, 16 rosmarinic acid was found as the major phenolic compound. Therefore, EEOS exerted its anti-17 invasive effect on HNSCC cells by attenuating MMP activity. 18 2 23 aggressiveness [3]. Matrix metalloproteinase (MMPs) are the key enzymes involved in tumor 24 invasion and metastasis. MMP-2 and MMP-9 destroy the basement membrane and degrade the 25 extracellular matrix, promoting tumor invasion [4]. Although modern medicine has contributed 26 to treating cancers by surgery, chemotherapy, and radiotherapy, these modalities have not 27 significantly changed the survival rate over the past three decades [5]. Thus, more effective 28 treatments for local and metastatic HNSCC are needed. 29 Ocimum sanctum Linn. or Ocimum tenuiflorum Linn., commonly known as Holy Basil in 30 English or Tulsi in Indian language [6], is a highly potent medicinal herb that is native 31 throughout the eastern tropical countries including Thailand [7, 8]. O. sanctum is primarily 32 composed of phytochemicals [9]. The fresh leaves and stem contain several flavonoids and 33 phenolic compounds. Phenolic compounds such as apigenin, rosmarinic acid, cirsilineol, 34 cirsimaritin, isothymusin, and isothymonin have been detected in O. sanctum leaf extracts [10]. 35 The phytochemicals in this plant varies depending on different growing, harvesting, extraction, 36 and storage conditions [11]. The leaf extracts of O. sanctum have numerous medicinal effects 37 such as anti-oxidant [12, 13], wound healing [14], anti-microbial [15] and anti-tumorigenic 38 effects [11]. The ethanol extract of O. sanctum leaf (EEOS) has demonstrated anti-tumorigenic 39 effects on several cancer types including gastric cancer [16], pancreatic cancer [17], non-small 40 cell lung cancer [18], and lung cancers [19, 20]...