The concept that the major histocompatibility complex (MHC) plays an i
mportant role in the pathogenesis of nasopharyngeal cancer (NPC) in se
veral ethnic groups has gained increased attention during the last 15
years. Earlier studies have suggested that an increased risk of NPC is
associated with specific phenotypes of human leukocyte antigens (HLA)
. The present study was performed to examine the association of HLA sp
ecificities and haplotypes with NPC in a Creek population. In a genoty
pical study of 53 patients, a significant association between the hapl
otype HLA-B5DR11 and NPC was found, mainly in patients >45 years. Also
, the above haplotype was significantly associated with longer disease
-free interval. HLA-BS and HLA-B5DR11 were more often seen among patie
nts with squamous cell histology than among those with the undifferent
iated type. These results suggest that MHC loci are probably implicate
d in the pathogenesis and outcome of NPC in Creek patients.