“…Several factors have been implicated in the etiology of NPC, including genetic determinants (most notably the HLA gene complex encoding the human leukocyte antigen), environmental exposures and Epstein-Barr virus (EBV) infection [12]. HLA-E, the only known ligand for NKG2A and NKG2C receptors, has HLA-E ⁄ 01:01 and HLA-E ⁄ 01:03 alleles in the general population [13,14]. An increase in HLA-E ⁄ 01:03 allele was observed in NPC patients of Thai origin, suggesting a possible role for HLA-E in NPC development, possibly via NK cell or cytotoxic lymphocyte function [15]; however, such an association was not established in a subsequent case-control study in Tunisians [16].…”