Background and Aim: Epstein - Barr virus (EBV)-encoded LMP1 is suggested to have an important role in the pathogenesis and development of nasopharyngeal carcinoma (NPC). Our previous study showed that As2O3 exhibited growth inhibition of NPC in animal model. Here, we further explore whether LMP1 is involved in As2O3 anticancer effects in NPC cell line. Methods: Both the stable expressing LMP1 cell line HNE1-LMP1 and its parental cell line HNE1 without LMP1 expression were used as in vitro models to assess arsenic trioxide effect. Both cell lines were treated with As 203 for 72 h. The median inhibition concentration (IC50) was assessed by the MTT assay. Apoptosis was observed by phase-contrast microscopy and TUNEL staining. The alteration of telomere lengths was detected by Southern blotting. Results: IC50 for As2O3 in HNE1-LMP1 cells and HNE1 cells was 2.22 and 5.09 mu mol/L, respectively. After exposure to 2 and 4 mu mol/L As2O3 for 72 h, the apoptotic index in HNE1-LMP1 was 26.27 1.3 and 49.13 +/- 1.4%, respectively. On the contrary, in HNE1 cells the apoptotic index was 12.6 +/- 0.9 and 33.20 +/- 1.3%, respectively. As compared with parental cell line HNEI, HNE1-LMP1 cells were more sensitive to growth inhibition and apoptosis (p < 0.001). The elongation of telomere length was also found in HNE1-LMP1 cells. Meanwhile, longer telomeres in HNE1-LMP1 cells failed to maintain telomere stabilization, instead, it prone to be shortened when exposure to As2O3, as comparing with HNEI cells. Conclusion: LMP1 plays important role in enhancing NPC cell response to As2O3.The elongation of telomere length induced by LMP1 may contribute to the mechanisms of As2O3 sensitivity.