Objective To investigate the effect of PDCD5-Caspase-3 fusion gene overexpression on proliferation and apoptosis of human liver cancer HepG2 cell line. Methods PDCD5-Caspase-3 fusion gene was constructed and sub-cloned into GV358 eukaryotic expression vector. 293T cells were cotransfected with helper plasmid and virus. PDCD5-Caspase-3 fusion gene recombinant lentivirus was transfected into HepG2 hepatoma cells for 72 hours. Expression of PDCD5 and Caspase-3 protein was measured by Western blot. Cell proliferation and apoptosis were identified by CCK-8 and flowcytometry, respectively. Results PDCD5 and Caspase-3 were significantly increased in HepG2 hepatoma compared with control group (P < 0.05). Cellular proliferation was decreased while apoptosis rate was increased 72 hours after transfection in transfection group (P < 0.05). Conclusion Overexpression of PDCD5- Caspase-3 fusion gene inhibits cancer cell growth and may be a potential therapeutic target.