Objective:To explore the killing effect and enhancing transduction efficiency of ultrasound microbubble combined with pDsRed2-N1-CD/UPRT fusion suicide gene on lung cancer A549 cells in vitro. Methods:Pre-constructed recombinant plasmid pDsRed2-N1-CD/UPRT was extracted,and then the recombinant plasmid was tranfected to A549 cells. There were four test groups treated by different agents,Group A:blank control;Group B:plasmid with lipofectamine transfection;Group C:plasmid with lipofec-tamine transfection combined with ultrasound irradiation;Group D:plasmid with lipofectamine transfection combined with ultrasound microbubble. The transduction efficiency of target cells was detected by fluorescent microscope. The immunocytochemical method and western blot were used to observe the protein expression of CD/UPRT in A549 cells. Meanwhile,the direct killing effect of CD/UPRT gene on lung cancer A549 cells was measured by MTT assay respectively. Results:Ultrasound microbubble could improve the trans-duction efficiency of CD/UPRT gene into A549 cells to (54.8±2.59)%. Immunocytochemical method and western blot showed the protein expression of CD/UPRT in A549 cells increased significantly when combined with ultrasound microbubble(P<0.05). CD/UP-RT had slight killing effect on A549 cells treated by 5-fluorouracil. The inhibitory rate against growth of transfected A549 cells in-creased significantly when combined with ultrasound microbubble(P<0.05). Conclusion:Ultrasound microbubble can enhance the killing effect of CD/UPRT gene on lung cancer A549 cells through promoting the transduction efficiency and protein expression of CD/UPRT,thereby shows curative effect on lung cancer.