Objective:to investigate the effects of combination treatment of hepaCAM and pirarubicin(THP) on the proliferation of BI-U-87 cells. Methods:BIU-87 cells were designed as blank treatment group,adenovirus-GFP-hepaCAM treatment group(Ad-GFP-hepaCAM treatment group),THP treatment group,Ad-GFP-hepaCAM and THP combination treatment group. MTT was used to detect cell proliferation;cell cycle was evaluated by flow cytometry;the mRNA expressions of cyclinD1 and CDK2 were examined by re-al-time PCR. Cells that were designed as blank treatment group,Ad-GFP treatment group,Ad-GFP-hepaCAM treatment group were subcutaneously injected in nude mice. The volume of nude mice was evaluated. After 4 weeks,all mice were sacrificed,transplanted tumors were excised and tumor tissues were used to perform HE staining and immunohistochemistry was performed to examine hep-aCAM expression. Results:Ad-GFP-hepaCAM combined with THP exhibited more intense inhibitory effects on proliferation of BIU-87 cells than THP alone(F=2.702,P=0.000). Meanwhile,the cell in G0/G1 was significantly increased(F=10.989,P=0.000) and mR-NA levels of cyclinD1 and CDK2 were significantly lowered in Ad-GFP-hepaCAM and THP combination treatment group than in THP group(F=5.4299,P=0.000). In addition,the volume of tumors induced by hepaCAM-expression BIU-87 cells was significantly decreased compared with that of blank treatment group(F=12.587,P=0.000). Conclusion:HepaCAM could enhance the inhibitory ef-fects of THP on the proliferation of bladder cancer BIU-87 cells.