OBJECTIVE: To study induction effect of entecavir on the apoptosis of hepatocellular carcinoma HepG2 cells and its mechanism. METHODS: After treated with 0 (normal control), 10, 30 and 100 μmol/L (low, medium and high concentration groups) entecavir for 48 h, MTT method was adopted to detect HepG2 cell viability. AnnexinⅤ-PI flow double staining was used to detect cell apoptosis. Western blot was used to determine the phosphorylation of nuclear factor kappa B p65 (NF-κB p65) and nuclear factor kappa B inhibitor α (IκBα), and the protein expression of Bax, Bcl-2, Survivin and C-myc. RESULTS: Compared with normal control group, the cell viability, the phosphorylation of NF-κB p65 and IκBα, and the protein expression of Survivin, C-myc and Bcl-2 of entecavir low, medium and high concentration groups all decreased; the apoptotic rate, the protein expression of Bax increased (P<0.05 or P<0.01), in concentration-dependent manner. CONCLUSIONS: Entecavir can decrease viability of HepG2 cells and induce cell apoptosis, which is related to up-regulation expression of Bax, down-regulation expression of Survivin, C-myc and Bcl-2, and blocking the activation of NF-κB/IκBα signaling pathway.