Objective To study the effects of 5-azacytidine (5-azaC),a methylation inhibitor,on the growth of thyroid papillary cancer-1 (TPC-1) papillary thyroid carcinoma cells and the transcription regulation of DNA guanine cytosine-phosphoric acid-motif (CpG) island demethylation on dickkopf homolog 3 (DKK3) tumor suppressor gene.Methods Methyl thiazol tetrazolium (MTT) method was used to detect the growth of TPC-1 cells after treated with 5-azaC (2,5,10,20,50,100,200 and 400 μmol/L).The expression of DKK3 mRNA and methylation status were examined by using methylation-specific polymerase chain reaction (MSP) and reverse transcription-polymerase chain reaction (RT-PCR) after TPC-1 cells treated with 5-azaC (5,10,20 and 50 μmol/L).Results 5-azaC reduced viability of TPC-1 cells in a dose-and time-dependent manner (P <0.05).After TPC-1 cells were treated with 5-azaC (5,10,20 and 50 μ mol/L) for 48 h,the relative expression of DKK3 mRNA was 0.208 ±0.017,0.365 ± 0.013,0.489 ± 0.017 and 0.582 ± 0.011 respectively,which was gradually increased in a dose-dependent manner (F =370.356,P < 0.05).Meanwhile,DKK3 gene was demethylated partly in TPC-1 cells treated with 5-azaC.Conclusion 5-azaC might effectively cause the demethylation of DKK3 gene CpG-rich promoter regions,which may activate the expression of DKK3 gene and inhibit the growth of TPC-1 cells. Key words: Papillary thyroid carcinoma; Dickkopf homolog 3 gene; 5-azacytidine; Demethylation