Abstract: Objective To investigate the expression of heat shock protein 60 (HSP60) and apoptosis related protein caspase 3 in testis of rat varicocele (VC),and the role of HSP60 in apoptosis of testicular germ cells in rats.Methods Thirty-two SD rats were randomly divided into the control group (n=8),sham operation group (n=8) and VC model group (n=16).VC rat models were prepared by ligation of the left renal vein.Real-time quantitative PCR and Western blot assay were used to determine the mRNA and protein expression levels of HSP60 in testicular tissues of VC rats;immunoblot assay was used to determine the expression of caspase 3 (activated type) in VC rat testis.We analyzed the relationship between HSP60 and caspase 3 expressions in VC rat testis.Results Compared with the control group and the sham operation group,VC rats had increased testis mRNA and protein levels of HSP60 and caspase 3 (HSP60 mRNA:2.67± 0.42 vs 1.18±0.30,0.98±0.16,HSP60 protein:12.02±1.78 vs 2.31±0.34,3.15±0.60;caspase 3 mRNA:4.28±0.47 vs 1.45±0.17,1.38±0.24,caspase 3 protein:5.44±2.06 vs 1.32±0.84,1.16±0.76,all P<0.05).The difference was not statistically significant between sham operation group and the control group (all P> 0.05).In the VC model group,HSP60 and cleaved caspase 3 expression in rat testis tissue were positively correlated (R=0.95,P<0.05).Conclusion HSP60 expression is increased in testis of VC rats,and may be involved in testicular germ cell apoptosis,which in turn essentially contributes to male infertility in VC.