Mitochondrial sterol 27-hydroxylase (EC 1.14.13.15) is an important enzyme, not only in the formation of bile acids from cholesterol intermediates in the liver but also in the removal of cholesterol by side chain hydroxylation in extrahepatic tissues. The enzyme has been assayed by complicated methods using radiolabeled substrates or deuterium-labeled tracers. These methods may be inaccurate for measuring enzyme activity, because the amount of electron-transferring proteins may be insufficient for maximal velocity. To solve this problem, after solubilization of the enzyme from rat liver mitochondria with n -octyl- -D -glucopyranoside (OGP), we measured the enzyme activity by incubating the solubilized enzyme with saturated amounts of electron-transferring proteins. In our assay system, using 7 ␣ -hydroxy-4-cholesten-3-one (HCO) as a substrate, we could easily measure the product, 7 ␣ ,27-dihydroxy-4-cholesten-3-one, with HPLC monitoring absorbance at 240 nm. The product formation was proportionate to the time up to 5 min and the protein concentration up to 0.5 mg of protein/ml. The maximal velocity of the enzyme was 1.1 nmol/min/mg of protein, which was 4-to 16-fold higher than previously reported values. A simple and accurate assay method for sterol 27-hydroxylase in rat liver mitochondria is herein described. It is well known that sterol 27-hydroxylase (CYP27A1) has an important role in the oxidation of the side chain of sterols in the formation of bile acids from cholesterol in the liver (1-4). In addition, the enzyme has another important role in the removal of cholesterol by side chain hydroxylation (5). Furthermore, this enzyme is present not only in the liver but also in extrahepatic tissues, i.e., brain (5), lung alveolar macrophages (6-9), endothelial cells (7, 10-12), ovary (13), intestine, skin, long bone, and calvaria (14).To measure enzyme activity, 5  -cholestane-3 ␣ ,7 ␣ ,12 ␣ -triol (C-triol) has been used as a substrate. However, this assay system requires radiolabeled substrate (2-4) or deuterium-labeled tracers in the gas chromatography-mass spectrometry with selected ion monitoring (GC-SIM) methods (15-17). These assay methods are complicated and time-consuming. Another method using exogenous and endogenous cholesterol as a substrate was developed (18), which requires an oxidation step to quantify in HPLC. To measure the activity more simply and effectively, we used 7 ␣ -hydroxy-4-cholesten-3-one (HCO) as a substrate and were able to monitor its 27-hydroxylated product at 240 nm in HPLC.In addition, when the mitochondrial suspension was used as an enzyme source, the maximal velocity could not be measured, because electron-transferring proteins were not saturated (19,20). To solve this problem, we solubilized the enzyme from the rat liver mitochondria and fortified it with saturated amounts of adrenodoxin and NADPH-adrenodoxin reductase as the electron transfer system. In this study, we describe a simple and accurate assay method for mitochondrial sterol 27-hydroxylation.