There are two mammalian genes that encode isoforms of CTP:phosphocholine cytidylyltransferase (CCT), a key rate-controlling step in membrane phospholipid biogenesis. Quantitative determination of the CCT transcripts reveals that CCT␣ is ubiquitously expressed and is found at the highest levels in the testis and lung, with lower levels in the liver and ovary. CCT2 is a very minor isoform in most tissues but is significantly expressed in the brain, lung, and gonads. CCT3 is the third isoform recently discovered in mice and is expressed in the same tissues as CCT2, with its highest level in testes. We investigated the role(s) of CCT2 by generating knockout mice. The brains and lungs of mice lacking CCT2 expression did not exhibit any overt defects. On the other hand, a large percentage of the CCT2 ؊/؊ females were sterile and their ovaries exhibited defective ovarian follicle development. The proportion of female CCT2 ؊/؊ mice with defective ovaries increased as the animals aged. The rare litters born from CCT2 ؊/؊ ؋ CCT2 ؊/0 matings had the normal number of pups. The abnormal ovarian histopathology was characterized by disorganization of the tissue in young adult mice and absence of follicles and ova in older mice, along with interstitial stromal cell hyperplasia which culminated in the emergence of tubulostromal ovarian tumors by 16 months of age. Grossly defective CCT2 ؊/؊ ovaries were associated with high follicle-stimulating (FSH) and luteinizing (LH) hormone levels. Male CCT2 ؊/0 mice exhibited progressive multifocal testicular degeneration and reduced fertility but had normal FSH and LH levels. Thus, the most notable phenotype of CCT2 knockout mice was gonad degeneration and reproductive deficiency. The results indicate that although CCT2 is expressed at very low levels compared to the ␣-isoform, loss of CCT2 expression causes a breakdown in the gonadal response to hormonal stimulation.Phosphatidylcholine (PtdCho) is a major component of biological membranes in higher eukaryotes and is also secreted by specialized tissues for important extracellular tasks. CTP: phosphocholine cytidylyltransferase (CCT) is a key rate-controlling step in the major biosynthetic pathway leading to PtdCho in most tissues (for reviews, see references 15, 17, and 36). In mammals there are two genes, Pcyt1a (formerly Cptct), located on murine chromosome 16, and Pcyt1b, located on the X chromosome, that encode proteins termed CCT␣ and CCT, respectively (35, 38). The two genes exhibit tissuespecific expression, with CCT␣ predominating in most tissues and CCT being most abundant in brain tissue (32). Two transcripts arise from the Pcyt1a gene that encode the identical CCT␣ protein. Alternate splicing of the X-linked Pcyt1b gene directs the synthesis of two mRNAs that encode the CCT2 and CCT3 isoforms in mice (32,35,38). CCT3 is 28 residues shorter at the amino terminus than CCT2 due to transcript initiation at an alternate first exon (32). In humans, intron retention gives rise to a CCT1 transcript found in the exp...