The 12a-hydroxylation of the steroid nucleus in cholic acid biosynthesis was studied in the microsomal fraction of rat liver homogenate. The reaction was shown to require NADPH. A participation of flavins in the 12a-hydroxylase system or a requirement for metal ions could not be shown. Carbon monoxide inhibited partly the 12a-hydroxylase system. The effect of some inhibitors of steroid hydroxylations was tested and the influence of sex and age was studied. The relative rates of 12a-hydroxylation of a number of C,, steroids were measured and were found to be : 7a-hydroxycholest-4-en-3-one, 1 .O ; 5~-cholestane-3a,7o-diol, 0.4 ; 7a-hydroxy-5/3-cholestan%one, 0.2 ; cholest-5-ene-3~,7a-diol, 0.1 ; cholesterol and cholest-4-en-3-one, < 0.1.The main primary bile acids formed from cholesterol in the rat are cholic acid and chenodeoxycholic acid. The major pathways for the formation of these bile acids have now been elucidated (for a review see [l]). The quantitative importance of the different pathways has, however, not been finally established. The first step in the conversion of cholesterol into cholic acid is hydroxylation in the 7a-position to yield cholest-5-ene-3/3,7a-diol. Subsequently, cholest-5-ene-3/?,7a-diol is converted either into cholest-5-ene-3B,7a,lZa-triol or into 7a-hydroxycholest-4-en-3-oneBoth cholest-5-ene-3/3,7a,l2a-triol and 7a-hydroxycholest-4-en-3-one are transformed into 7a,-12a-dihydroxycholest-4-en-3-0ne, which in turn is converted into 5j3-cholestane-3~,7a,l2a-triol [2,3,5]. An alternative pathway for the formation of 58-cholestane-3~,7a,l2a-triol involves the transformation of 7a-hydroxycholest-4-en-3-one into 5B-cholestane-3~,7a-diol, which is then hydroxylated in the 12cc-position [4]. Thus, 12a-hydroxylation can occur with a t least three different substrates, cholest-5-ene-38,7a-diol, 7a-hydroxycholest-4-en-3-one, and 58-cholestane-3cc,7a-diol. I n previous investigations from this laboratory evidence has been presented to indicate that the main substrate for the 12a-hydroxylase in cholic acid formation is 7a-hydroxycholest-4-en-3-one [Z, 31. Present information indicates that the first steps in the major pathway for the biosynthesis of chenodeoxycholic acid are the same as those in the biosynthesis of cholic acid, the branching point being the 12a-hydroxylation [6]. Hydroxylation in the 12a-position is, thus, a key reaction in cholic Nomenclature. The following systematic names are given to bile acids referred to by trivial names: cholic acid, 3c(,7c(, 12cr-trihydroxy-5~-cholanoic acid; chenodeoxycholic acid, 3cr,7a-dihydroxy-5~-cholanoic acid.