Background: Ser/Thr phosphorylation of P450c17 increases 17,20 lyase activity and androgenic capacity. Results: Drug inhibition and siRNA knockdowns in adrenal cells implicate p38␣, which phosphorylated bacterially expressed P450c17, doubling 17,20 lyase activity. Conclusion: Phosphorylation of P450c17 by p38␣ provides a post-translational mechanism distinguishing glucocorticoid from sex steroid synthesis. Significance: p38␣ pathways may participate in hyperandrogenic states and provide targets for glucocorticoid-sparing inhibition of androgen synthesis.Cytochrome P450c17, a steroidogenic enzyme encoded by the CYP17A1 gene, catalyzes the steroid 17␣-hydroxylation needed for glucocorticoid synthesis, which may or may not be followed by 17,20 lyase activity needed for sex steroid synthesis. Whether or not P450c17 catalyzes 17,20 lyase activity is determined by three post-translational mechanisms influencing availability of reducing equivalents donated by P450 oxidoreductase (POR). These are increased amounts of POR, the allosteric action of cytochrome b 5 to promote POR-P450c17 interaction, and Ser/ Thr phosphorylation of P450c17, which also appears to promote POR-P450c17 interaction. The kinase(s) that phosphorylates P450c17 is unknown. In a series of kinase inhibition experiments, the pyridinyl imidazole drugs SB202190 and SB203580 inhibited 17,20 lyase but not 17␣-hydroxylase activity in human adrenocortical HCI-H295A cells, suggesting an action on p38␣ or p38. Co-transfection of non-steroidogenic COS-1 cells with P450c17 and p38 expression vectors showed that p38␣, but not p38, conferred 17,20 lyase activity on P450c17. Antiserum to P450c17 co-immunoprecipitated P450c17 and both p38 isoforms; however, knockdown of p38␣, but not knockdown of p38, inhibited 17,20 lyase activity in NCI-H295A cells. Bacterially expressed human P450c17 was phosphorylated by p38␣ in vitro at a non-canonical site, conferring increased 17,20 lyase activity. This phosphorylation increased the maximum velocity, but not the Michaelis constant, of the 17,20 lyase reaction. p38␣ phosphorylates P450c17 in a fashion that confers increased 17,20 lyase activity, implying that the production of adrenal androgens (adrenarche) is a regulated event.Three classes of steroid hormones are required for mammalian life: mineralocorticoids regulate renal sodium retention, thus regulating intravascular volume and blood pressure; glucocorticoids regulate carbohydrate metabolism and responses to stress; and sex steroids (androgens and estrogens) are required for reproduction of the species. In most mammals, mineralocorticoids are C 21 (21-carbon) 17-deoxy steroids, glucocorticoids are C 21 17-hydroxysteroids, and sex steroids are produced from C 19 steroids. A single steroidogenic enzyme, cytochrome P450c17, encoded by the CYP17A1 gene determines which class of steroid is produced. P450c17 catalyzes both the 17␣-hydroxylase activity needed to convert C 21 17-deoxysteroids to their 17-hydroxy counterparts and the 17,20 lyase activity that cleaves the bond...