The 3/?-hydroxy-A5-steroid oxidoreductase inhibitor 2ol-cyano-4,4,17ol-trimethyl-5-androsten-1715-01-3-0ne was administered intramuscularly to germfree and conventional, male and female, rats. Under the experimental conditions used, no steroids were found in faeces and urine from the male rats, but a large number of steroids were identified in excreta from female rats. The following 3/?-hydroxy-A6-steroids, none of which is present in normal rats, appeared in urine and faeces from germfree and conventional cyanoketone treated female rats (chiefly as monosulphates) : 5-androstene-38, 17p-dio1, 38, 7a(and 7/?)-dihydroxy-5-androsten-17-one, 5-androstene-38, 7a(and 7/?), 17/?-trioI, 38, 16a-dihydroxy-5-androsten-l7-one, 38, 17/?-dihydroxy-5-androsten-l6-one, 3&hydroxy-5,16-pregnadien-20-one, 3/?-hydroxy-l7ol-pregn-5-en-2O-one, 3/?-hydroxy-5-pregnen-20-one, 3/?,7a (and 78)-dihydroxy-5-pregnenen-20-one, 38, 17ol-dihydroxy-5-pregnen-20-one, 38, 16~-dihydroxy-5-pregnen-2O-one, 5-pregnene-3j3, 1601, 2Oa-triol, 5-pregnene-3/?,17a,20a-triol and 38,2l-dihydroxy-5-pregnen-20-one. In addition, several saturated steroids were identified which were identical with steroids excreted by normal germfree and conventional female rats.3/?,16a-Dihydroxy-5-pregnen-20-one normally accounts for less than 1 O/ , , of the total amount of 3/?,16a-dihydroxy-5-pregnen-20-one and 3a,16a-dihydroxy-5olI-pregnan-20-one found in urine. This percentage was found to be about 70-80 in urine from cyanoketone treated germfree as well as conventional female rats. This figure is in good agreement with the extent of inhibition (75 -85 of adrenal and gonadal (testicular and ovarian) 3/?-hydroxy-A5-steroid oxidoreductase found in experiments in vitro. It was established that the formation of saturated steroids from 3/?-hydroxy-A5-steroids in cyanoketone treated rats involved 3-0x0-steroids as intermediates since [3a-3H,4-1*C Jpregnenolone was converted into saturated steroids with loss of 3H. The hepatic S/?-hydroxy-A5-~teroid oxidoreductase active on C2, steroids was unaffected by treatment in vivo or in dtro with the cyanoketone.3/%Hydroxy-A5-steroid oxidoreductase is a key enzyme in the biosynthesis of all active steroid hormones of the C,, and C, series. A genetic deficiency of this enzyme has been described in some human cases with adrenal cortical hyperplasia [1,2]. A similar condition with a marked hypertrophy of the adrenals is obtained in rats treated with a steroidal cyanoketone, 2a-cyano-4,4,17ol-trimethyl-5-androsten-l7,S-ol-3-one, which is a substrate analogue that Trivial and Xystematic Names and Unusual Abbreviations. inhibits the mammalian 3/?-hydroxy-A6-steroid oxidoreductase in the adrenal and gonads [3]. The effect of this 3/3-hydroxy-A5-steroid oxidoreductase inhibitor on the biosynthesis and metabolism of C,, and C,, steroids has been almost exclusively studied in vitro, and no information is available on how the pattern of C,, and C,, steroids excreted in urine and faeces is affected by blocking the 3,9-hydroxy-A5-steroid oxidoreductase...