Accumulating in vitro evidence suggests that the p38 mitogenactivated protein kinase (MAPK) pathway is involved in endochondral ossification. To investigate the role of this pathway in endochondral ossification, we generated transgenic mice with expression in chondrocytes of a constitutively active mutant of MKK6, a MAPK kinase that specifically activates p38. These mice had a dwarf phenotype characterized by reduced chondrocyte proliferation, inhibition of hypertrophic chondrocyte differentiation, and a delay in the formation of primary and secondary ossification centers. Histological analysis with in situ hybridization showed reduced expression of Indian hedgehog, PTH͞PTH-related peptide receptor (PTH, parathyroid hormone), cyclin D1, and increased expression of p21 in chondrocytes. In addition, both in vivo and in transfected cells, p38 signaling increased the transcriptional activity of Sox9, a transcription factor essential for chondrocyte differentiation. In agreement with this observation, transgenic mice that express a constitutively active mutant of MKK6 in chondrocytes showed phenotypes similar to those of mice that overexpress SOX9 in chondrocytes. These observations are consistent with the notion that increased activity of Sox9 accounts at least in part for the phenotype caused by constitutive activation of MKK6 in chondrocytes. Therefore, our study provides in vivo evidence for the role of p38 in endochondral ossification and suggests that Sox9 is a likely downstream target of the p38 MAPK pathway.E ndochondral ossification, a process involving a cartilage intermediate, is responsible for the formation of most vertebrate skeletal elements. After the condensation of mesenchymal chondroprogenitor cells (1), cells differentiate into chondrocytes, which express cartilaginous matrix molecules and form cartilage that prefigures future skeletal elements. Endochondral bone growth takes place at the growth plate, where chondrocytes undergo unidirectional proliferation and then become hypertrophic chondrocytes. Hypertrophic chondrocytes eventually undergo apoptosis and are replaced by bone cells (2). This complex process of endochondral ossification is under the concerted regulation of various cytokines and growth factors, including fibroblast growth factors (FGFs), parathyroid hormone (PTH)-related peptide, Indian hedgehog (Ihh), and bone morphogenetic proteins (3-7).Several transcription factors, including Sox9, Sox5, Sox6, Osterix, and Runx2, have critical roles in endochondral ossification (8-12). In particular, we previously showed that Sox9 has an essential role at sequential steps in the chondrocyte differentiation pathway (8, 9). Indeed, Sox9 is needed for the condensation of chondrogenic mesenchymal cells; it is also required for the overt differentiation of these cells into chondrocytes, in part because Sox9 is needed for the expression of Sox5 and Sox6, which are also needed at this step. A further role for Sox9 is inhibition of the proliferation of chondrocytes and of the transition of these cells...