Cytochrome P450c17 catalyzes 17␣-hydroxylation needed for cortisol synthesis and 17,20 lyase activity needed to produce sex steroids. Serine phosphorylation of P450c17 specifically increases 17,20 lyase activity, but the physiological factors regulating this effect remain unknown. Treating human adrenal NCI-H295A cells with the phosphatase inhibitors okadaic acid, fostriecin, and cantharidin increased 17,20 lyase activity, suggesting involvement of protein phosphatase 2A (PP2A) or 4 (PP4). PP2A but not PP4 inhibited 17,20 lyase activity in microsomes from cultured cells, but neither affected 17␣-hydroxylation. Inhibition of 17,20 lyase activity by PP2A was concentration-dependent, could be inhibited by okadaic acid, and was restored by endogenous protein kinases. PP2A but not PP4 coimmunoprecipitated with P450c17, and suppression of PP2A by small interfering RNA increased 17,20 lyase activity. Phosphoprotein SET found in adrenals inhibited PP2A, but not PP4, and fostered 17,20 lyase activity. The identification of PP2A and SET as post-translational regulators of androgen biosynthesis suggests potential additional mechanisms contributing to adrenarche and hyperandrogenic disorders such as polycystic ovary syndrome.Steroid hormones are synthesized by a set of pathways that begin with the conversion of cholesterol to pregnenolone by mitochondrial cytochrome P450scc, the quantitative regulator of steroidogenesis. Pregnenolone can then be directed to one of three principal pathways by microsomal P450c17, the qualitative regulator of steroidogenesis, which catalyzes both 17␣-hydroxylase and 17,20 lyase activities (1-4) (Fig. 1). In the absence of P450c17, e.g. in adrenal zona glomerulosa and ovarian granulosa cells, pregnenolone is converted to 17-desoxy, C21 steroids including progesterone, corticosterone, and aldosterone. In the presence of the 17␣-hydroxylase activity of P450c17, the adrenal zona fasciculata produces C21 17␣-hydroxy steroids including the glucocorticoid cortisol. When both 17␣-hydroxylase and 17,20 lyase activities are present, the adrenal zona reticularis and gonads produce the C19 17-ketosteroid dehydroepiandrosterone (DHEA), 1 which is the precursor of androgens and estrogens.The ratio of the 17␣-hydroxylase to 17,20 lyase activities of human P450c17 is developmentally regulated. Adjusted for body size, the human adrenal produces nearly constant amounts of cortisol throughout life, indicating relatively constant 17␣-hydroxylase activity (5). By contrast, the production of DHEA is minimal in childhood, rises 100-fold to levels that exceed the production of cortisol in young adulthood, and then gradually decreases with advancing age (6). The mechanisms by which human adrenal C19 steroid synthesis is turned on (adrenarche) and turned off (adrenopause) remain unclear. Recent clinical observations suggest a link between premature exaggerated adrenarche and the polycystic ovary syndrome (7-10). Adrenarche is difficult to study because it occurs only in higher primates (10 -12), and no cellular model e...