We investigated structural and functional properties of bovine cytochrome P450 steroid 21-hydroxylase (P450c21), which catalyzes hydroxylation at C-21 of progesterone and 17␣-hydroxyprogesterone. The uncoupled H 2 O 2 formation was higher in the hydroxylation of progesterone (26% of NADPH consumed) than that of 17␣-hydroxyprogesterone (15% of NADPH consumed), indicating that 17␣-hydroxyprogesterone can better facilitate the O-O bond scission. In relation to this, it is noted that the O-O stretching mode ( O-O ) of the oxygen complex of P450c21 was sensitive to the substrate; the progesterone-or 17␣-hydroxyprogesterone-bound enzyme gave single (at 1137 cm ؊1 ) or split O-O bands (at 1124 and 1138 cm ؊1 ), respectively, demonstrating the presence of two forms for the latter. In contrast to O-O , no corresponding difference was observed for the Fe-O 2 stretching mode between two different substrate-bound forms. The Fe-S(Cys) stretching mode in the ferric state was also identical (349 cm ؊1 ) for each substratebound form, suggesting that modulation through the axial thiolate by the substrate is unlikely. Therefore, it is deduced that the hydroxyl group at C-17 of 17␣-hydroxyprogesterone forms a hydrogen bond with the terminal oxygen atom of the FeOO complex in one form, yielding a lower O-O frequency with higher reactivity for O-O cleavage, whereas the other form in which the substrate does not provide a hydrogen bond to the oxygen ligand is essentially the same between the two kinds of substrates. In the hydrogen-bonded species, the substrate changes the geometry of the FeOO moiety, thereby performing the hydroxylation reaction more effectively in 17␣-hydroxyprogesterone than in progesterone.Cytochrome P450 steroid 21-hydroxylase (P450c21) 4 is predominantly expressed in adrenal cortex under the control of adrenocorticotropic hormone via the cAMP-dependent signaling pathway (1, 2). P450c21 catalyzes hydroxylation at C-21 of progesterone (Prog) and 17␣-hydroxyprogesterone (17-OHprog) to produce 11-deoxycorticosterone and 11-deoxycortisol, respectively, as shown in Fig. 1. These C-21 hydroxylation steps are essential for the biosynthesis of aldosterone and cortisol. Deficiency in P450c21 found in ϳ1:10,000 newborn babies results in impaired steroid synthesis in which adrenal androgens are overproduced in addition to the lack of aldosterone and cortisol, as shown in Fig. 1 (3). The P450c21 deficiency accounts for more than 90% of a common genetic disease, congenital adrenal hyperplasia, with symptoms of salt wasting, simple virilizing, and nonclassical phenotypes (3). The enzyme deficiency can be attributed to mutations in the CYP21B gene encoding P450c21 (4, 5). For better understanding the mechanism of the deficiency of P450c21 by the mutation, it is highly desirable to elucidate the structure-function relationship in P450c21.The structural and functional studies have been carried out with use of bovine P450c21 purified from adrenal cortex (6). P450c21 shows higher hydroxylation activity with 17-OH-prog than that of...