Cytochrome P450c17 catalyzes the 17 alpha-hydroxylase activity required for glucocorticoid synthesis and the 17,20 lyase activity required for sex steroid synthesis. Most P450 enzymes have fixed ratios of their various activities, but the ratio of these two activities of P450c17 is regulated post-translationally. We have shown that serine phosphorylation of P450c17 and the allosteric action of cytochrome b(5) increase 17,20 lyase activity, but it has not been apparent whether these two post-translational mechanisms interact. Using purified enzyme systems, we now show that the actions of cytochrome b(5) are independent of the state of P450c17 phosphorylation. Suppressing cytochrome b(5) expression in human adrenal NCI-H295A cells by >85% with RNA interference had no effect on 17 alpha-hydroxylase activity but reduced 17,20 lyase activity by 30%. Increasing P450c17 phosphorylation could compensate for this reduced activity. When expressed in bacteria, human P450c17 required either cytochrome b(5) or phosphorylation for 17,20 lyase activity. The combination of cytochrome b(5) and phosphorylation was not additive. Cytochrome b(5) and phosphorylation enhance 17,20 lyase activity independently of each other, probably by increasing the interaction between P450c17 and NADPH-cytochrome P450 oxidoreductase.