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FOREWORDThere are few topics in medicine, that have attracted the interest of so many investigators as the physiological significance(s) of Vitamin D. However, in spite of extensive research and innumerable publications, knowledge concerning the mode of action of the vitamin on the calcium homeostasis of the body is still incomplete.The complexity of the "simple question" how does vitamin D influence skeletal metabolism? defies a simple experimental solution and requires an integrated, multilevel approach. With this in mind the authors have during the last years tried to throw some light on the question by conducting a correlated series of experimental investigations. The study started in Chicago, Illinois, was continued in the Orthopaedic Research Laboratory in Uppsala and later in Umea, Sweden. The results were discussed at each stage by the senior authors (J. A. S. and R. D. R.) and each step was planned in close collaboration.The results of these studies reinforce certain previous findings under standard conditions not prevalent in the multitude of separate studies in separate laboratories by separate people in the past, and add new aspects on the mechanism of action of vitamin D on bone.The publication of the different sections of the work in the form of a supplementum was chosen since it gives a more coherent survey of the results obtained.The investigations were aided by grants from the U. S. Atomic Energy Commission,
INTRODUCTIONRickets as a clinical entity was first reported in 1645 in a thesis by Whistler l ) entitled "De morbo puerili Anglorum quem patrio idiomate indigenae vocant, The Rickets". A detailed description of the disease followed 5 years later by Glison (1650). Almost two centuries later Guerin (1838) was probably the first to produce rickets in puppies and suggested that rickets resulted from a faulty diet. The curative effect of cod liver oil in clinical rickets was pointed out by Trousseau (1865). Hopkins in 1912 first suggested that rickets was due to a dietary deficiency and the same year Funk (1912) propounded the "vitamin hypothesis" according to which the existence of separate anti-beriberi, antiscurvy, anti-rachitic and anti-pellagra "vitamins" was postulated. Huldschinsky (1919) showed that rickets could be cured by artificial light no less than by direct sunlight. Steenbock and his co-workers, in 1924, deduced that ultraviolet rays activated some vitamin precursors in the skin of the body or in the food. Hess and Weinstock (1924) confirmed this shortly afterwards. One year later a crude cholesterol fraction was isolated from cod-liver-oil, by the same authors, and it was thought to be the "anti-rachitic provitamin". The vitamin itself was isolated, in a pure state, from the irradiation products of ergosterol by Askew et al. in 1930 and by Windhaus et al. in 1932. The vitamin was first named vitamin D or calciferol. Ergocalciferol was later adopted as its official name. Two calcemic sterols have been prepared in crystalline form, namely vitamin Dz or dihydrota...