Vitamin D3 (cholecalciferol, D3) is one of the most important forms of vitamin D in human health [1][2][3][4]. There are two sources for human beings to obtain vitamin D3. The first source is the conversion of 7-dehydrocholesterol (7-DHC) in the skin to pre-vitamin D3 by UVB irradiation from the sunlight, followed by thermal isomerization to produce vitamin D3 (Figure 1) [5]. This is a tightly regulated process by the human body, and it is impossible to result in vitamin D3 overdose. The second source is through diet supplements. Human body cannot regulate this source of intake well, and vitamin D3 overdose and subsequent toxicity could occur. Interestingly, vitamin D3 itself is not the biologically active form. It must be first hydroxylated at the C25 position in the liver to produce 25-hydroxyvitamin D3 (25(OH)D3), followed by a second hydroxylation at the C1 position in the kidney or by monocyte-macrophages in the immune system to produce the biologically active form 1,25-dihydroxyvitamin D3 (1,25(OH) 2 D3) ( Figure 1). 1,25(OH) 2 D3 binds to the Vitamin D Receptor (VDR) which ultimately lead to its various biological functions (Figure 1).Apart from their classical action of regulating bone health and calcium homeostasis, there are accumulating evidence in the literature suggesting that vitamin D3 also have non-classical actions including strong inhibition of cell proliferation, promotion of cell differentiation, and suppression of inflammation responses [5][6][7][8]. However, the use of 1,25(OH) 2 D3 at its effective dose is often limited by its severe hypercalcemic side effect in which calcium concentrations in serum reaches dangerously high levels (>10.5 mg/dL) [9]. The high concentration of circulating calcium could deposit in software tissues such as heart, liver, and kidney, and could ultimately result in tissue calcifications [9].There have been tremendous efforts in both industry and academia to develop new vitamin D3 analogs that can retain the beneficial effects but have minimal or absence of the undesired hypercalcemic side effects, for a variety of potential indications such as cancer and inflammation [8,[10][11][12][13][14][15][16]. Many potent vitamin D receptor ligands have been discovered or synthesized, and several made to clinical trials (examples are shown in Figure 2).While Zemplar is an approved drug used to treat secondary hyperparathyroidism (over activity of the parathyroid gland) in people with chronic kidney failure, at present, however, there are no FDA approved vitamin D3 analogs that can be used safely to effectively treat cancer or inflammation disorders (Figure 2).