The active metabolite of vitamin D 3 , 1a,25-dihydroxyvitamin D 3 , acts as a ligand for the vitamin D receptor (VDR) and activates VDR-mediated gene expression. Recently, we characterized 1a,25-dihydroxyvitamin D 3 -26,23-lactams (DLAMs), which mimic vitamin D 3 metabolites, as noncalcemic VDR ligands that barely activate the receptor. In this study, we present structural insights onto the regulation of VDR function by DLAMs. X-ray crystallographic analysis revealed that DLAMs induced a large conformational change in the loop region between helices H6 and H7 in the VDR ligand-binding domain. Our structural analysis suggests that targeting of the loop region may be a new mode of VDR regulation. Since VDR activated by 1,25(OH) 2 D 3 coordinates calcium absorption in the gut and bone remodeling to maintain adequate serum calcium concentrations, this ligand-dependent receptor function is important to prevent rickets, osteomalacia, and hypocalcemic tetany [6]. Thus, many 1,25(OH) 2 D 3 derivatives have been developed as drug candidates for these diseases [7][8][9]. However, VDR activation by high-dose treatment with those types of ligands leads to excessive skeletal calcium release, increases intestinal calcium absorption, and decreases renal calcium excretion, thereby resulting in lethal levels of calcium in the bloodstream, known as hypercalcemia [10].We developed a new type of ligand, 1a,25-dihydroxyvitamin D 3 -26,23-lactams (DLAMs), which