With the exception of small amounts in elastin, all the hydroxyproline (OHPr) in the body is found in collagen. Evidence has been presented that the urinary peptide-bound OHPr reflects the metabolism of collagen (2-5) except when the dietary intake of gelatin or collagen is excessive. Since a major body depot of collagen is the matrix of bone, it might be anticipated that under some conditions the rate of OHPr excretion would furnish an index of the turnover of bone matrix.Parathyroid hormone is known to increase bone resorption (6)(7)(8)(9)(10)(11) received constant diets containing at most 120 g of lean, red meat daily, but no fish, Jello, ice cream, or other gelatin-rich foods. PTE was given intramuscularly at a dosage of 600 U a day for 10 to 12 days. Urine was collected in 24-hour pools under toluene and stored in a cold room at 4°C. Feces were collected in 4-or 6-day pools.2) Four-hour calcium infusion. Calcium glucoheptonate was given to a man (T.W., age, 46 years) and a woman (A.M.S., age, 40 years) with surgically induced hypoparathyroidism, to four normal men (ages, 20 to 42 years), and to five normal women (ages, 18 to 54 years). A.M.S. had been treated with vitamin D and T.W. had not been treated. All these subjects were fed a constant, liquid diet to give a daily intake of 350 mg of calcium (Ca), 980 mg of phosphorus (P), and less than 10 mg of OHPr in the form of protein. The diet was given in five equal feedings daily for 4 days. On day 3 of the diet, Ca, at a dosage of 15 mg per kg, as glucoheptonate in 0.9% sodium chloride solution, was administered intravenously by constant infusion over a 4-hour period starting at 9:00 a.m. Urine was collected in 4-hour samples for the determination of OHPr, P, and creatinine. Blood for determination of Ca, P, creatinine, and OHPr was drawn at appropriate times.3) Prolonged calcium infusions. Calcium glucoheptonate was given by continued iv infusion to three patients with hypoparathyroidism for 4 consecutive days while they were on a balance regimen similar to that used in the first group of experiments. The dosage of calcium averaged 7.5, 12.5, and 22.0 mg per kg per day in the three subjects, respectively. The 8 days before and after the infusion served as control periods. Blood was analyzed daily for Ca and P, and urine was collected daily for the determination of P, OHPr, and creatinine.Chemical assays. Samples of diets, urine, and feces were analyzed for P by the method of Fiske and SubbaRow (17), for total nitrogen by the method of Kjeldahl (18), and for Ca by flame photometry; samples of urine were analyzed for creatinine (19). Total OHPr was determined in hydrolyzed samples of urine and homogenized feces by the method of Prockop and Udenfriend (20). At varying levels of OHPr excretion, less than 3% of the total urinary OHPr was found to be the free amino acid; the remainder is presumed to be peptide-bound. Analysis of samples of fecal homogenate by the method 1073