22-Oxacalcitriol (OCT) isOCT is a synthetic analog, which has an oxygen atom at position 22, and has received government approval for use as an agent for the treatment of secondary hyperparathyroidism and psoriasis in Japan. OCT is rapidly cleared from the circulation due to its extremely low affinity for DBP (9, 10), and binds the chicken vitamin D receptor (VDR) with an approximately 8-fold lower affinity than 1␣,25(OH) 2 D 3 (11). However, OCT inhibits growth of psoriatic fibroblasts and enhances the immune response more effectively than 1␣,25(OH) 2 D 3 (12, 13). In contrast, OCT has reduced calcemic effects both in terms of mobilizing calcium from bone and in stimulating intestinal calcium transport in vitamin D-deficient and normal rats (14, 15). Recently, Kato and co-workers (16) reported that OCT induced interaction of the VDR with a transcriptional factor TIF-2, but not with other transcriptional factors such as SRC-1 and AIB-1, while 1␣,25(OH) 2 D 3 induced interactions of the VDR with all of the three co-factors tested. These factors such as metabolic clearance, tissue-specific distribution, cellular uptake, intracellular metabolism, and transcriptional regulation could contribute to differences in biological activity. Recently, the metabolism of OCT has been studied in primary parathyroid cells (17) and keratinocytes (18) as well as osteosarcoma, hepatoma, and keratin cell lines (19). In all these systems, OCT is degraded into hydroxylated and sidechain truncated metabolites, 1␣,20(OH) 2 D 3 and hexanor-20-oxo-1␣-hydroxyvitamin D 3 (20-oxo-1␣(OH)D 3 ). However, despite relatively large amounts of products from OCT (19), the structures and properties of the less polar metabolites have not yet been clarified. In the case of 1␣,25(OH) 2 D 3 , one of these less polar metabolites has been identified as 3-epi-1␣,25(OH) 2 D 3 , in which a hydroxyl group at C-3 of the A-ring is epimerized from the  to the ␣ position (20, 21). The C-3 epimerization of 1␣,25(OH) 2 D 3 occurs in vitro (20 -22) and in vivo (23), and is a highly tissue-specific/cell differentiation-dependent process * This work was supported in part by a grants-in-aid for scientific research from the Ministry of Education, Science, Sports and Culture of Japan, a grant for cooperative research administered by the Japan Private School Promotion Foundation, and a grant-in-aid from the Ministry of Health and Welfare of Japan. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.‡ ‡ To whom correspondence should be addressed: Dept. of Hygienic Sciences, Kobe Pharmaceutical University, 4-19-1 Motoyamakita-machi, Higashinada-ku, Kobe 658-8558, Japan.