The 'English Disease' and Early Observations
Before the 20th century, the bone-deforming disease known as rickets was a profound mystery. First described in the 17th century, it was called "the English Disease" due to its prevalence in Great Britain. Physicians like Daniel Whistler and Francis Glisson documented the characteristic skeletal deformities. The industrial revolution worsened the problem as city smog reduced sun exposure. Early theories about the cause varied, but in 1890, Theobald Palm hypothesized that lack of sunlight was linked to the disease after observing lower rates in sunny climates.
The Dietary Factor: Edward Mellanby's Dog Experiments
In the early 1900s, Sir Edward Mellanby investigated the dietary causes of rickets using dogs. He found that a diet high in oatmeal and lack of sunlight caused rickets, which could then be cured with cod liver oil. Mellanby initially believed the anti-rachitic factor was vitamin A, concluding that rickets was a deficiency disease.
The Naming of Vitamin D by Elmer McCollum
American biochemist Elmer McCollum further investigated Mellanby's findings. By 1922, McCollum had already identified vitamins A and B. He conducted experiments showing that cod liver oil still cured rickets even after its vitamin A content was destroyed through oxidation. This proved a distinct, previously unknown fat-soluble nutrient was responsible, which he named vitamin D.
The Dual Cures: Sunlight and Irradiated Foods
Simultaneously, Kurt Huldschinsky in 1919 discovered that ultraviolet (UV) light from a mercury-vapor lamp could cure rickets in children. This supported Palm's earlier theory about sunlight. The puzzle of two cures—cod liver oil and UV light—was solved by researchers like Harry Steenbock. He showed that UV light could increase the vitamin D content of foods by activating a precursor, demonstrating the body could synthesize the vitamin. Steenbock patented this process, leading to food fortification and the decline of rickets in developed countries.
Comparing the Discovery Paths of Vitamin D
| Aspect | Dietary Discovery Path | Sunlight/UV Discovery Path | 
|---|---|---|
| Key Researchers | Edward Mellanby, Elmer McCollum | Theobald Palm, Kurt Huldschinsky, Harry Steenbock | 
| Initial Observation | Cod liver oil cured rickets in experimental dogs. | Rickets was less common in sunny regions. | 
| Pivotal Experiment | McCollum destroys vitamin A in oil; it still cures rickets, proving a new vitamin exists. | Huldschinsky cures rachitic children with artificial UV light. | 
| Resulting Innovation | Identification of vitamin D as the anti-rachitic factor. | Discovery that UV radiation converts a precursor into vitamin D. | 
| Public Health Application | Supplementation programs and food fortification (e.g., milk). | Increased awareness of the importance of sun exposure. | 
The Enduring Legacy of the Discovery
The discovery of vitamin D was a landmark public health achievement. The combined efforts of researchers like Mellanby, McCollum, Huldschinsky, and Steenbock transformed rickets from a widespread epidemic into a preventable condition through initiatives like milk fortification. This history highlights the value of scientific inquiry. For more on the chemical history, see "History of the discovery of vitamin D and its active metabolites".
Conclusion
The discovery of vitamin D deficiency resulted from a multi-faceted scientific effort, not a single event. It involved early clinical observations, Mellanby's animal experiments highlighting a dietary factor, and McCollum's definitive identification and naming of vitamin D. The crucial finding that sunlight also played a role led to effective public health strategies like food fortification, ultimately making rickets largely preventable and treatable.