Overview

Vasoactive Intestinal Peptide (VIP) is a naturally occurring 28-amino acid neuropeptide found in the nervous system and immune cells throughout the body. It acts as both a neurotransmitter and a hormone with diverse physiological roles including smooth muscle relaxation, vasodilation, regulation of gastrointestinal secretions, and insulin secretion. VIP's immunomodulatory properties, particularly its potent anti-inflammatory effects, have made it a research target for autoimmune and inflammatory diseases, including experimental arthritis and multiple sclerosis.

Mechanism of Action

VIP binds to VPAC1 and VPAC2 receptors (GPCRs), activating adenylyl cyclase and elevating intracellular cAMP levels. In immune cells, this drives reduction of pro-inflammatory cytokines (TNF, IL-1) and upregulation of anti-inflammatory mediators (IL-10, IL-1RA). In pancreatic beta-cells, VPAC2 activation in a glucose-dependent manner stimulates insulin secretion via PKA and Epac signaling, closing ATP-dependent K+ channels and enabling Ca2+ influx. In inflammatory arthritis models, VIP reduces inflammatory infiltrate, pannus formation, cartilage destruction, bone erosion, and lowers CD4:CD8 ratio in synovium.

Potential Benefits

  • Potent anti-inflammatory: prevention and treatment of experimental rheumatoid arthritis
  • Glucose-dependent insulin secretion stimulation without hypoglycemia risk
  • Smooth muscle relaxation in GI, vascular, and respiratory systems
  • Suppression of inflammatory cytokines (TNF, IL-1) in synovium
  • Upregulation of anti-inflammatory IL-10 and IL-1RA
  • Protection against inflammatory bowel disease
  • Potential neuroprotective effects via PACAP-related pathways

Research Dosage Notes

The following reflects doses used in published research studies. This is not medical advice.

Research doses vary widely by route and model. Half-life is only minutes in plasma, limiting clinical application. VPAC agonist development ongoing.

Amino Acid Sequence

His-Ser-Asp-Ala-Val-Phe-Thr-Asp-Asn-Tyr-Thr-Arg-Leu-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-Asn-Ser-Ile-Leu-Asn-NH2

Side Effects & Safety

  • Hypotension at high doses (vasodilation effect)
  • Tachycardia
  • Flushing
  • Very short half-life limits clinical utility

Synergistic Compounds

The following compounds have been studied alongside Vasoactive Intestinal Peptide for potential complementary or synergistic effects:

PACAPAnti-inflammatory biologics

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References & Further Reading

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