pe
pep-04465 v1 CC-BY-SA-4.0

PHM-27: natural nerve signaling peptide made alongside VIP

A natural body-made peptide produced in nerve cells alongside VIP, a related signaling molecule; studied as a research tool, not an approved drug.

statusbioassayed targetVPAC1 length27 aa refs1
endogenous
status 2 / 5 · 0 verified on platform
prediction metrics openfold3-mlx 0.3.1
ipTM0.847
pTM0.701
avg pLDDT46.5
ranking score0.913
STRUCTURE · PEP-04465 × VPAC1
ranking0.913
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
openfold3-mlx 0.3.1 · mmCIF ↓ download
sequence27 aa
151015202527
HADGVFTSD FSKLLGQLS AKKYLESLM
overview readme

What this is

PHM-27 (Peptide Histidine Methionine-27) is a 27-amino-acid neuropeptide found naturally in humans. It is co-produced with the better-known vasoactive intestinal peptide (VIP) — both are cut from the same precursor protein in nerve cells and certain secretory tissues. PHM-27 is the human counterpart of porcine PHI-27 (Peptide Histidine Isoleucine-27), a peptide isolated from pig intestine; the "M" vs "I" in the names reflects that the human version ends in methionine where the porcine version ends in isoleucine. The stored 27-residue sequence carries a C-terminal amide group (-NH₂) that is not visible in the raw one-letter code — this modification is characteristic of the mature, biologically active form.

History

PHM-27 was identified in 1983 when Itoh and colleagues cloned the cDNA encoding human prepro-VIP and found that the same precursor encodes a second peptide with structural similarity to porcine PHI-27. They named it PHM-27 to reflect its human origin and C-terminal methionine (Itoh and colleagues, Nature 1983). The discovery established that VIP and PHM-27 are co-expressed from a single gene — prepro-VIP/PHM-27 — with PHM-27 occupying residues 81–107 and VIP occupying residues 125–152 of the precursor protein. This shared-precursor arrangement placed both peptides within the glucagon-secretin family of structurally related hormones and neuropeptides.

What it does

PHM-27 acts as an agonist at the VPAC1 receptor, one of the two main VIP receptor subtypes, triggering production of the intracellular messenger cAMP. In this way it shares functional overlap with VIP, though the two peptides are not identical in their receptor pharmacology. In the pancreas, in vivo studies in transgenic mice showed that expression of the VIP/PHM-27 gene in beta cells was associated with improved glucose tolerance and enhanced insulin secretion attributable to both VIP and PHM-27 (Kato and colleagues, J. Biol. Chem. 1994, cited in Kato and colleagues; also referenced in Sandoval and colleagues, Front. Endocrinol. 2022).

Evidence

  • Human: No human clinical trials specifically studying PHM-27 have been published. PHM-27's characterization derives from molecular biology and preclinical work.
  • Animal: Transgenic mice overexpressing the VIP/PHM-27 gene in pancreatic beta cells demonstrated improved glucose tolerance and enhanced insulin secretion, with both VIP and PHM-27 implicated as active agents (Kato and colleagues, 1994, cited in Sandoval and colleagues, Front. Endocrinol. 2022).
  • In vitro: PHM-27 stimulates cAMP production through VPAC1 receptor activation in cell-based assays (Ishihara and colleagues, Yakugaku Zasshi 2002).

Mechanism

PHM-27 is a member of the glucagon-secretin superfamily and signals through G-protein-coupled receptors. It binds the VPAC1 receptor (also designated VPAC₁ or VIPR1), a Gₛ-coupled receptor, stimulating adenylyl cyclase and raising intracellular cAMP levels. This signalling profile parallels that of VIP, its co-encoded sister peptide. PHM-27 is structurally homologous to porcine PHI-27; the N-terminal histidine is conserved across both peptides and is characteristic of the PHI/PHM subfamily within the broader VIP/PACAP/glucagon peptide family.

Related peptides

  • VIP (vasoactive intestinal peptide) — co-encoded with PHM-27 in the same prepro-VIP/PHM-27 precursor; the primary ligand at VPAC1 and VPAC2 receptors.
  • PACAP — related neuropeptide in the same glucagon-secretin family; potent activator of PAC1, VPAC1, and VPAC2 receptors.
Hypotheses5 directions▾ collapse

Research directions for this peptide, selected from the current sources — hypotheses you can explore and model. None of it is proven yet; tap any one to see the full thinking.

openupdated 2026-06-05

Does PHM-27 grip the VIP receptor at the same places VIP does, or does its different tail change where it lands?

If PHM-27 touches the receptor differently, it could be engineered into a drug that selectively triggers some VIP receptor effects but not others, potentially avoiding side effects linked to full VIP-like activation.

The hypothesis
PHM-27 binds VPAC1 with meaningful affinity but with a distinct binding pose relative to VIP, driven by divergence at the C-terminal helix (residues 17-27, ending in methionine vs. the VIP leucine-amide terminus), producing a partially non-overlapping receptor contact footprint.
Why it’s plausible
PHM-27 and VIP share the same precursor and both activate VPAC1, yet their C-terminal regions differ substantially. The C-terminal amide of PHM-27 ends in methionine, while VIP ends in asparagine-amide. For secretin-family peptides, the C-terminal helix is a primary affinity determinant for the receptor extracellular domain. The high ipTM of 0.8466 supports a real complex, but the low pLDDT of 46.5 indicates the peptide backbone is largely disordered in isolation, consistent with helix-on-binding behavior. If the methionine tail repositions relative to VIP's terminus, the two peptides likely engage overlapping but non-identical receptor residues.
Why it matters
A distinct binding footprint would mean PHM-27 and VIP are not simply redundant signals at VPAC1, and that co-release of both from the same nerve terminal could produce a composite receptor occupancy pattern not replicable by either peptide alone. This would reframe PHM-27 as a modulator of VIP signaling rather than a mere backup ligand.
Plausibility.70
Novelty.55
Impact.60
Basis · grounding3 computed/notes
[1]
sequencePHM-27 C-terminus: ...YLESLM (methionine, amidated). VIP C-terminus: ...YLESLN-NH2. Single residue divergence at position 27 in an otherwise partially conserved helical region.
[2]
structureopenfold3-mlx/complex ipTM=0.8466 (confident complex) but pLDDT=46.5 (disordered free peptide), consistent with coupled folding-and-binding at the receptor surface.
[3]
notePHM-27 is the human counterpart of porcine PHI-27 where the 'M' vs 'I' distinction names the C-terminal residue, confirming this position is a cross-species variable site.
openupdated 2026-06-05

Could a small chemical swap at the end of PHM-27 prevent it from breaking down in oxidizing environments, like inflamed tissue, without weakening its activity?

If this single substitution works, it would convert a fragile natural peptide into a stable therapeutic candidate suitable for inhaled or injectable treatment of inflammatory diseases, at minimal engineering cost.

The hypothesis
Substituting Met-27 with norleucine (a non-oxidizable methionine isostere) in PHM-27 produces a metabolically stable analog with preserved VPAC1 potency, because the C-terminal amide already protects against carboxypeptidase cleavage and the methionine sulfur is the principal chemical liability under oxidative conditions.
Why it’s plausible
Methionine is susceptible to oxidation to methionine sulfoxide, which alters sidechain volume and polarity and is well documented to reduce bioactivity of Met-containing peptides. PHM-27's C-terminal methionine is the single oxidation-sensitive residue in the sequence. Since the C-terminal amide blocks exopeptidase attack, the main stability problem is oxidation. Norleucine is isostructural with methionine but replaces the thioether with a methylene, eliminating oxidation sensitivity. For related VIP-family peptides, C-terminal substitutions that preserve sidechain bulk and hydrophobicity maintain receptor affinity. This is a straightforward but untested improvement for PHM-27 as a drug scaffold.
Why it matters
A norleucine-PHM-27 analog would have substantially longer shelf life and in vivo half-life under inflammatory oxidative conditions compared to native PHM-27, making it a more practical candidate for therapeutic development in oxidative disease environments such as inflamed lung or gut.
Plausibility.80
Novelty.40
Impact.60
Basis · grounding3 computed/notes
[1]
sequenceHADGVFTSDFSKLLGQLSAKKYLESLM: Met at position 27 is the only methionine in the sequence and the only sulfur-containing residue, making it the sole oxidation hotspot.
[2]
noteThe C-terminal amide on mature PHM-27 blocks carboxypeptidase cleavage, meaning the terminus is already partially stabilized and the oxidation risk of Met-27 is the dominant remaining chemical instability.
[3]
notePHM-27 is described as the human version of porcine PHI-27, which ends in isoleucine, an aliphatic non-oxidizable residue, showing that nature itself tolerated a non-Met C-terminus at this position with preserved biological activity.
openupdated 2026-06-05

Is PHM-27 silently protecting the airways alongside VIP, and could its loss contribute to asthma attacks?

If PHM-27 independently helps keep airways open and calm, its absence in asthmatic patients could explain why some people respond poorly to current treatments, and measuring it could help doctors identify who needs a new type of neuropeptide-based inhaler.

The hypothesis
PHM-27, by virtue of its co-release with VIP from cholinergic neurons innervating the lung, acts as an endogenous bronchodilator and anti-inflammatory signal whose contribution to airway tone has been systematically underestimated because most studies measure only VIP, and PHM-27 plasma levels may be a more sensitive marker of non-adrenergic non-cholinergic (NANC) nerve function in asthma.
Why it’s plausible
VIP-containing nerves in the lung are the anatomical substrate of the NANC bronchodilator system. Because PHM-27 is co-released stoichiometrically with VIP from the same precursor, it is present at the same nerve terminals. However, the clinical literature on neuropeptide-driven airway regulation has focused almost entirely on VIP and neuropeptide Y, with PHM-27 rarely quantified separately in bronchoalveolar lavage or plasma. If PHM-27 contributes independently to VPAC1-driven bronchodilation, its deficiency in asthma might be masked when investigators measure VIP as a proxy. A dissociation between VIP and PHM-27 levels is possible if differential post-translational processing of the precursor occurs under inflammatory conditions.
Why it matters
If PHM-27 is an independent contributor to airway protection and is differentially lost in asthmatic airways, it could serve as a biomarker distinguishing NANC-nerve dysfunction subtypes, and inhaled PHM-27 analogs could complement or replace VIP-based bronchodilator strategies that have historically suffered from rapid degradation.
Plausibility.60
Novelty.55
Impact.65
Basis · grounding3 computed/notes
[1]
notePHM-27 is co-produced with VIP from the same nerve precursor and is present in secretory tissues including lungs, directly linking it to NANC nerve function in the airway.
[2]
notePHM-27 acts as a VPAC1 agonist, the receptor subtype primarily responsible for VIP-mediated bronchodilation and suppression of airway inflammation.
[3]
sourceLiterature on this peptide family documents co-expression and co-secretion of precursor-derived peptides, supporting the premise that PHM-27 and VIP appear together in tissue measurements yet are often not individually resolved.
openupdated 2026-06-05

Does PHM-27 activate only one of the two VIP receptors while leaving the other mostly untouched?

If PHM-27 naturally favors one receptor, it could be turned into a more precise anti-inflammatory drug than VIP-based treatments, hitting the right target in diseases like Crohn's disease or asthma without off-target effects from the second receptor.

The hypothesis
PHM-27 is a selective VPAC1 agonist relative to VPAC2, with a larger selectivity ratio than VIP itself, because the methionine-27 amide terminus fits the VPAC1 extracellular domain binding cleft less well than VIP's asparagine-amide terminus fits VPAC2.
Why it’s plausible
VIP activates both VPAC1 and VPAC2 with broadly similar potency, limiting its therapeutic utility. PHM-27 diverges at the C-terminal residue (Met vs. Asn/Ile). Structural studies of related secretin-family peptides show that the C-terminal helix residues make receptor-subtype-specific contacts with the extracellular domain loops that differ between VPAC1 and VPAC2. A bulkier, more hydrophobic methionine at position 27 could preferentially clash with VPAC2's binding groove while being tolerated by VPAC1, producing a native VPAC1-selective ligand. This would be clinically relevant since VPAC1 mediates many anti-inflammatory and immunomodulatory actions.
Why it matters
A natural VPAC1-selective peptide would be a valuable starting scaffold for drugs targeting autoimmune disease, inflammatory bowel disease, and lung inflammation, where VPAC2 activation is either neutral or undesirable.
Plausibility.50
Novelty.60
Impact.75
Basis · grounding3 computed/notes
[1]
notePHM-27 is annotated as acting at VPAC1; no annotation of VPAC2 activity, in contrast to VIP which acts at both VPAC1 and VPAC2.
[2]
sequencePosition 27 is methionine (amidated) in PHM-27 versus asparagine (amidated) in VIP, a physicochemically distinct substitution at a position known to influence receptor subtype selectivity in glucagon-secretin family members.
[3]
structureipTM=0.8466 for PHM-27 complexed with VPAC1 supports a genuine productive interface, providing a baseline from which VPAC2 modelling divergence could be assessed.
openupdated 2026-06-05

When both peptides arrive at the same receptor at the same time, do they together push the cell harder than the sum of their individual effects?

If this cooperative effect is real, it could explain why certain nerve-driven responses, such as airway relaxation or gut secretion, are stronger than VIP levels alone would predict, and it would suggest that mimicking the pair rather than VIP alone would make better drugs.

The hypothesis
Co-release of PHM-27 and VIP from the same secretory vesicle produces a supra-additive cAMP response at VPAC1 at physiological concentrations, because the two peptides together sustain receptor occupancy longer than either alone by occupying complementary kinetic states of the receptor.
Why it’s plausible
PHM-27 and VIP are co-packaged in the same large dense-core vesicles and released together. At the synapse or paracrine site they therefore appear simultaneously at roughly equimolar concentrations. If their binding kinetics at VPAC1 differ (different on/off rates driven by the C-terminal divergence), a mixture could maintain continuous receptor occupancy across a wider concentration range than a single ligand, producing non-linear amplification of cAMP. This is distinct from simple additivity and has not been explicitly tested for this pair.
Why it matters
If true, the physiological unit of VIP-system signaling is the PHM-27/VIP pair, not VIP alone. Therapeutic strategies targeting VIP signaling (e.g. in asthma, neuroinflammation, or bowel disease) that ignore PHM-27 co-release may be systematically underestimating receptor drive in vivo.
Plausibility.45
Novelty.70
Impact.65
Basis · grounding3 computed/notes
[1]
notePHM-27 and VIP are co-produced from the same precursor protein and co-expressed in nerve cells and secretory tissues, implying co-packaging and co-release.
[2]
notePHM-27 acts as a VPAC1 agonist triggering cAMP production, the same second-messenger pathway as VIP, establishing the mechanistic basis for potential interaction.
[3]
sequenceHADGVFTSDFSKLLGQLSAKKYLESLM: the N-terminal histidine is conserved with VIP (His-1), a key determinant of receptor activation in secretin-family peptides, supporting comparable intrinsic efficacy.
details expand to inspect
full evidence table2 metrics
metricvaluetool
ipTM 0.8466119170188904 openfold3-mlx
ranking score 0.9126150012016296 openfold3-mlx
structural qualityopenfold3
0
metricvaluenote
gpde0.817global PDE — lower = better
disorder0.190fraction disordered
chain pair ipTM (A, B)0.847interface quality
3-letter notation
His-Ala-Asp-Gly-Val-Phe-Thr-Ser-Asp-Phe-Ser-Lys-Leu-Leu-Gly-Gln-Leu-Ser-Ala-Lys-Lys-Tyr-Leu-Glu-Ser-Leu-Met
recipeopenfold3-mlx 0.3.1
parametervalue
modelopenfold3-mlx 0.3.1
weightsaedd8f3eb814e392…
hardwareapple_m4_base_16gb
mlx version0.31.1
python3.14.3
random seed42
msa strategycolabfold
diffusion samples1
runtime403s
predicted bymlx@peptide
predicted at2026-04-24
python3 openfold3/run_openfold.py predict --query_json {query.json} --runner_yaml examples/example_runner_yamls/mlx_runner.yml --output_dir {output_dir} --num_diffusion_samples 1
citationbibtex
peptidemodel (2026). PHM-27: natural nerve signaling peptide made alongside VIP (pep-04465, v1). PeptideModel. https://peptidemodel.com/card/pep-04465
@peptide{pep04465,
  sequence = {HADGVFTSDFSKLLGQLSAKKYLESLM},
  target   = {vpac1},
  author   = {peptidemodel},
  year     = {2026},
  status   = {bioassayed}
}
related peptides 5 by signal overlap
clinical trials 53 on ct.gov · checked 2026-05-22
ct.gov trials 53
with results 7
by phase
3phase 22phase 37no phase
by status
4completed2recruiting1active1not yet recruiting1terminated1unknown
references 1 papers
[1]
Neuroendocrinology 1992;56:539-549
Vaughan, J. et al. Neuroendocrinology 1992
supporting
discussion no comments
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