pe
pep-10594 v1 CC-BY-SA-4.0

Vasoactive intestinal peptide (VIP): natural nerve and immune messenger

A signaling molecule made naturally in nerves, gut, and immune cells that relaxes airways, aids digestion, and helps regulate the immune system and the brain's internal clock; used as a lab research tool.

statussynthesized targetVPAC1 length28 aa refs7
snapshot sparse 0% confidence
Class
Neuropeptide / vasoactive peptide (rat-derived variant)
Status
No approved therapeutic status identified in attached sources
Main caveat
Source attaches a single 1988 characterization of a structurally distinctive VIP variant isolated from rat basophilic leukemia cells; this is not the canonical human or porcine VIP sequence, and no biological activity, animal efficacy, or human evidence is attached to this card.
status 4 / 5
prediction metrics openfold3-mlx 0.3.1
ipTM0.858
pTM0.716
avg pLDDT50.0
ranking score0.929
STRUCTURE · PEP-10594 × VPAC1
ranking0.929
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
openfold3-mlx 0.3.1 · mmCIF ↓ download
sequence28 aa
151015202528
HSEAVFTDNYTRLR KQMAVKKYLNSILN
overview readme

What this is

Vasoactive intestinal peptide (VIP) is a signaling molecule made naturally in the body — in neurons, gut lining cells, and immune cells — that helps coordinate a surprisingly wide range of functions: digestion, immune balance, lung relaxation, hormone release, and the brain's internal clock. It was first isolated from porcine small intestine in 1970, originally identified by its ability to dilate blood vessels (Iwasaki and colleagues 2019). Despite that vascular-sounding name, VIP's reach extends far beyond blood vessels and it is now studied primarily as a neuropeptide and immune regulator. The sequence stored here is the rat-derived 28-amino-acid form, which differs slightly from the human sequence; it has been used extensively to probe VPAC1 receptor binding and signaling in experimental systems (Goetzl and colleagues 1988).

History

VIP was isolated from the small intestine of pigs and reported as a vasodilator in 1970 (Iwasaki and colleagues 2019). Over the following decades it was found not only in the gut but throughout the central and peripheral nervous systems, and in immune cells — establishing it as a genuine neuropeptide with pleiotropic roles. The identification of two distinct receptor subtypes, VPAC1 and VPAC2, clarified why VIP produces such varied effects depending on which tissue expresses which receptor (Couvineau and colleagues 2012). Structural biology advanced substantially with the 2020 cryo-EM structure of the human VIP1 receptor bound to the related peptide PACAP27 and a Gs heterotrimer, providing the first atomic-level view of VIP receptor activation (Duan and colleagues 2020).

What it does

VIP acts on cells by binding to receptors on their surface and triggering a rise in a chemical messenger called cyclic AMP (cAMP) inside the cell. That intracellular signal can relax smooth muscle (producing vasodilation and bronchodilation), stimulate secretion of fluid and enzymes by glands, slow or modulate gut contractions, and instruct immune cells to shift away from inflammatory activity toward tolerance. In the nervous system, VIP-containing interneurons are found in the hippocampus and cortex, where they help synchronize neural circuits and support circadian timekeeping in the brain's master clock, the suprachiasmatic nucleus (Iwasaki and colleagues 2019). In immune tissues, VIP dampens the production of pro-inflammatory cytokines and promotes regulatory immune responses (Martínez and colleagues 2019).

Evidence

  • Human: No clinical trials of exogenous VIP have been completed for most indications. Preclinical and mechanistic evidence in autoimmune and inflammatory disease models has motivated interest in VPAC receptor-targeted therapies, with Martínez and colleagues (2019) reviewing the potential clinical application of the VIP axis in inflammatory and autoimmune diseases.
  • Animal: VIP protected salivary glands from structural injury and secretory dysfunction in a mouse model of Sjögren syndrome, acting through regulation of the cytokine IL-17A and the water channel protein AQP5 (Li and colleagues 2017). In rodent arthritis models, VPAC receptor signaling has been associated with reduced joint inflammation (Gomariz and colleagues 2019).
  • In vitro: The cryo-EM structure of human VIP1R in complex with PACAP27 and Gs heterotrimer, solved in 2020, revealed how class B GPCR activation proceeds for this receptor family and identified structural features relevant to drug discovery (Duan and colleagues 2020).

Known effects

  • Vasodilation / smooth muscle relaxation — Established pharmacology; the effect that gave VIP its name (Iwasaki and colleagues 2019)
  • Immune modulation (anti-inflammatory) — Preclinical; VIP suppresses pro-inflammatory cytokines and promotes regulatory T-cell responses via VPAC1 and VPAC2 (Martínez and colleagues 2019)
  • Exocrine gland regulation — Preclinical and mechanistic; VIP stimulates secretion by gut, salivary, and other exocrine glands (Couvineau and colleagues 2012)
  • Gut motility and ion secretion — Preclinical; VIP is an inhibitory motor neurotransmitter in the enteric nervous system, regulating nutrient absorption and ion transport (Iwasaki and colleagues 2019)
  • Circadian rhythm entrainment — Preclinical; VIP-expressing neurons in the suprachiasmatic nucleus mediate circadian synchronization (Iwasaki and colleagues 2019)
  • Neuroprotection — Mechanistic and rodent models; VIP and its receptors are proposed as targets in neuronal and neurodegenerative contexts (Duan and colleagues 2020)
  • Salivary gland protection in Sjögren syndrome model — Preclinical (NOD mice); VIP reduced IL-17A and restored AQP5 expression, protecting secretory function (Li and colleagues 2017)

Safety signals

Safety data for exogenous VIP administration are largely limited to the preclinical literature. As an endogenous peptide with widespread receptor expression, systemic VIP administration carries theoretical effects on blood pressure and heart rate given its vasodilatory pharmacology. No systematic clinical safety dataset for VIP as a standalone therapeutic is available in the dossier.

Mechanism

VIP is a 28-residue peptide that binds to two class B G protein-coupled receptors, VPAC1 and VPAC2, both of which signal primarily through Gαs to raise intracellular cAMP (Couvineau and colleagues 2012). VPAC1 is widely expressed in lymphoid tissue, lung, and gut epithelium; VPAC2 predominates in smooth muscle and brain. cAMP elevation activates downstream kinase cascades that mediate the anti-inflammatory, secretory, and smooth-muscle-relaxing effects observed across tissues. The 2020 cryo-EM structure of human VIP1R bound to PACAP27 and a Gs heterotrimer revealed the receptor's extracellular domain and transmembrane bundle in the active conformation, providing a structural template for future drug design (Duan and colleagues 2020). The rat sequence stored here (HSEAVFTDNYTRLRKQMAVKKYLNSILN) differs from the human sequence at several positions; species differences in VPAC1 recognition have been mapped to non-adjacent amino acid positions in the receptor's extracellular domain (Couvineau and colleagues 2012), which is why rat-derived VIP has been used specifically to interrogate species-selectivity determinants.

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 2026-06-11

Could VIP be dosed precisely enough to fix the brain clock without also causing blood vessels to over-relax?

If true, people with shift-work disorder, jet lag disorders, or psychiatric conditions involving disrupted rhythms could benefit from a targeted treatment that does not carry the blood-pressure risks that have limited VIP-based drugs so far.

The hypothesis
VIP acts as an endogenous circadian amplitude regulator through VPAC2 in the suprachiasmatic nucleus, and exogenous administration of rat VIP could partially rescue circadian rhythm disruption caused by VPAC2 loss-of-function without the cardiovascular vasodilation associated with VPAC1 activation, provided doses remain below the VPAC1 activation threshold.
Why it’s plausible
The readme identifies VIP's role in the brain's internal clock. VPAC2 is the dominant receptor in the suprachiasmatic nucleus (SCN) and drives circadian synchronization, while VPAC1 mediates vasodilation. If rat VIP has subtly lower VPAC1 affinity (as proposed in hypothesis 1) relative to human VIP, a therapeutic window may exist at doses that engage VPAC2 in the SCN without reaching VPAC1 saturation in peripheral vasculature, making rat VIP or close analogs safer probes than human VIP for circadian rescue.
Why it matters
Circadian rhythm disorders affect millions and contribute to metabolic disease, psychiatric illness, and shift-work pathology; a VIP analog with a clean circadian-over-cardiovascular profile would be a novel tool compound and potential therapeutic lead.
Plausibility.55
Novelty.60
Impact.75
Basis · grounding1 paper · 2 computed/notes
[1]
noteReadme explicitly names VIP's role in regulating the brain's internal clock as one of its primary recognized functions.
[2]
paper
VPAC receptor subtypes are noted to have different roles across tissues, consistent with the possibility of a subtype-selective therapeutic window.
doi: 10.3389/fendo.2019.00729
[3]
structureipTM=0.86 with VPAC1 indicates confident engagement; by inference VPAC2 engagement geometry would need independent evaluation, leaving subtype selectivity an open empirical question.
openupdated 2026-06-11

Does the low pH found in injured or inflamed tissue chemically alter VIP in a way that stops it from working?

If true, it would explain why VIP-based treatments sometimes fail in real disease, and would guide chemists to build a more acid-stable version that keeps working where the body needs it most.

The hypothesis
VIP suppresses inflammatory cytokine production primarily through VPAC1-driven cAMP elevation in macrophages, but at sites of tissue acidosis the protonation state of the RLRK cluster reduces receptor-coupling efficiency, blunting the anti-inflammatory effect precisely where it is most needed.
Why it’s plausible
The RLRK motif (positions 13-16) carries formal positive charges at physiological pH; at the acidic pH typical of inflamed or ischemic tissue (pH 6.5-6.8), histidine residues elsewhere in the peptide (H1) may also become protonated. Class B GPCR coupling efficiency is sensitive to electrostatic complementarity at the receptor interface. If the contact geometry shifts under acid conditions, cAMP signaling would decrease in inflamed microenvironments despite adequate VIP concentration, offering a mechanistic explanation for therapeutic failures of exogenous VIP in inflammatory disease models.
Why it matters
This would explain why VIP-based treatments show strong anti-inflammatory effects in cell culture but variable efficacy in vivo inflammation models, and would motivate pH-insensitive VIP analogs engineered to retain potency in acidic tissue.
Plausibility.45
Novelty.75
Impact.70
Basis · grounding2 papers · 1 computed/note
[1]
sequenceSequence begins with H (histidine, pKa ~6.0) at position 1, and contains RLRK basic cluster; both are titratable under tissue acidosis conditions.
[2]
paper
Immunological context establishes VIP as an anti-inflammatory mediator acting via VPAC receptors and cAMP in immune cells.
doi: 10.3390/ijms21010065
[3]
paper
Receptors are described as having different roles in regulating inflammatory mediators, implying signaling context-dependence.
doi: 10.3389/fendo.2019.00729
openupdated 2026-06-11

Does the positively charged stretch in the middle of VIP act as a dial that tunes which of its two main receptors it activates?

If true, drug designers could tweak just a few amino acids to make a VIP-based drug that targets inflammation without disturbing the body clock, or vice versa, reducing unwanted side effects.

The hypothesis
The basic residue cluster RLRK (positions 13-16 in HSEAVFTDNYTRLRKQMAVKKYLNSILN) acts as a selectivity switch between VPAC1 and VPAC2, such that substitutions within this motif shift receptor subtype preference without abolishing overall binding.
Why it’s plausible
Inspection of the sequence reveals a contiguous positively charged stretch RLRK at positions 13-16. VPAC1 and VPAC2 differ in their extracellular domains and are known to discriminate VIP-family ligands partly through electrostatic interactions. A dense basic patch of this length is unusual among class B GPCR peptide ligands and could form subtype-specific salt bridges. If this cluster disproportionately contacts one receptor subtype's acidic ECD residues, targeted charge-neutralization would redirect selectivity.
Why it matters
VPAC1 and VPAC2 mediate distinct physiological outcomes (immune regulation vs. circadian/smooth muscle), so a selectivity-determining motif would be a precise handle for designing receptor-subtype-selective therapeutics with reduced off-target immune or cardiovascular effects.
Plausibility.50
Novelty.60
Impact.70
Basis · grounding2 papers · 1 computed/note
[1]
sequenceSequence HSEAVFTDNYTRLRKQMAVKKYLNSILN contains RLRK at positions 13-16, a four-residue basic patch; the sequence also contains KK at positions 21-22, suggesting two distinct basic regions.
[2]
paper
Literature notes VPAC1 and VPAC2 show different roles in regulating inflammatory mediators, implying subtype-selective engagement has distinct biological consequences.
doi: 10.3389/fendo.2019.00729
[3]
paper
PACAP analog work demonstrates that modifications in the central region of VIP-family peptides alter PAC1 vs. VPAC receptor selectivity profiles.
doi: 10.1111/j.1476-5381.2011.01676.x
openupdated 2026-06-11

Could a short course of VIP treatment around a transplant operation help the immune system accept a new organ without extra toxic drugs?

If true, transplant patients might need lower doses of the powerful immunosuppressants that cause kidney damage and infections, improving long-term survival for people who receive donor organs.

The hypothesis
VIP, acting through VPAC1, suppresses dendritic cell maturation sufficiently to extend allograft tolerance windows, and systemic VIP administration during the peri-transplant period could reduce acute rejection rates independently of conventional calcineurin-inhibitor immunosuppression.
Why it’s plausible
The readme and literature establish VIP as an immune regulator produced in immune cells themselves. VPAC1 is expressed on dendritic cells and T cells, and cAMP elevation downstream of VPAC1 is known to inhibit NF-kB-driven maturation signals. Transplant rejection is driven by donor-antigen presentation by dendritic cells; if VIP blunts this at the critical peri-transplant window before donor DCs are cleared, it could complement existing immunosuppressants by a mechanistically orthogonal route. The peptide's endogenous origin suggests a favorable safety profile relative to current biologics.
Why it matters
Transplant rejection remains a major cause of graft loss; a short-course, endogenous peptide adjunct that reduces the required dose of toxic calcineurin inhibitors would be clinically significant and represents a largely unexplored application of VIP biology.
Plausibility.55
Novelty.40
Impact.70
Basis · grounding2 papers · 1 computed/note
[1]
noteReadme identifies VIP as an immune regulator present in immune cells, with roles in immune balance described as primary functions.
[2]
paper
Literature explicitly links VIP-VPAC signaling to regulation of inflammatory mediator production in immune contexts.
doi: 10.3390/ijms21010065
[3]
paper
VPAC receptor subtypes are noted to differentially regulate inflammatory mediator production, consistent with VPAC1-specific modulation of dendritic cell function.
doi: 10.3389/fendo.2019.00729
openupdated 2026-06-11

If you cut off the end of VIP, does it stop working on one receptor but keep working on the other?

If true, a shorter version of VIP could be designed that acts mainly on one receptor, potentially making it a more precise drug candidate with fewer side effects for conditions like inflammatory bowel disease or circadian disorders.

The hypothesis
The C-terminal segment YLNSILN (positions 22-28) of VIP forms a transient amphipathic helix upon membrane contact that facilitates receptor-proximal peptide concentration, and truncation of this segment selectively abolishes VPAC1 potency without eliminating VPAC2 binding.
Why it’s plausible
Analysis of the sequence HSEAVFTDNYTRLRKQMAVKKYLNSILN shows that the C-terminus YLNSILN contains alternating hydrophobic (Y, L, I, L) and small/polar (N, S, N) residues consistent with an amphipathic pattern on one face of a helix. The low pLDDT (50) is consistent with this region being disordered in solution but ordering on a membrane or receptor surface. If the C-terminal helix preferentially contacts VPAC1's transmembrane bundle rather than VPAC2's, truncation would produce a VPAC2-selective fragment, which would also clarify which receptor mediates VIP's gut vs. immune functions.
Why it matters
A minimal VPAC2-selective fragment derived from native VIP would be a shorter, more synthetically accessible therapeutic candidate with reduced immune-modulating liability and clearer pharmacology.
Plausibility.40
Novelty.60
Impact.60
Basis · grounding1 paper · 2 computed/notes
[1]
sequenceC-terminal YLNSILN (positions 22-28) shows hydrophobic residues Y22, L23, L26, L28 and polar N24, S25, N27 in a pattern compatible with an amphipathic helix on one face.
[2]
structurepLDDT=50 indicates high per-residue disorder across the peptide, consistent with regions that only fold upon receptor or membrane contact rather than being stably helical in solution.
[3]
paper
PACAP analog studies show C-terminal truncations and modifications in VIP-family peptides alter receptor subtype selectivity, supporting the idea that the C-terminus differentially contacts receptor subtypes.
doi: 10.1111/j.1476-5381.2011.01676.x
details expand to inspect
full evidence table2 metrics
metricvaluetool
ipTM 0.8582455515861511 openfold3-mlx
ranking score 0.9287536144256592 openfold3-mlx
structural qualityopenfold3
0
metricvaluenote
gpde0.768global PDE — lower = better
disorder0.198fraction disordered
chain pair ipTM (A, B)0.858interface quality
3-letter notation
His-Ser-Glu-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
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
runtime405s
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). Vasoactive intestinal peptide (VIP): natural nerve and immune messenger (pep-10594, v1). PeptideModel. https://peptidemodel.com/card/pep-10594
@peptide{pep10594,
  sequence = {HSEAVFTDNYTRLRKQMAVKKYLNSILN},
  target   = {vpac1},
  author   = {peptidemodel},
  year     = {2026},
  status   = {synthesized}
}
related peptides 5 by signal overlap
clinical trials 58 on ct.gov · 2 on EUCTR · checked 2026-05-09
ct.gov trials 58
with results 7
EUCTR 2
PubMed RCT 18
by phase
1phase 21phase 31phase 48no phase
by status
6completed1active2unknown
references 7 papers
discussion no comments
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