Home Compounds Specialty VIP
Specialty Research Moderate Evidence

VIP

Vasoactive intestinal peptide — 28 amino acid neuropeptide studied for pulmonary hypertension, immune regulation, neuroprotection, and circadian rhythm research.

vasodilatorpulmonary hypertensionimmunecircadianneuropeptideSCN
Half-life
1–2 minutes plasma; slow-release formulations extend duration
SKUs
2
Evidence
Moderate Evidence

VIP (Vasoactive Intestinal Peptide) is a signaling molecule the body uses across a surprisingly wide range of systems — the gut, lungs, immune system, brain, and internal clock. It generally acts as a calming, anti-inflammatory signal: relaxing smooth muscle, dampening immune overreaction, and helping the nervous system coordinate rest and recovery. Research has studied it for pulmonary arterial hypertension, inflammatory diseases, and neuroprotection, and it plays a foundational role in how the brain's circadian clock keeps time.

Pulmonary Arterial Hypertension Research
VIP has been studied for pulmonary arterial hypertension (PAH) — a condition involving progressive high blood pressure in the arteries of the lungs. Research shows VIP is deficient in PAH patients, and inhaled VIP has been studied as a treatment. Early studies showed improvements in exercise capacity and pulmonary artery pressures.
Anti-Inflammatory Research
VIP is a potent anti-inflammatory peptide. It inhibits the production of pro-inflammatory cytokines and promotes regulatory T-cell activity. Research has studied it in inflammatory bowel disease, rheumatoid arthritis, and sepsis models with positive anti-inflammatory results.
Circadian Rhythm and Sleep Research
VIP is one of the key neurotransmitters in the suprachiasmatic nucleus — the brain's master clock. It coordinates timing signals between individual circadian clock cells, synchronizing the daily rhythm across the brain. Without VIP, individual clock cells in the brain drift out of sync with each other — research on VIP has helped explain how the brain maintains a coherent daily rhythm across billions of cells rather than each one running on its own schedule.
Neuroprotection Research
VIP has neuroprotective properties, including protection against oxidative stress and amyloid beta toxicity relevant to Alzheimer's disease research. Animal studies show improved cognitive outcomes with VIP administration in neurodegeneration models.
  • Early human inhaled VIP studies in pulmonary arterial hypertension showed hemodynamic improvements.
  • Potent anti-inflammatory effects in multiple animal models of inflammatory disease.
  • Essential role in circadian rhythm synchronization established by basic science research.
  • Neuroprotective effects in Alzheimer's and other neurodegeneration animal models.
  • Short half-life limits clinical utility and requires specialized delivery systems.

VIP breaks down very quickly in circulation — within a couple of minutes — which is why standard injection approaches are not practical for most applications. Delivery systems designed to protect it or extend its activity are needed, and developing those is a significant focus of current research. The PAH research, while promising, has not advanced to a large phase 3 approval trial. It is not FDA-approved for any indication. Research use is primarily in understanding its biology and developing delivery approaches.

VIP is released from nerve endings throughout the body — in the gut, lungs, immune system, and brain — where it acts as both a neurotransmitter and a signaling hormone. It tells smooth muscle to relax (which dilates blood vessels and airways), tells immune cells to reduce inflammatory cytokine production, and coordinates the timing of circadian clock cells in the brain. In the gut, it regulates movement and fluid secretion. The breadth of its effects reflects its role as a general-purpose signaling molecule for the parasympathetic nervous system — the part of the nervous system associated with rest, digestion, and recovery. The same anti-inflammatory and relaxation effects that regulate normal physiology are what make it interesting as a potential treatment in conditions driven by excessive constriction or inflammation.

VIP has a very short half-life, which means its effects — including potential side effects like vasodilation and blood pressure lowering — are transient. Flushing, headache, and a temporary drop in blood pressure are the most commonly noted effects during administration — these reflect VIP's natural vasodilating action and typically resolve quickly. The short half-life paradoxically means rapid offset of effects, which can be favorable from a safety management perspective. It is not FDA-approved. Inhaled and intranasal delivery routes are under investigation to improve delivery while minimizing systemic effects.

Moderate Evidence

This compound has been studied in Phase 1 or Phase 2 human trials. Evidence is encouraging but more large-scale trials are needed.

Published Research Ranges
200ng/kg/min IV infusion; inhaled formulations in PAH studies
Research Context Only: These are ranges reported in published scientific studies for educational reference. They are not dosing recommendations. This is not medical advice. Always consult a qualified healthcare professional.

Sources listed here are from the platform research library. All links open the original publication. No citations are generated by AI.

Vasoactive Intestinal Peptide: A Neuropeptide with Pleiotropic Immune Functions
Nature Reviews Immunology • 2007  • DOI: 10.1038/nri2052
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Inhaled Vasoactive Intestinal Peptide in Patients with Pulmonary Arterial Hypertension
Annals of Internal Medicine • 2004  • DOI: 10.7326/0003-4819-141-7-200410050-00009
View Source
VIP and PACAP: Anti-Inflammatory Neuropeptides with Therapeutic Potential
Nature Reviews Drug Discovery • 2006  • DOI: 10.1038/nrd2015
View Source
Circadian Pacemaker Neurons Transmit Signals via VIP to Sustain Rhythmic Behavior
Science • 2005  • DOI: 10.1126/science.1113307
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Regulation of immune responses by the airway epithelial cell landscape
 • 2021  • DOI: 10.1038/s41577-020-00477-9
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Extrapulmonary manifestations of COVID-19
 • 2020  • DOI: 10.1038/s41591-020-0968-3
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A blood-brain barrier overview on structure, function, impairment, and biomarkers of integrity
 • 2020  • DOI: 10.1186/s12987-020-00230-3
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Mucus barrier, mucins and gut microbiota: the expected slimy partners?
 • 2020  • DOI: 10.1136/gutjnl-2020-322260
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Altered Connectivity in Depression: GABA and Glutamate Neurotransmitter Deficits and Reversal by Novel Treatments
 • 2019  • DOI: 10.1016/j.neuron.2019.03.013
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Rhythms of life: circadian disruption and brain disorders across the lifespan
 • 2019  • DOI: 10.1038/s41583-018-0088-y
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Pain and immunity: implications for host defence
 • 2019  • DOI: 10.1038/s41577-019-0147-2
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Diabetic Cardiomyopathy: An Update of Mechanisms Contributing to This Clinical Entity
 • 2018  • DOI: 10.1161/circresaha.117.311586
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Pathophysiology of Migraine: A Disorder of Sensory Processing
 • 2017  • DOI: 10.1152/physrev.00034.2015
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Nociceptor Sensory Neuron-Immune Interactions in Pain and Inflammation
 • 2017  • DOI: 10.1016/j.it.2016.10.001
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The impact of stress on body function: A review
 • 2017  • DOI: 10.17179/excli2017-480
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Mechanisms and Therapeutic Relevance of Neuro-immune Communication
 • 2017  • DOI: 10.1016/j.immuni.2017.06.008
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Inflammation: The Common Pathway of Stress-Related Diseases
 • 2017  • DOI: 10.3389/fnhum.2017.00316
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Alopecia areata
 • 2017  • DOI: 10.1038/nrdp.2017.11
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TFOS DEWS II pain and sensation report
 • 2017  • DOI: 10.1016/j.jtos.2017.05.002
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The aging clock: circadian rhythms and later life
 • 2017  • DOI: 10.1172/jci90328
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GABAergic Interneurons in the Neocortex: From Cellular Properties to Circuits
 • 2016  • DOI: 10.1016/j.neuron.2016.06.033
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Sepsis and septic shock
 • 2016  • DOI: 10.1038/nrdp.2016.45
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The bowel and beyond: the enteric nervous system in neurological disorders
 • 2016  • DOI: 10.1038/nrgastro.2016.107
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Vagal Afferent Innervation of the Airways in Health and Disease
 • 2016  • DOI: 10.1152/physrev.00039.2015
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Understanding the Mysterious M2 Macrophage through Activation Markers and Effector Mechanisms
 • 2015  • DOI: 10.1155/2015/816460
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The neocortical circuit: themes and variations
 • 2015  • DOI: 10.1038/nn.3917
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Gut-Microbiota-Brain Axis and Its Effect on Neuropsychiatric Disorders With Suspected Immune Dysregulation
 • 2015  • DOI: 10.1016/j.clinthera.2015.04.002
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The multifaceted functions of neutrophils
 • 2014  • DOI: 10.1146/annurev-pathol-020712-164023
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Calcitonin gene-related peptide: physiology and pathophysiology
 • 2014  • DOI: 10.1152/physrev.00034.2013
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Mechanisms of acupuncture-electroacupuncture on persistent pain
 • 2014  • DOI: 10.1097/aln.0000000000000101
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Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis
 • 2023  • DOI: 10.1002/14651858.cd011535.pub6
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Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis
 • 2022  • DOI: 10.1002/14651858.cd011535.pub5
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Reinfection in patients with COVID-19: a systematic review
 • 2022  • DOI: 10.1186/s41256-022-00245-3
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Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population
 • 2021  • DOI: 10.1002/14651858.cd012932.pub2
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Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)
 • 2020  • DOI: 10.1002/14651858.cd012626.pub2
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Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis
 • 2020  • DOI: 10.1002/14651858.cd011535.pub3
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Corticosteroids for pneumonia
 • 2017  • DOI: 10.1002/14651858.cd007720.pub3
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Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis
 • 2017  • DOI: 10.1002/14651858.cd011535.pub2
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Direct-acting antivirals for chronic hepatitis C
 • 2017  • DOI: 10.1002/14651858.cd012143.pub3
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Prone position for acute respiratory failure in adults
 • 2015  • DOI: 10.1002/14651858.cd008095.pub2
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Antioxidants for preventing pre-eclampsia
 • 2008  • DOI: 10.1002/14651858.cd004227.pub3
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Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review
 • 2024  • DOI: 10.1007/s11739-023-03374-w
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Epigenetics-targeted drugs: current paradigms and future challenges
 • 2024  • DOI: 10.1038/s41392-024-02039-0
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International Consensus Statement on Obstructive Sleep Apnea
 • 2023  • DOI: 10.1002/alr.23079
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Somatosensory and autonomic neuronal regulation of the immune response
 • 2022  • DOI: 10.1038/s41583-021-00555-4
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Lipid Nanoparticles as Delivery Vehicles for Inhaled Therapeutics
 • 2022  • DOI: 10.3390/biomedicines10092179
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Diabetic Nephropathy: Challenges in Pathogenesis, Diagnosis, and Treatment
 • 2021  • DOI: 10.1155/2021/1497449
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Pulmonary hypertension in bronchopulmonary dysplasia
 • 2021  • DOI: 10.1038/s41390-020-0993-4
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Invasive Fungal Infections Complicating COVID-19: A Narrative Review
 • 2021  • DOI: 10.3390/jof7110921
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Immunobiology and immunotherapy of COVID-19: A clinically updated overview
 • 2021  • DOI: 10.1002/jcp.30076
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Neuroinflammation in neurodegenerative disorders: the roles of microglia and astrocytes
 • 2020  • DOI: 10.1186/s40035-020-00221-2
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Immune responses to stroke: mechanisms, modulation, and therapeutic potential
 • 2020  • DOI: 10.1172/jci135530
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Progress in the mechanism and targeted drug therapy for COPD
 • 2020  • DOI: 10.1038/s41392-020-00345-x
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Therapeutic Potential of Centella asiatica and Its Triterpenes: A Review
 • 2020  • DOI: 10.3389/fphar.2020.568032
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Treatment of Sarcoidosis: A Multidisciplinary Approach
 • 2020  • DOI: 10.3389/fimmu.2020.545413
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Pulmonary neuroendocrine cells: physiology, tissue homeostasis and disease
 • 2020  • DOI: 10.1242/dmm.046920
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Leaky gut: mechanisms, measurement and clinical implications in humans
 • 2019  • DOI: 10.1136/gutjnl-2019-318427
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THE CONCISE GUIDE TO PHARMACOLOGY 2019/20: Introduction and Other Protein Targets
 • 2019  • DOI: 10.1111/bph.14747
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Circadian regulation of depression: A role for serotonin
 • 2019  • DOI: 10.1016/j.yfrne.2019.04.003
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Activation of Resolution Pathways to Prevent and Fight Chronic Inflammation: Lessons From Asthma and Inflammatory Bowel Disease
 • 2019  • DOI: 10.3389/fimmu.2019.01699
View Source

60 sources · Platform research library · Not generated by AI

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Research Education Only: This profile is for educational purposes only. All information is sourced from published scientific literature. This is not medical advice. Not for human consumption. Consult qualified medical professionals for any health decisions.