VIP (vasoactive intestinal peptide)

Also: Vasoactive intestinal polypeptide, Aviptadil (synthetic form), Invicorp (with phentolamine)

Summary

Vasoactive intestinal peptide is a 28-amino-acid hormone and neurotransmitter made in the gut, pancreas and nervous system. It widens blood vessels, relaxes smooth muscle and modulates inflammation. The synthetic form, aviptadil, is a licensed medicine in the UK in combination with phentolamine (Invicorp) for erectile dysfunction, and has been studied by inhalation and infusion for lung conditions. Unlike most peptides on this site, VIP is a natural human hormone with a long research history.

What it targets

VIP acts through VPAC1 and VPAC2 receptors on blood vessels, airway and gut smooth muscle, and immune cells. Human studies linked here include: a single inhaled dose in 20 patients with pulmonary hypertension, which produced a small, short-lived fall in pulmonary vascular resistance; a placebo-controlled trial of intravenous aviptadil in 196 patients with COVID-19 respiratory failure, which did not meet its primary endpoint though the authors reported secondary survival findings; a skin-blood-flow physiology study in 43 volunteers; and observational studies relating blood VIP levels to inflammatory bowel disease activity and, in 37 healthy women, to anxiety and depression scores. None of the linked studies is a treatment trial in a condition the peptide is licensed for.

pulmonary hypertension (inhaled, n=20)COVID-19 respiratory failure (RCT, n=196, primary endpoint not met)skin blood flow mechanism (healthy volunteers)inflammatory bowel disease activity marker (observational)mood and brain structure (observational, healthy women)

Clinical Research

Inhalation of vasoactive intestinal peptide in pulmonary hypertension
Leuchte HH, Baezner C, Baumgartner RA, et al. (2008). European Respiratory Journal. human patients with pulmonary hypertension, n=20, single inhaled dose during catheterisation
The Use of IV Vasoactive Intestinal Peptide (Aviptadil) in Patients With Critical COVID-19 Respiratory Failure: Results of a 60-Day Randomized Controlled Trial
Youssef JG, Lavin P, Schoenfeld DA, et al. (2022). Critical Care Medicine. human patients with COVID-19 respiratory failure, randomised placebo-controlled trial, n=196, ten US hospitals
Mechanisms of vasoactive intestinal peptide-mediated vasodilation in human skin
Wilkins BW, Chung LH, Tublitz NJ, Wong BJ, Minson CT (2004). Journal of Applied Physiology. human healthy volunteers, n=43, intradermal microdialysis
Vasoactive intestinal polypeptide plasma levels associated with affective symptoms and brain structure and function in healthy females
Simon RA, Barazanji N, Jones MP, et al. (2021). Scientific Reports. human healthy females, n=37, observational (plasma VIP, questionnaires, MRI)
Vasoactive intestinal peptide as a laboratory supplement to clinical activity index in inflammatory bowel disease
Duffy LC, Zielezny MA, Riepenhoff-Talty M, et al. (1989). Digestive Diseases and Sciences. human adults with inflammatory bowel disease, n=115 (48 ulcerative colitis, 67 Crohn's), observational over six months

All research on VIP (vasoactive intestinal peptide) →