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Immune ResearchTier 2 — Human Trials (aviptadil)
Research Purposes Only
Tier 2 — Human Trials (aviptadil)

VIP

Master Immunomodulatory Neuropeptide & Circadian Rhythm Regulator

VIP — Vasoactive Intestinal Peptide

Clinical Trials
Research Purposes Only. VIP is supplied by Purgo Labs strictly for qualified laboratory research use only. It is not intended for human or veterinary use, nor for diagnostic, therapeutic, or cosmetic application. Statements on this page have not been evaluated by the FDA.
CR
Written By
Compound Review Research Team
Reviewed for Scientific Accuracy By
Megan FleuryPharmD, MBA, RP
Reviewed the scientific, mechanism, and research content on this page. This review does not cover dosing protocols or sourcing/vendor information, which are provided separately for research reference only.
All content is reviewed for scientific accuracy against peer-reviewed literature. View our editorial methodology.
So What Does This Actually Mean?
Plain English summary — no PhD required

VIP (Vasoactive Intestinal Peptide) is a 28-amino-acid neuropeptide that acts as a master anti-inflammatory signal throughout the nervous system, gut, and immune system. An inhaled form (Aviptadil) is FDA-approved for pulmonary hypertension.

What It Does

VIP binds VPAC receptors on immune cells, suppressing the NF-kB inflammatory cascade and blocking production of TNF-alpha, IL-6, and other pro-inflammatory cytokines. It also promotes regulatory T-cells and regulates circadian rhythms.

Why It Matters

Chronic inflammation drives autoimmune disease, cardiovascular disease, and neurodegeneration. VIP suppresses the NF-kB pathway while promoting immune tolerance — a uniquely powerful combination for inflammation research.

The Bottom Line

VIP is a pleiotropic neuropeptide with FDA approval (inhaled), Phase II/III clinical trial data for ARDS and COVID-19, and a well-characterized mechanism for suppressing chronic inflammation.

Overview

What is VIP?

VIP (Vasoactive Intestinal Peptide) is a 28-amino-acid neuropeptide produced throughout the nervous system, gut, and immune cells. It exerts potent anti-inflammatory effects by suppressing pro-inflammatory cytokines (TNF-alpha, IL-6, IL-12) and promoting regulatory T-cell differentiation. An inhaled form (Aviptadil) is FDA-approved for pulmonary hypertension.

Key Takeaways
  • VIP (Vasoactive Intestinal Peptide) is a 28-amino acid neuropeptide found throughout the central and peripheral nervous system, gut, and immune system, acting on VPAC1 and VPAC2 receptors (G protein-coupled, cAMP-mediated).
  • Primary physiological roles: smooth muscle relaxation (vasodilation, bronchodilation, gut motility regulation), neurotransmission in the autonomic nervous system, and potent immunomodulation (anti-inflammatory).
  • VIP is one of the most potent endogenous anti-inflammatory peptides: it suppresses TNF-α, IL-6, IL-12, and IFN-γ production while promoting IL-10 and TGF-β, shifting immune responses toward Th2/regulatory phenotypes.
  • The suprachiasmatic nucleus (SCN) — the brain's master circadian clock — uses VIP as its primary synchronizing signal between SCN neurons, making VIP central to circadian rhythm regulation.
  • Research applications include studying autonomic nervous system function, gut motility, circadian biology, neuroinflammation, and the therapeutic potential of VIP receptor agonism in inflammatory and autoimmune conditions.
Composition

Molecular Composition

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

VIP is a 28-amino-acid neuropeptide (3,326.8 Da) belonging to the secretin/glucagon superfamily. It is produced by neurons in the enteric nervous system, hypothalamus, and throughout the peripheral nervous system, as well as by immune cells including T-cells and mast cells.

Mechanism of Action

How Does It Work?

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VIP suppresses chronic inflammation by activating VPAC receptors that inhibit NF-kB signaling, simultaneously promoting regulatory T-cell differentiation and vasodilation.

VIP binds VPAC1 and VPAC2 G-protein coupled receptors, activating adenylyl cyclase and elevating intracellular cAMP. This activates PKA, which phosphorylates and inhibits NF-kB — the master transcription factor for pro-inflammatory cytokine production. VIP also promotes Foxp3+ regulatory T-cell differentiation and tolerogenic dendritic cell polarization.

VIP mechanism of action diagram — step-by-step signaling pathway infographic
VIP Mechanism of Action — Simplified signaling pathway diagram. For research reference only.
"VIP is a master immunomodulatory neuropeptide that shifts immune responses toward tolerance and anti-inflammation through VPAC receptor signaling." — Delgado et al., Nature Reviews Immunology, 2004
Signaling Pathways

Key Research Pathways

VPAC1/VPAC2 Receptor Signaling / cAMP Cascade

Binds VPAC1 and VPAC2 G-protein coupled receptors, activating adenylyl cyclase and elevating intracellular cAMP — the primary mechanism for its anti-inflammatory and immunomodulatory effects.

Pro-Inflammatory Cytokine Suppression

Inhibits NF-kB activation in macrophages and dendritic cells, suppressing TNF-alpha, IL-6, IL-12, and IFN-gamma production.

Regulatory T-Cell Induction

Promotes the differentiation of Foxp3+ regulatory T-cells (Tregs) and tolerogenic dendritic cells, shifting immune responses toward tolerance.

Research Highlights

Key Findings from the Literature

  • FDA-approved inhaled form (Aviptadil) for pulmonary arterial hypertension
  • Phase II/III clinical trials for ARDS and critical COVID-19 (significant survival improvement)
  • Suppresses TNF-alpha, IL-6, IL-12, and IFN-gamma through NF-kB inhibition
  • Promotes Foxp3+ regulatory T-cell differentiation (immune tolerance)
  • Key neurotransmitter in the suprachiasmatic nucleus (circadian rhythm regulation)
Researcher Notes

Important Research Context

VIP entered clinical trials for pulmonary arterial hypertension (FDA-approved as Aviptadil), ARDS/COVID-19 (Phase II/III), and multiple sclerosis. A 2021 Phase II trial in critical COVID-19 patients showed significant improvements in respiratory function and survival.

Research References

Peer-reviewed literature supporting the research profile of VIP

The following peer-reviewed studies form the primary evidence base for VIP's research profile. All references are sourced from PubMed, NCBI, and peer-reviewed scientific journals. Published research is available through PubMed, NCBI, and peer-reviewed biomedical journals.

  1. 1.

    Delgado M, Ganea D. Anti-inflammatory neuropeptides: a new class of endogenous immunoregulatory agents. Brain, Behavior, and Immunity. 2008.PMID: 18598752

    Comprehensive review of VIP's immunomodulatory functions across innate and adaptive immune compartments.

  2. 2.

    Delgado M, Pozo D, Ganea D. The significance of vasoactive intestinal peptide in immunomodulation. Pharmacological Reviews. 2004.PMID: 15169929

    VIP inhibits pro-inflammatory mediator production through VPAC receptor signaling, supporting its role in immune regulation.

  3. 3.

    Gonzalez-Rey E, et al. Vasoactive intestinal peptide generates human tolerogenic dendritic cells that induce CD4 and CD8 regulatory T cells. Blood. 2006.PMID: 16397128

    VIP induces tolerogenic dendritic cells and regulatory T cells, supporting anti-inflammatory research applications.

  4. 4.

    Gonzalez-Rey E, Chorny A, Delgado M. Regulation of immune tolerance by anti-inflammatory neuropeptides. Nature Reviews Immunology. 2007.PMID: 17186031

    Comprehensive review of VIP's role in immune regulation, neuroprotection, and inflammatory signaling.

VIP

Immune Research

From $59.99

Purgo Labs list price, read 12 Sep 2026 · per-lot COA on the vendor page

1 vial
List price · read 12 Sep 2026
$59.99
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Where to buy VIP
5 partners · prices read from product pages, latest 1 Nov · ranked by rubric, then price
  • 1 certificate verified at the labout of stock 1 Nov
    10mg
    $59.99→ $47.99
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  • 1 certificate verified at the lab
    10mg$71.43
    $49.99→ $44.99
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  • 2 certificates verified at the lab
    5mg
    $74.99→ $67.49
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Technical Specifications

Peptide Class
Neuropeptide/immunomodulator (28 amino acids)
Molecular Weight
3,326.8 Da
Regulatory Status
FDA-approved inhaled (pulmonary hypertension); research chemical (injectable)
Available Sizes
2mg, 5mg vials
Form
Lyophilized powder
Purity
≥99% (third-party tested)
Legal Status
Research Chemical

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Safety

VIP side effects

Human trial data

Human data exist for the pharmaceutical form (aviptadil) — its effects are the predictable results of a potent vasodilator

VIP is an endogenous 28-amino-acid neuropeptide with strong vasodilatory, bronchodilatory and immunomodulatory actions. A pharmaceutical form, aviptadil, has been used in combination with phentolamine for erectile dysfunction in some countries and was studied by intravenous infusion in COVID-19 respiratory failure. The adverse-effect profile follows the pharmacology: it lowers blood pressure and raises heart rate.

Research-use information only. Research-grade VIP is not an approved medicine; where trial or label figures appear below they belong to the pharmaceutical product studied, not to any research vial. This section does not give dosing or medical advice.

What is reported

Every rate carries its source. Where no source exists, no rate is printed.

EffectRate (sourced)DetailSource
Hypotension, flushing, tachycardianot quantifiedDirect consequences of VIP-receptor-mediated vasodilation; reported with intravenous aviptadil and expected with systemic exposure.Delgado et al. 2004 (review of VIP pharmacology)
Diarrhoeanot quantifiedVIP stimulates intestinal secretion — the mechanism of the diarrhoea seen with VIP-secreting tumours (VIPoma).Delgado et al. 2004
Injection-site reactionsnot quantifiedExpected for any injected peptide; unquantified.General

What is not known

  • •Adverse-effect rates for subcutaneous research-grade VIP — the human data are for intravenous or intracavernosal aviptadil.
  • •Identity and dose of any research vial.
  • •Effects of repeated dosing on blood pressure regulation.

Mechanism-based cautions

  • •Anyone with low blood pressure or on antihypertensives is exposed to additive hypotension — a mechanism-based caution, not a trial finding.
  • •VIP is a growth and survival signal for several cell types in vitro; the relevance to tumour biology is unresolved.

Regulatory status: Aviptadil/phentolamine (Invicorp) is approved for erectile dysfunction in some European countries; VIP is not approved in the US. Research-grade VIP is not the approved product.

Side-effect references

  1. Delgado M, Pozo D, Ganea D. The significance of vasoactive intestinal peptide in immunomodulation. Pharmacological Reviews, 2004. PMID 15169929.
  2. Gonzalez-Rey E, Chorny A, Delgado M. Regulation of immune tolerance by anti-inflammatory neuropeptides. Nature Reviews Immunology, 2007. PMID 17186031.

What is actually in a research vial

Everything above describes VIP the molecule. The risk specific to a research vial is different: it may not contain VIP at the labelled amount, and it may contain what the synthesis left behind. Identity (mass spectrometry), purity (HPLC), measured net content and an endotoxin result are the four lines on a certificate that bear on adverse effects, and only a certificate you can check at the laboratory tells you any of them. This is what we have verified for VIP so far.

Who sells VIP, and what they document

7 of the 105 vendors on our scoreboard list VIP with a price we read on the product page (23 Sep 2026–1 Nov 2026). Of those, 7 name their testing laboratory, 7 publish certificates that resolve on the lab's own site, and 7 publish measured milligrams against the label. The full ranking, with every dated price, is on Best VIP Vendors.

VendorRubricLab namedPrice read
Peptide Giantspartner10/10Janoshik Analytical · Vanguard Laboratory$49.99 · 10mg · 1 Nov 2026
Purgo Labspartner10/10SteriGenix · Freedom Diagnostics$59.99 · 10mg · 1 Nov 2026
Pure Peptides9/10Kovera Labs$54.00 · 5mg · 10 Oct 2026
Nexaph8/10Janoshik Analytical$33.80 · 10mg · 26 Oct 2026
PS Peptidespartner8/10North American Diagnostics$74.99 · 5mg · 23 Sep 2026

Top 5 by rubric score; 2 more on the ranking page.

VIP certificates we have opened

None yet for VIP specifically. The COA library holds the certificates we have read for each vendor on other compounds, which is the next best signal of how that vendor documents a lot.

Side-effect questions

What are VIP's side effects?

Mostly what a strong vasodilator does: a drop in blood pressure, flushing and a faster heart rate, plus loose stools because VIP drives intestinal secretion. Those are pharmacology, seen with the aviptadil product; there are no rates for subcutaneous research-grade VIP.

Side-effect section last reviewed 2026-09-13. Moved from the standalone side-effects page on 10 October 2026; text unchanged.

Supporting Research

Mixed EvidenceMixed — Clinical Research History; Not Approved for Marketed Uses
Evidence note: Aviptadil (VIP) has been studied in human clinical trials for ARDS and COVID-19-related respiratory failure, with mixed results. It is not approved by the FDA for any indication. Claims about VIP for immune modulation, neuroprotection, or other marketed uses are not supported by the clinical trial evidence base.

VIP (Aviptadil) has a real clinical research history including Phase 2/3 trials for ARDS and COVID-19. Results have been mixed — some positive signals in small studies but larger trials have not consistently confirmed efficacy. VIP is not approved for any marketed indication.

References

  • Delgado M, Ganea D.REVIEW
    Amino Acids. 2013. PubMed
    Comprehensive review of VIP's role in immune regulation, neuroprotection, and inflammatory signaling; preclinical basis for clinical development.

Research Databases

PubMedClinicalTrials.gov

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