Neuroendocrine, Vascular and Immune
VPAC receptor signalling
Activation of VPAC1 and VPAC2 G-protein-coupled receptors by vasoactive intestinal peptide.
Biological pathway
VPAC receptor activation raises cyclic AMP and regulates vasodilation, smooth-muscle tone, glandular secretion, immune signalling and neuronal communication.
Evidence summary
Human vascular, pulmonary and migraine-provocation studies confirm strong physiological activity.
Limitations
VIP is rapidly degraded, can cause hypotension and headache, and has not shown broad established efficacy across proposed indications.