VIP is a 28-aa neuropeptide and vasodilator that reduces inflammation, protects the CNS, supports gut-lung axis health, and modulates immune balance, especially in CIRS, fibrosis, and neuroinflammation.
Vasoactive Intestinal Peptide (VIP)
Also known as: Aviptadil; PHM27
Overview
Benefits
- Immune regulation
- Gut-lung health
- Brain protection
- Anti-fibrotic action
- CIRS therapy support
Consider This Peptide If You Want To
- Reduce chronic inflammation and support immune balance
- Protect brain, gut, and lung tissue
Dosage & Administration
Dosage Guidelines
Recommended Dosage
• Amount:200 mcg
• Frequency:daily
• Duration:30 days
• Rest Period:
• Time of Day:morning
• Ingestion:intranasal
Administration Routes:Intranasal
Research Findings on Dosage:
• Intranasal Spray:
◦ Commonly Reported Dosage: 50 mcg/ml 1 spray (alternate nostrils) up to 16 sprays per day (morning, late morning, afternoon, and night)
◦ Duration: 30-90 days (gradually reduce dose to zero)
Mechanism of Action
Mechanism of Action
How this peptide works in the body
Receptor Binding:
Vasoactive Intestinal Peptide (VIP) binds to VPAC1 and VPAC2 receptors, activating adenylyl cyclase, which increases cyclic AMP (cAMP) levels. This cascade stimulates protein kinase A (PKA), leading to smooth muscle relaxation, vasodilation, and immune modulation. VPAC1 is primarily expressed in immune cells and epithelial tissues, while VPAC2 is prevalent in neurons and smooth muscle cells, allowing VIP to exert widespread anti-inflammatory and neuroprotective effects.
Cytokine Modulation:
VIP suppresses nuclear factor kappa B (NF-κB) activation, reducing transcription of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6, and IFN-γ). Simultaneously, it upregulates anti-inflammatory cytokines (IL-10 and IL-4) via the STAT6 signaling pathway, shifting the immune response toward a regulatory and anti-inflammatory state.
Neuroprotection:
VIP preserves blood-brain barrier (BBB) integrity by enhancing tight junction protein expression (claudin-5, occludin, ZO-1), preventing neurotoxic infiltration. It also regulates beta-amyloid (Aβ) accumulation by modulating insulin-degrading enzyme (IDE) and neprilysin (NEP), reducing amyloid plaque formation in Alzheimer's disease models. Additionally, VIP enhances astrocyte and microglial function, mitigating oxidative stress and promoting neuronal survival via BDNF and NGF upregulation.
Gut-Brain Axis Regulation:
VIP enhances intestinal barrier integrity by increasing zonulin-1 expression, reducing gut permeability and bacterial translocation. This prevents lipopolysaccharide (LPS)-induced systemic inflammation and modulates the gut microbiome, favoring beneficial microbial populations. VIP also regulates vagal nerve signaling, influencing gut motility and reducing visceral hypersensitivity in conditions like IBS and IBD.
Consider Stacking With
- BPC-157
- TB-4
- ARA-290
- KPV
Side Effects & Cautions
Common Side Effects
- Dizziness, headache, rash, irritability, low BP
Cautions
- Monitor BP in hypotensive individuals
Research & References
Research Highlights
Chronic Inflammatory Response Syndrome (CIRS):
Studies demonstrate effectiveness in resolving inflammation and correcting brain damage associated with biotoxin illnesses when used for 6 months at 12 doses daily.
Neuroprotection in Alzheimer's and Parkinson's:
VIP regulates beta-amyloid deposition and preserves blood-brain barrier integrity.
COVID-19 Critical Care:
A 2021 study found IV aviptadil improved survival rates (90% vs. 17%) and recovery from respiratory failure in critically ill COVID-19 patients.
Gut Barrier Restoration:
Improves zonulin 1 expression and enhances gut epithelial integrity, making it effective in inflammatory bowel conditions.
References
Delgado, M., & Ganea, D. (2013). VIP: A Neuroimmunomodulator with Therapeutic Potential. Clinical and Experimental Immunology
Szeri, A.J., et al. (2021). Aviptadil Therapy in COVID-19 Critical Illness. Frontiers in Immunology
Ganea, D., & Delgado, M. (2003). VIP in Immunity and Autoimmune Diseases. Immunological Reviews
Ohkubo, T., et al. (2020). VIP in Pulmonary Hypertension. Journal of Cardiopulmonary Medicine