Vasoactive intestinal peptide (VIP) exerts its biological effects primarily through the activation of VPAC(1) and VPAC(2) receptors, which are G protein-coupled receptors (GPCRs). This interaction stimulates adenylate cyclase activity, leading to increased intracellular cAMP levels and subsequent activation of protein kinase A (PKA), thereby influencing various physiological processes such as neurotransmission, vasodilation, and modulation of immune responses. Although the precise mechanisms of action and downstream signaling pathways remain incompletely understood, VIP is implicated in neuroendocrine regulation, cardiac function, and immune modulation.