Pituitary adenylate cyclase-activating polypeptide (PACAP) has been origina
lly isolated from the sheep hypothalamus on the basis of its ability to sti
mulate cAMP formation in anterior pituitary cells. Post-translational proce
ssing of the PACAP precursor generates two biologically active molecular fo
rms. PACAP38 and PACAP27, and a novel peptide called PACAP-related peptide
whose activity remains unknown. The primary structure of PACAP has been rem
arkably conserved during evolution, from protochordates to mammals, suggest
ing that the peptide exerts important activities throughout the vertebrate
phylum. The sequence of PACAP27 exhibits substantial similarities with thos
e of vasoactive intestinal polypeptide (VIP), glucagon and secretin. The ge
ne encoding the PACAP precursor is widely expressed in the brain and in var
ious peripheral organs, notably in endocrine glands, the gastro-intestinal
and uro-genital tracts and the respiratory system. In vivo and in vitro stu
dies have shown that PACAP exerts multiple activities as a hormone, neuroho
rmone, neurotransmittor or trophic factor. For instance, PACAP triggers the
release of insulin and glucagon, activates steroidogenesis in the adrenal
gland and gonads, and stimulates the secretion of most hypophysial cells. P
ACAP exerts a potent relaxant activity on smooth muscle fibers in blood ves
sels, lung and gut. In the brain, PACAP stimulates the electrical activity
of various populations of neurons and increase tyrosine hydroxylase gene ex
pression. Recent studies have shown that PACAP exerts a trophic activity du
ring ontogenesis, notably in the adrenal medulla and in the central nervous
system. The biological effects of PACAP are mediated through three distinc
t receptor subtypes which exhibit differential affinities for PACAP and VIP
. The PAC1 receptor, which shows high selectivity for PACAP, is coupled to
several transduction systems. In contrast, VPAC1 and VPAC2, which bind with
the same affinity PACAP and VIP, are mainly coupled to the adenylyl cyclas
e pathway. The bronchodilatator and vasorelaxant effects of PACAP, as well
as the antiproliferative and neuroprotective actions of the peptide, make i
t a valuable target for new drug development.