A review.Human scalp hair follicles (HFs) are also known to produce numerous neuromediators themselves, primarily within the HF epithelium, whose functions in human HF physiol. remain incompletely understood.One important neuromediator that remains to be investigated in the context of HF melanocyte functions is the predominantly immunoinhibitory neuropeptide, vasoactive intestinal peptide (VIP).Therefore, we have asked in this pilot study whether and how VIP regulates human scalp HF pigmentation ex vivo, using our well-established organ culture assay for HF pigmentary research.In this denervated assay system, the native microenvironment of HF melanocytes remains intact and functional, whereas confounding impacts from VIP-secreting perifollicular nerves are eliminated.This showed that gp100+ melanocytes of the HFPU indeed prominently coexpress VPAC2 thus rendering them susceptible to direct stimulation by VIP.Interestingly, 1 mM VIP also significantly reduced the number of gp100+ and gp100+/microphthalmia-associated transcription factorepos. cells as well as overall gp100 immunoreactivity in the entire hair bulb of anagen VI HFs suggesting that VIP operates as a neg. regulator of the human HF melanocyte pool.Thus, VIP may reduce the local differentiation of HF melanocyte progenitors into mature, melanogenically active, gp100+/microphthalmia-associated transcription factor pos. HFPU melanocytes rather than primarily regulating their survival/activation.In summary, our pilot study directly in the human target organ unexpectedly reveals VIP as a neg. regulator of human HF pigmentation directly in the human target organ.VIP likely exerts its effects at the post-DCT level of melanogenesis, namely, by inhibiting tyrosinase activity and the formation of gp100+ premelanosomes.Higher concentrations of VIP may even reduce the number of HF melanocytes by inhibiting melanocyte differentiation from resident intrafollicular progenitors.