Cerebral
small vessel disease (SVD) is a leading cause of
stroke and a major contributor to
cognitive decline and
dementia in the
population. Evidences indicate that
blood brain barrier dysfunction may play a significant role in VD
pathogenesis. Recently, an inverse association of TRIM47 expression in brain and vascular tissues with extensive-SVD severity was reported in a human
genome wide association study combined with summary-based Mendelian
randomization studies and profiling of human loss-of-function
allele carriers. Now, the inventors demonstrate TRIM47 is a key
regulator of
actin cytoskeleton organization through KEAP1 / NRF2 signalling pathway and might be protective from
oxidative stress in brain EC. In particular, the
in vitro TRIM47 knockdown decreases directed EC migration and delays EC
adhesion process with loss of
actin cortical reorganization and
focal adhesion contacts. Furthermore,
RNA sequencing and BioID results indicate that TRIM47 knockdown in brain EC, represses the expression of genes associated with
cytoskeleton and NRF2
antioxidant pathway through a potential interaction with KEAP1. Accordingly, the present invention relates to the use of Nrf2 activators for the treatment of SVD.