An Inflammation Centered Perspective to the Mechanisms and Interactions Related to Vascular Cognitive Impairment

A major health burden for the elderly, vascular cognitive impairment (VCI) is a disease that combines cognitive (CD) and cardiovascular (CVD) components. The molecular mechanisms underlying this disease are poorly understood, and our work attempts to bridge this knowledge gap by building protein-protein interaction (PPI) networks of CD and CVD. Our earlier research not only showed how well these two primary components work together, but also hinted at the potential role of inflammation in the development of VCI. For this reason, we decided to examine the relationship between inflammation and VCI in further detail.We identified the top three most connected clusters, which could represent significant modules, enriched these clusters with alternative conformations, and used PRISM to predict the interactions between the conformations. We proposed putative VCI-related interactions, such as NFKBIA-RELA and the proteasome complex, as well as their effects. The five interactions that we discovered have a higher predicted binding affinity when one of the conformations is mutated: LTF-SNCA, FGA-LTF, UBE2D1-VCP, ERBB4-INS, and NFE2L2-VCP. Additionally, since VCP has a conformational mutation linked to dementia, we proposed that the cancer-related protein BRCA1 may have implications for VCI. BRCA1s interaction with both wild-type and mutant XRCC4 and LIG4 suggests the significance of the DNA damage response pathway which can be shared between VCI and cancer.Altogether, our results suggest various pathways and interactions that can act as targets for therapeutic interventions or early diagnosis of VCI.