# Targeting Kruppel-like Transcription Factor for White and Grey Matter Protection in Vascular Cognitive Impairment and Dementia

> **NIH NIH R01** · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2024 · $609,466

## Abstract

Vascular cognitive impairment and dementia (VCID), a type of cognitive disorder mainly induced by
cerebrovascular pathology and dysfunction, is widely recognized as the second most common cause of
dementia after Alzheimer’s disease, and results in tremendous economic and social burdens on our society.
Despite recent progress in VCID research, our understanding of cerebrovascular contributions to the
pathogenesis of VCID is still limited, and the effective therapeutic approaches for VCID are unavailable.
 Krüppel-like factors (KLFs) are members of the zinc finger family of transcription factors and consist of 18
members that have been shown to play key roles in cellular growth and differentiation. Cumulative studies
have documented that several KLFs (KLF2, KLF4, KLF5, KLF6, KLF8, KLF11, KLF13, KLF14, and KLF15) are
implicated in developmental and pathological vascular processes. It is becoming apparent that KLFs are also
implicated in regulating the pathogenesis of cerebrovascular diseases and warrant further investigation. KLF11
is a unique diabetes-associated KLF transcription factor among 18 KLF family members and is highly
expressed in vascular endothelium. We reported for the first time that KLF11 functions as an important
mediator in acute stroke-induced brain injury. However, the function and mechanisms of KLF11 in regulating
cerebrovascular pathogenesis and progression of cognitive decline are totally unknown in VCID.
 In our recent preliminary studies, we have shown that KLF11 expression is significantly decreased in the
mouse cerebral vasculature after VCID. Of note, EC-selective KLF11 transgenic overexpression displays
reduced cognitive impairments in the experimental VCID mouse model, whereas KLF11 genetic deficiency
results in increased cognitive impairments, white matter injury and neuronal loss. Mechanistically, we have
documented that KLF11 genetic deficiency increased BBB permeability in mice after VCID. We further found
several KLF11 binding sites in the promoter region of major endothelial tight junctions, and genetic deletion of
KLF11 in VCID mice significantly reduced cerebral expression of claudin-5. These findings have provided the
basis for our Central Hypothesis that vascular KLF11 attenuates BBB disruption and subsequent
pathological cascades after chronic cerebral hypoperfusion, thereby contributing to increased BBB
stabilization, reduced white matter/neuronal loss, and improved long-term cognitive outcomes in VCID.
Three specific aims will be performed in this proposal. Aim 1: Define the role of vascular KLF11 in long-term
cognitive disorders, brain white matter injury, and neuronal loss in experimental VCID; Aim 2: Elucidate the
mechanisms of vascular KLF11-mediated brain protection in VCID; Aim 3: Explore systematic delivery of TAT-
KLF11 protein as a potential therapy in VCID. Elucidating KLF11 cerebrovascular protection may help us to
discover vascular contribution to brain white and grey matter injury and dementia,...

## Key facts

- **NIH application ID:** 10873717
- **Project number:** 5R01NS131122-02
- **Recipient organization:** UNIVERSITY OF PITTSBURGH AT PITTSBURGH
- **Principal Investigator:** Kejie Yin
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $609,466
- **Award type:** 5
- **Project period:** 2023-07-01 → 2028-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10873717

## Citation

> US National Institutes of Health, RePORTER application 10873717, Targeting Kruppel-like Transcription Factor for White and Grey Matter Protection in Vascular Cognitive Impairment and Dementia (5R01NS131122-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10873717. Licensed CC0.

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