“…With the onset of progressive neurodegenerative disorder, VD should be focused on the early stage of pathological process, especially synaptic dysfunction. Increasing evidence has shown that lack of synaptic associated proteins (Carlson et al, 2017 ; Casaletto et al, 2017 ; Li et al, 2017a , b ; Liu et al, 2017 ; Yao et al, 2018 ) contributes to synaptic dysfunction, and even slight perturbations of synapse function can lead to brain disorders (van den Maagdenberg and Plomp, 2003 ; Cesca et al, 2010 ). The mechanism of chronic ischemia-induced cognitive impairment has been studied extensively (Choi et al, 2015 ; Wan et al, 2017 ; Wang et al, 2017 , 2018b ; Yao et al, 2018 ), whereas the mechanism of synapse dysfunction in the early stage of VD remains unclear.…”