“…The mechanisms of these responses have not been fully elucidated, but several factors may play a role. Cerebral hypoperfusion is associated with white matter inflammation and oxidative stress in rodent models (Dong et al, 2011; Huang et al, 2010; Ihara et al, 2001; Juma et al, 2011; Masumura et al, 2001; Reimer et al, 2011; Yoshizaki et al, 2008), indicating that hypoxia-ischemia is sufficient to trigger these responses. Vascular risk factors for VCI, such as hypertension, insulin resistance and diabetes, lead to vascular oxidative stress and inflammation, both in animal models and in humans (Cohen and Tong, 2010; Iadecola and Davisson, 2008; Yates et al, 2012), which, in turn, impair the factors regulating the cerebral circulation (Faraci, 2011).…”