Fig. 1: Schematic diagrammatic representation of the proposed hypothesis.

A Once CKD occurs, it can increase homocysteine level in brain. As a result, stroke can happen. Hyperhomocysteinemia results in impaired endoplasmic reticulum (ER) homeostasis via decreased Sel1L expression leading to ER stress mediated halt in oligodendrocyte maturation. Therefore, it is hypothesized that, ER homeostasis perturbation can exacerbate white matter damage towards neurodegeneration in CKD-Stroke complex (Created in BioRender. https://BioRender.com/72a8jmq). B Summary of experimental design. (Created in BioRender. https://BioRender.com/jro512v).