Therapeutic Development

Developing therapeutic tools for inherited cerebral small vessel disease.

We are developing and testing novel lentiviral, non-integrating lentiviral, AAV, and antisense oligonucleotide approaches to target inherited CSVD, with early work focused on building reliable experimental evidence.

Therapeutic toolkit

Different modalities answer different biological questions.

Lentiviral vectors can support stable delivery of genetic payloads in experimental systems, while non-integrating lentiviral vectors are designed to reduce genomic integration while retaining useful delivery properties. AAV vectors offer a compact delivery system with strong relevance for in vivo gene therapy research. ASOs provide a flexible way to modulate RNA through knockdown, splice modulation, or target-specific transcript control.

Together, these tools allow the team to compare how different therapeutic ideas perform in vitro and in vivo before any concept is considered for a translational route.

LV

Lentiviral vectors

Used to test durable genetic payload delivery and disease-relevant readouts in experimental systems.

NILV

Non-integrating LV

Supports delivery experiments where reduced integration is an important design consideration.

AAV

Adeno-associated virus

Provides an in vivo-relevant vector platform for compact therapeutic payloads and translational testing.

ASO

Antisense oligonucleotides

Opens RNA-targeted opportunities including knockdown, splice modulation, and allele-informed approaches.

Design platform

shCREATE supports the design of siRNA, shRNA, and ASO tools.

shCREATE is a software platform created by Dr Favour Felix-Ilemhenbhio to support RNA-targeting design work. It can help researchers generate candidate small interfering RNA (siRNA), short hairpin RNA (shRNA), and antisense oligonucleotide (ASO) sequences for experimental testing.

siRNA

Small interfering RNA

Short RNA molecules that can reduce expression of a target transcript, useful for testing whether lowering a gene product changes a disease readout.

shRNA

Short hairpin RNA

Vector-expressed RNA hairpins that can provide longer-term knockdown experiments in cell and model systems.

ASO

Antisense oligonucleotide

Synthetic oligonucleotides that can modulate RNA through knockdown, splice switching, or other transcript-focused mechanisms.

Open shCREATE

Roadmap

Keep the science close to the disease, the evidence, and the people affected.

CSVD Therapeutics is building a practical translational path for inherited cerebral small vessel disease. The work begins with defined genetic causes, uses disease-relevant models to test candidate interventions, and prioritizes the evidence needed before any treatment concept can be responsibly moved toward patients.

Genetics

Start with a defined cause

Focus on inherited CSVD where variants in COL4A1 or NOTCH3 give a precise biological starting point.

Models

Test disease-relevant systems

Use cellular and vascular readouts to ask whether candidate therapies change measurable disease biology.

Tools

Develop credible interventions

Evaluate approaches such as plasmid systems, viral vectors, ASOs, CRISPR strategies, and drug repurposing where appropriate.

Translation

Build readiness for patients

Connect biomarkers, safety, delivery, natural history, and patient priorities into the evidence package needed for future trials.

University of Sheffield Sheffield Institute for Translational Neuroscience National Institute for Health and Care Research Sheffield Children's NHS Foundation Trust Alzheimer's Research UK British Heart Foundation