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3DNA-based miR146b-5p therapy is an experimental therapeutic approach that utilizes a synthetic microRNA (miRNA) mimic—specifically, miR-146b-5p—delivered via a DNA nanocarrier platform known as "3DNA." This targeted delivery system is designed to increase the expression of miR-146b-5p in specific cell types, such as microglia in the central nervous system. The mechanism of action involves modulating inflammatory responses by downregulating pro-inflammatory signaling pathways (notably through suppression of IRAK1), thereby reducing microglial activation and neuroinflammation. In preclinical models, this strategy has shown efficacy in preventing hypomyelination and cognitive deficits induced by perinatal inflammation, suggesting potential for treating neurodevelopmental injuries like white matter injury (WMI) in premature infants[1].
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