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miR-29a (MicroRNA-29a) is a microRNA-based therapeutic candidate being investigated for its potential in treating musculoskeletal fibrotic disorders, specifically shoulder stiffness (frozen shoulder) and rotator cuff pathology. Developed by researchers at Chang Gung Memorial Hospital in Taiwan, miR-29a acts as a biologic oligonucleotide that regulates tissue homeostasis by targeting the 3'-untranslated region (3'-UTR) of Collagen type III alpha 1 (COL3A1) mRNA. By binding to this region, miR-29a suppresses the expression of COL3A1, thereby reducing the excessive formation of fibrotic extracellular matrix in myofibroblasts of the subacromial bursa and inflamed tenocytes. Preclinical and clinical research suggests that restoring miR-29a levels can alleviate tissue stiffness and maintain joint function by preventing pathological fibrosis.
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