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miR-378a-3p mimic is a synthetic microRNA (miRNA) oligonucleotide designed to replenish the levels of endogenous miR-378a-3p, which is significantly downregulated in the intestinal mucosa of patients with active Crohn's disease. Developed by researchers at Chung-Ang University, this RNA therapy acts as an anti-inflammatory agent by post-transcriptionally silencing pro-inflammatory targets, specifically Interleukin-33 (IL-33) and Metastasis-associated in colon cancer 1 (MACC1). In preclinical models of dextran sodium sulfate (DSS)-induced colitis, administration of the mimic demonstrated therapeutic potential by reducing body weight loss, colon inflammation, and immune cell infiltration. The mechanism involves an IL-33 pathway-dependent anti-inflammatory response and the regulation of gut inflammation through the inhibition of MACC1 gene expression, which also appears to modulate the fecal microbiome by promoting beneficial bacterial species.
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