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MicroRNA 4474 (miR-4474, hsa-mir-4474) is a small, non-coding RNA molecule that functions as a post-transcriptional regulator of gene expression by binding to complementary sequences on target mRNAs, leading to translational repression or degradation. MiR-4474 has been shown to be upregulated in colorectal cancer (CRC) tissues infected with *Fusobacterium nucleatum*, and directly targets CREB-binding protein (CREBBP) mRNA, resulting in reduced CREBBP expression. This modulation of CREBBP impacts Wnt/β-catenin signaling and cell proliferation, which may contribute to colorectal carcinogenesis and tumor progression. No drugs are known to directly interact with miR-4474, and its clinical utility as a biomarker or therapeutic target remains experimental.
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