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ISSN 2689-8268 Volume 3
American Journal of Surgery and Clinical Case Reports
Short Communication Open Access
Volume 3 | Issue 3
miRNAs: Role of Post-Transcriptional Regulation of NLRP3 Inflammasomes in The
Treatment of Neurodegenerative Disorders
Khan S*
Institute of Biomedical Sciences, University Brunei Darussalam, Brunei
*Corresponding author:
Saima Khan,
Institute of Biomedical Sciences, University
BruneiDarussalam,Brunei,Tel:+923368305802;
E-mail: saimaneuro@gmail.com;
ftmshad@gmail.com
Received: 21 Apr 2021
Accepted: 10 May 2021
Published: 15 May 2021
Copyright:
©2021 Khan S . This is an open access article distribut-
ed under the terms of the Creative Commons Attribution
License, which permits unrestricted use, distribution, and
build upon your work non-commercially.
Citation:
Khan S, miRNAs: Role of Post-Transcriptional Regulation
of NLRP3 Inflammasomes in The Treatment of Neurode-
generative Disorders. Ame J Surg Clin Case Rep. 2021;
3(3): 1-5
Keywords:
Proinflammatory; NLRP3; Alzheimer’s Disorder
1. Introduction
Inflammasomes are multiprotein complexes consist of having
nucleotide binding domain and leucine rich repeat with the pyrin
and HIN domain family. The NLRP3 inflammasome one of these
members of family. It is activated upon sensing microbes or danger
associated molecular pattern. NLRP3 inflammasome activation
leads to activation of caspase 1 which is in turn activate proinflm-
matory cytokines/chemomokines.
The role of NLRP3 inflammasome in Alzheimer’s disease has re-
cently being identified. NLRP3 inflammasome activation is neces-
sary for maturation of IL-1β, IL-18 these cytokines/chemokines.
Prolong activation of NLRP3 inflammasome and release of these
cytokines/chemokines, and neuronal cell death serve as danger
signal to further excitation of NLRP3 activation in this way, neu-
ronal cell death provides feedback loop and deteriorate the patho-
logical condition.
Deficiency or inhibition of NLRP3 inflammasome can be bene-
ficial to reduce the deleterious effect of neuroinflammation in
pathophysiology of AD. It has been described that NLRP3 in-
flammasome activity is under additional transcriptional regulation.
In this study, I would like to identify the role of microRNA such
as miR-223 in the regulation of NLRP3 inflammasome. micR223
is a critical regulator of NLRP3 inflammasome activity. miR-223
suppresses NLRP3 expression through a conserved binding site
within the 39 untranslated region of NLRP3, translating to reduced
NLRP3 inflammasome activity. It is interested to note that miR-
223 itself is not regulated by proinflammatory signals, its expres-
sion varies among different myeloid cell types. Therefore, given
the tight transcriptional control of NLRP3 message itself, miR-
223 functions as an important rheostat controlling NLRP3 inflam-
masome activity. Therefore, induction of therapeutic treatment
target to NLRP3 inflammasome may be beneficial to neurodegen-
erative disease such as Alzheimer’s disorder.
2. NLRP3 Inflammasomes Molecular Mechanism of Ac-
tivation
NLRP3 inflammasome is not active in resting state. Upon acti-
vation it can sense pathogen ligand or danger signals. NLRP3 in-
flammasome activation require internal stimuli such as ATP, toxins
Postassium efflux such as reactive oxygen species (Cicolari, S.,
et al., 2021) (Jin, C. et al., 2010) [1,2]. Two steps activation of
NLRP3 are 1) priming and 2) activation of NLRP3 inflammasome.
The priming step include identification of Toll Like Receptor
(TLRs) and activation of NLRP3 required second stimulus which
are provided by multiple pathogens and danger associated ligand
that promote assembly of NLRP3 inflammasome (Figure 1) (Jo, E.
et al.,2016) [3].
3. Increasing complexity of NLRP3 inflammasome regu-
lation role of epigenetic Factors and Post-Transcription-
al Mechanisms
Recent studies have revealed role of epigenetic factors in patho-
genesis of acute and chronic inflammation such as:
3.1. DNA Methylation
Epigenetic factors have their role during embryonic development.
Detection of DNA demethylation near promoter’s region of gene
suggesting overexpression of that gene. Similarly, demethylation
also participate in NLRP3 inflammasome overexpression (Dabin,
L.et al., 2020) [4].
Volume 3 | Issue 3
ajsccr.org 2
Figure 1: NLRP3 inflammasome activation. There are two signals required for NLRP3 inflammasome. Signal 1 ligands priming signal. It regulates
the NLRP3 and pro IL-1β transcription and protein synthesis. Signal 2 activate trigger such trigger are ATP, toxins viral RNA. Second signal promotes
NLRP3, proILβ and IL-18 synthesis.
3.2. Histone Modifications
Up regulation of NLRP3 inflammasome is associated with histone
modification thus accelerate neuroinflammation diagnosed in pa-
tient with neuropathy (Liu, C. et al., 2018) [5].
3.3. Non-coding RNA
Non-coding RNAs are also involved in NLRP3 regulation as was
demonstrated in the setting of inflammation caused by microbi-
al and viral infection. Non coding RNAs targets inflammasome
where mRNA stability and inhibition of translation were most
commonly affected (Chen, I. et al., 2015) [6].
4. Post-transcriptional Regulation of NLRP3 Inflam-
masomes:
4.1. MicroRNA (miRNA)
Micro RNA belongs to class of non-coding RNA. It is single
stranded endogenous conservative 19-24 nucleotides long. miR-
NA are transcribed from DNA sequence into primary miRNA pro-
ceed to precursor then to mature miRNA. miRNA interact with
untranslated regions 3’ UTRs of target mRNA induced mRNA
degradation and translational repression. miRNAalso interact with
other regions of mRNA such 5’UTRs, coding regions and at gene
promoter region (O'Brien, et al.,2018) Coll, R. et al.,2010) [7,8].
miRNA has role in modulation of histone deacetylases and DNA
methytransferases which result in modulation of histone modifica-
tions and DNA methylation (Fabbri, M., et al.,2007) [9].
4.2. Post-transcriptional Regulation of NLRP3 Inflam-
masomes: MicroRNA (miRNA)
NLRP3 inflammasome activation is a two steps procedure which
include priming of TLR ligand activation. Indirect regulation of
TLR expression associated includes modulation of downstream
pathways molecules, is shown to have role in inflammation, in-
juries and in cancer. There are several TLRs have been studied.
However, TLR4 is widely studied receptor ligand for NLRP3 acti-
vation (Zhi, H., et al., 2018) [10].
Increased levels of miRNA such as miR-155, miR-146a, miR-
21, and miR-132, are linked with TLR4 ligand binding. Upregula-
tion of miRNA is a component of a negative feedback mechanism
which were linked to inhibition of TLR4/MyD88/NF-κB signaling
(Anzola, A., et al., 2018) [11]. This negative feedback mechanism
of miRNA thus down modulate the inflammatory cytokines pro-
duction after response to stimulus (Ceppi, M., et al.,2009) [12].
let -7 family miRNA has role in regulation on TLR4. TLR4 down
regulation via let- 7 family miRNA can be beneficial to surviv-
al of cell or organism (Figure 2) (Urena-Peralta, J. et al., 2020)
[13]. NLRP3 transcription is considered to be a second signal in
the formation of active NLRP3 inflammasome. NLRP3 transcrip-
tion can be regulated by miRNA during active phase such as my
miRNA-223(Bauernfeind, F., et al., 2012) [14]. miRNA binds to
Volume 3 | Issue 3
ajsccr.org 3
3’UTR region of NLRP3 transcripts and subsequently interfere
with protein translation (Figure3) (Lewis, B. et al.,2005) [15].
miRNA has role regulation of inflammation decreased production
of pro inflammation cytokines or chemokineses was demonstrated
cells treated with miRNA (Ding, Q., et al., 2018) [16]. These data
suggest that miR-223 could be a potential target for regulation of
NLRP3 expression. Whereas, increased miRNA could reduce in-
flammasome activation and, subsequently, abrogate the inflamma-
tion (Figure 2) (Moretti, J.,et al.,2021) [17].
Figure2: miRNA regulation of NLRP3 inflammasome expression. A) Priming signal triggers NLRP3, PC1, IL-1β and IL-18 transcription and protein
synthesis. B) Suppression of NLRP3 inflammasome translation and inflammasome formation by miRNA.
Figure 3: ’UTR binding sites of NLRP3 for miRNAs responsible for the regulation of inflammasome.
Volume 3 | Issue 3
ajsccr.org 4
5. miRNA Regulation of Inflammasome in Neurodegen-
erative Disorders
5.1. Future Aspects for Clinical Approaches
Several preclinical and clinical studied have done on miRNA as
therapeutic potential in prevention of NLRP3 inflammation. miR-
NA and/or miRNA targeting oligonucleotides approaches multiple
gene target(Li, Z., and Rana, T. M. 2014) [18]. Let-7, miR-10b,
miR-21, miR-34, miR-155, miR-221, and others were extensively
used in several phases in clinical trial and shown positive results
(Moles, R. et al., 2017) [19]. It is also studied that miRNA targets
almost all genes on post transcriptional level (Hassan, M. K., et al.,
2021) [20]. miRNA are predicted to regulate the expression of at
least 30% of all human protein encoding gens and therefore it has
role in almost all cellular function. It is also interesting that miR-
NA has specific sequences and that’s why single miRNA has able
to modify expression of several mRNA. These feature of miRNAs
makes them valuable as therapeutic candidates (Çakmak, H. A.,et
al.,2020) [21]. Although there are some limitations are reported
associated with the use of miRNA such as when it is administered
without any carrier molecules, their effect may be limited and can
be cleared by kidney or liver. Other limitation of their usage is anti
miRs can be sensed and removed by body’s immune receptors. To
overcome this limitation, tissue specific antibody coated chemi-
cally engineered polymer-based nanoparticles and carrier proteins
have been developed to improve the specificity and efficacy of de-
livery. To improve therapeutic efficacy of miR223 was used with
nanoparticle lipid emulsions as a delivery method, applied on ani-
mal model (Neudecker, V., et al., 2017) [22]. Therefore, on basis of
their therapeutic advantages miRNAs have shown great potential
for the disease linked with NLRP3 dysfunction. Our understand-
ing of the role of the inflammasome in disease pathogenesis is still
limited and is hampering development of the miRNA targeting
therapeutics against the inflammasome. However, exciting discov-
eries in fundamental and preclinical research in recent years have
demonstrated great potential for miRNA targeting in the treatment
of diseases linked to NLRP3 dysfunction.
References
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2.	 Li Z, Rana, TM. Therapeutic targeting of microRNAs: current status
and future challenges. Nat Rev Drug Discov. 2014; 13: 622–38.
3.	 Anzola A, Gonzalez R, Gamez-Belmonte R, Ocon B, Aranda CJ,
Martinez-Moya P, et al. miR-146a regulates the crosstalk between
intestinal epithelial cells, microbial components and inflammatory
stimuli. Sci Rep. 2018.
4.	 Bauernfeind F, Rieger A, Schildberg FA, Knolle PA, Schmid-Burgk
JL, Hornung, V. NLRP3 inflammasome activity is negatively con-
trolled by miR-223. J Immunol. 2012; 189: 4175–81.
5.	 Çakmak HA, Demir M. MicroRNA and cardiovascular diseases.
Balkan Med J. 2020; 37: 60-71.
6.	 Li Z, Rana TM. Therapeutic targeting of microRNAs: current status
and future challenges. Nat Rev Drug Discov. 2014; 13: 622–38.
7.	 Ceppi M, Pereira PM, Dunand-Sauthier I, Barras E, Reith W, San-
tos MA, et al. MicroRNA-155 modulates the interleukin-1 signaling
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8.	 Chen IY, Ichinohe T. Response of host inflammasomes to viral in-
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tion in brain atherosclerotic vascular disease. Mech Ageing Dev.
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10.	 Coll RC, O’Neill LA. New insights into the regulation of signalling
by toll-like receptors and nod-like receptors. J Innate Immun. 2010;
2: 406–21.
11.	 Dabin LC, Guntoro F, Campbell T, Smith AR, Smith RG, Schott JM,
et al. Altered DNA methylation profiles in blood from patients with
sporadic Creutzfeldt–Jakob disease. Acta Neuropathologica. 2020;
140: 863-879.
12.	 Fabbri M, Garzon R, CimminoA, Liu Z, Zanesi N, Callegari E, et al.
MicroRNA-29 family reverts aberrant methylation in lung cancer by
targeting DNA methyltransferases 3A and 3B. Proc Natl Acad Sci U
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16.	 Lewis BP, Burge CB, Bartel DP. Conserved seed pairing, often
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microRNA targets. Cell. 2005; 120: 15–20.
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regulation of NLRP3 via STAT3-dependent histone acetylation con-
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miRNAs: Role of Post-Transcriptional Regulation of NLRP3 Inflammasomes in The Treatment of Neurodegenerative Disorders

  • 1. ISSN 2689-8268 Volume 3 American Journal of Surgery and Clinical Case Reports Short Communication Open Access Volume 3 | Issue 3 miRNAs: Role of Post-Transcriptional Regulation of NLRP3 Inflammasomes in The Treatment of Neurodegenerative Disorders Khan S* Institute of Biomedical Sciences, University Brunei Darussalam, Brunei *Corresponding author: Saima Khan, Institute of Biomedical Sciences, University BruneiDarussalam,Brunei,Tel:+923368305802; E-mail: saimaneuro@gmail.com; ftmshad@gmail.com Received: 21 Apr 2021 Accepted: 10 May 2021 Published: 15 May 2021 Copyright: ©2021 Khan S . This is an open access article distribut- ed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially. Citation: Khan S, miRNAs: Role of Post-Transcriptional Regulation of NLRP3 Inflammasomes in The Treatment of Neurode- generative Disorders. Ame J Surg Clin Case Rep. 2021; 3(3): 1-5 Keywords: Proinflammatory; NLRP3; Alzheimer’s Disorder 1. Introduction Inflammasomes are multiprotein complexes consist of having nucleotide binding domain and leucine rich repeat with the pyrin and HIN domain family. The NLRP3 inflammasome one of these members of family. It is activated upon sensing microbes or danger associated molecular pattern. NLRP3 inflammasome activation leads to activation of caspase 1 which is in turn activate proinflm- matory cytokines/chemomokines. The role of NLRP3 inflammasome in Alzheimer’s disease has re- cently being identified. NLRP3 inflammasome activation is neces- sary for maturation of IL-1β, IL-18 these cytokines/chemokines. Prolong activation of NLRP3 inflammasome and release of these cytokines/chemokines, and neuronal cell death serve as danger signal to further excitation of NLRP3 activation in this way, neu- ronal cell death provides feedback loop and deteriorate the patho- logical condition. Deficiency or inhibition of NLRP3 inflammasome can be bene- ficial to reduce the deleterious effect of neuroinflammation in pathophysiology of AD. It has been described that NLRP3 in- flammasome activity is under additional transcriptional regulation. In this study, I would like to identify the role of microRNA such as miR-223 in the regulation of NLRP3 inflammasome. micR223 is a critical regulator of NLRP3 inflammasome activity. miR-223 suppresses NLRP3 expression through a conserved binding site within the 39 untranslated region of NLRP3, translating to reduced NLRP3 inflammasome activity. It is interested to note that miR- 223 itself is not regulated by proinflammatory signals, its expres- sion varies among different myeloid cell types. Therefore, given the tight transcriptional control of NLRP3 message itself, miR- 223 functions as an important rheostat controlling NLRP3 inflam- masome activity. Therefore, induction of therapeutic treatment target to NLRP3 inflammasome may be beneficial to neurodegen- erative disease such as Alzheimer’s disorder. 2. NLRP3 Inflammasomes Molecular Mechanism of Ac- tivation NLRP3 inflammasome is not active in resting state. Upon acti- vation it can sense pathogen ligand or danger signals. NLRP3 in- flammasome activation require internal stimuli such as ATP, toxins Postassium efflux such as reactive oxygen species (Cicolari, S., et al., 2021) (Jin, C. et al., 2010) [1,2]. Two steps activation of NLRP3 are 1) priming and 2) activation of NLRP3 inflammasome. The priming step include identification of Toll Like Receptor (TLRs) and activation of NLRP3 required second stimulus which are provided by multiple pathogens and danger associated ligand that promote assembly of NLRP3 inflammasome (Figure 1) (Jo, E. et al.,2016) [3]. 3. Increasing complexity of NLRP3 inflammasome regu- lation role of epigenetic Factors and Post-Transcription- al Mechanisms Recent studies have revealed role of epigenetic factors in patho- genesis of acute and chronic inflammation such as: 3.1. DNA Methylation Epigenetic factors have their role during embryonic development. Detection of DNA demethylation near promoter’s region of gene suggesting overexpression of that gene. Similarly, demethylation also participate in NLRP3 inflammasome overexpression (Dabin, L.et al., 2020) [4].
  • 2. Volume 3 | Issue 3 ajsccr.org 2 Figure 1: NLRP3 inflammasome activation. There are two signals required for NLRP3 inflammasome. Signal 1 ligands priming signal. It regulates the NLRP3 and pro IL-1β transcription and protein synthesis. Signal 2 activate trigger such trigger are ATP, toxins viral RNA. Second signal promotes NLRP3, proILβ and IL-18 synthesis. 3.2. Histone Modifications Up regulation of NLRP3 inflammasome is associated with histone modification thus accelerate neuroinflammation diagnosed in pa- tient with neuropathy (Liu, C. et al., 2018) [5]. 3.3. Non-coding RNA Non-coding RNAs are also involved in NLRP3 regulation as was demonstrated in the setting of inflammation caused by microbi- al and viral infection. Non coding RNAs targets inflammasome where mRNA stability and inhibition of translation were most commonly affected (Chen, I. et al., 2015) [6]. 4. Post-transcriptional Regulation of NLRP3 Inflam- masomes: 4.1. MicroRNA (miRNA) Micro RNA belongs to class of non-coding RNA. It is single stranded endogenous conservative 19-24 nucleotides long. miR- NA are transcribed from DNA sequence into primary miRNA pro- ceed to precursor then to mature miRNA. miRNA interact with untranslated regions 3’ UTRs of target mRNA induced mRNA degradation and translational repression. miRNAalso interact with other regions of mRNA such 5’UTRs, coding regions and at gene promoter region (O'Brien, et al.,2018) Coll, R. et al.,2010) [7,8]. miRNA has role in modulation of histone deacetylases and DNA methytransferases which result in modulation of histone modifica- tions and DNA methylation (Fabbri, M., et al.,2007) [9]. 4.2. Post-transcriptional Regulation of NLRP3 Inflam- masomes: MicroRNA (miRNA) NLRP3 inflammasome activation is a two steps procedure which include priming of TLR ligand activation. Indirect regulation of TLR expression associated includes modulation of downstream pathways molecules, is shown to have role in inflammation, in- juries and in cancer. There are several TLRs have been studied. However, TLR4 is widely studied receptor ligand for NLRP3 acti- vation (Zhi, H., et al., 2018) [10]. Increased levels of miRNA such as miR-155, miR-146a, miR- 21, and miR-132, are linked with TLR4 ligand binding. Upregula- tion of miRNA is a component of a negative feedback mechanism which were linked to inhibition of TLR4/MyD88/NF-κB signaling (Anzola, A., et al., 2018) [11]. This negative feedback mechanism of miRNA thus down modulate the inflammatory cytokines pro- duction after response to stimulus (Ceppi, M., et al.,2009) [12]. let -7 family miRNA has role in regulation on TLR4. TLR4 down regulation via let- 7 family miRNA can be beneficial to surviv- al of cell or organism (Figure 2) (Urena-Peralta, J. et al., 2020) [13]. NLRP3 transcription is considered to be a second signal in the formation of active NLRP3 inflammasome. NLRP3 transcrip- tion can be regulated by miRNA during active phase such as my miRNA-223(Bauernfeind, F., et al., 2012) [14]. miRNA binds to
  • 3. Volume 3 | Issue 3 ajsccr.org 3 3’UTR region of NLRP3 transcripts and subsequently interfere with protein translation (Figure3) (Lewis, B. et al.,2005) [15]. miRNA has role regulation of inflammation decreased production of pro inflammation cytokines or chemokineses was demonstrated cells treated with miRNA (Ding, Q., et al., 2018) [16]. These data suggest that miR-223 could be a potential target for regulation of NLRP3 expression. Whereas, increased miRNA could reduce in- flammasome activation and, subsequently, abrogate the inflamma- tion (Figure 2) (Moretti, J.,et al.,2021) [17]. Figure2: miRNA regulation of NLRP3 inflammasome expression. A) Priming signal triggers NLRP3, PC1, IL-1β and IL-18 transcription and protein synthesis. B) Suppression of NLRP3 inflammasome translation and inflammasome formation by miRNA. Figure 3: ’UTR binding sites of NLRP3 for miRNAs responsible for the regulation of inflammasome.
  • 4. Volume 3 | Issue 3 ajsccr.org 4 5. miRNA Regulation of Inflammasome in Neurodegen- erative Disorders 5.1. Future Aspects for Clinical Approaches Several preclinical and clinical studied have done on miRNA as therapeutic potential in prevention of NLRP3 inflammation. miR- NA and/or miRNA targeting oligonucleotides approaches multiple gene target(Li, Z., and Rana, T. M. 2014) [18]. Let-7, miR-10b, miR-21, miR-34, miR-155, miR-221, and others were extensively used in several phases in clinical trial and shown positive results (Moles, R. et al., 2017) [19]. It is also studied that miRNA targets almost all genes on post transcriptional level (Hassan, M. K., et al., 2021) [20]. miRNA are predicted to regulate the expression of at least 30% of all human protein encoding gens and therefore it has role in almost all cellular function. It is also interesting that miR- NA has specific sequences and that’s why single miRNA has able to modify expression of several mRNA. These feature of miRNAs makes them valuable as therapeutic candidates (Çakmak, H. A.,et al.,2020) [21]. Although there are some limitations are reported associated with the use of miRNA such as when it is administered without any carrier molecules, their effect may be limited and can be cleared by kidney or liver. Other limitation of their usage is anti miRs can be sensed and removed by body’s immune receptors. To overcome this limitation, tissue specific antibody coated chemi- cally engineered polymer-based nanoparticles and carrier proteins have been developed to improve the specificity and efficacy of de- livery. To improve therapeutic efficacy of miR223 was used with nanoparticle lipid emulsions as a delivery method, applied on ani- mal model (Neudecker, V., et al., 2017) [22]. Therefore, on basis of their therapeutic advantages miRNAs have shown great potential for the disease linked with NLRP3 dysfunction. Our understand- ing of the role of the inflammasome in disease pathogenesis is still limited and is hampering development of the miRNA targeting therapeutics against the inflammasome. However, exciting discov- eries in fundamental and preclinical research in recent years have demonstrated great potential for miRNA targeting in the treatment of diseases linked to NLRP3 dysfunction. References 1. Ding Q, Shen L, Nie X, Lu B, Pan X, Su Z, et al. Pathol Res Pract. 2018; 214: 1330–1339. 2. Li Z, Rana, TM. Therapeutic targeting of microRNAs: current status and future challenges. Nat Rev Drug Discov. 2014; 13: 622–38. 3. Anzola A, Gonzalez R, Gamez-Belmonte R, Ocon B, Aranda CJ, Martinez-Moya P, et al. miR-146a regulates the crosstalk between intestinal epithelial cells, microbial components and inflammatory stimuli. Sci Rep. 2018. 4. Bauernfeind F, Rieger A, Schildberg FA, Knolle PA, Schmid-Burgk JL, Hornung, V. NLRP3 inflammasome activity is negatively con- trolled by miR-223. J Immunol. 2012; 189: 4175–81. 5. Çakmak HA, Demir M. MicroRNA and cardiovascular diseases. Balkan Med J. 2020; 37: 60-71. 6. Li Z, Rana TM. Therapeutic targeting of microRNAs: current status and future challenges. Nat Rev Drug Discov. 2014; 13: 622–38. 7. Ceppi M, Pereira PM, Dunand-Sauthier I, Barras E, Reith W, San- tos MA, et al. MicroRNA-155 modulates the interleukin-1 signaling pathway in activated human monocyte-derived dendritic cells. Proc Natl Acad Sci U S A. 2009; 106: 2735–40. 8. Chen IY, Ichinohe T. Response of host inflammasomes to viral in- fection. Trends Microbiol. 2015; 23: 55-63. 9. Cicolari, S., Catapano, A. L., & Magni, P. (2021). Inflammaging and neurodegenerative diseases: Role of NLRP3 inflammasome activa- tion in brain atherosclerotic vascular disease. Mech Ageing Dev. 2021; 195: 111467. 10. Coll RC, O’Neill LA. New insights into the regulation of signalling by toll-like receptors and nod-like receptors. J Innate Immun. 2010; 2: 406–21. 11. 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