Polyomavirus BK (BKV) infection is an important clinical problem in kidney transplantation. Viremia complicates 10%-30% of patients while 1%-10% of patients develop BKV nephropathy (BKVN). 1 No effective antiviral treatment is available. Reduction in immunosuppression to enhance antiviral immunity increases the incidence of rejection. This leads to an approximately 2-fold increase in graft loss. 2 An increased understanding of BKV biology is essential to develop more effective therapies for BKVN. Host cell gene expression in BKV nephropathy has been addressed by transcriptomics as well as proteomics studies. 3-5 These have shown an inflammatory and profibrotic milieu in infected tissues and provide a molecular basis for the progressive tissue injury that is seen in this clinical setting. However, small RNA regulation of BKV induced gene expression directly in renal tubular epithelial cells is not well understood. Therefore, this study performed microRNA (miRNA) profiling of BKV-infected cell cultures with a view to enhance our understanding of BKV pathogenesis and potentially identify new targets for therapy. miRNAs are short RNA molecules 18-22 nucleotides long that are not translated into protein. 6 Their function is to silence target messenger RNA by base pairing complementary sequences, which results in cleavage or stabilization of the mRNA. In addition, translational repression of mRNA can occur at level of ribosomes. The BKV genome encodes a primary miRNA transcript, which is digested by Abstract Polyomavirus BK (BKV) is an important pathogen in kidney transplant patients.Regulation of BKV encoded microRNAs (miRNAs) is not well understood. Therefore, tubular epithelial cells infected with BKV were examined for changes in small RNA expression. The observed changes were further evaluated by real-time PCR and RNAseq analysis of renal allograft biopsies. BKV-miR-B1-5p and BKV-miR-B1-3p showed a 1000-fold increase over 12 days but did not prevent cell lysis. Downregulation of host miR-10b and miR-30a could be confirmed on all three platforms evaluated.Whereas, the BKV genome expressed more 3p than 5p miRNA species, the reverse was true for the human genome. Decreased expression of TP53INP2, and increased expression of BCL2A1, IL-6, IL8 and other proinflammatory cytokines were shown in biopsies with BKV nephropathy. No change in expression was seen in miR-10a dependent expression of NKG2D ligands ULBP3, MICA, or MICB. In conclusion, BKV infection results in regulation of cellular genes regulated by and possibly amenable to therapies targeting miR-10 and miR-30.