Chronic immune activation/inflammation driven by factors like microbial translocation is a key determinant of human immunodeficiency virus/simian immunodeficiency virus (HIV/SIV) disease progression. Although extensive research on inflammation has focused on studying protein regulators, increasing evidence suggests a critical role for microRNAs (miRNAs) in regulating several aspects of the immune/inflammatory response and immune cell proliferation, differentiation, and activation. To understand their immunoregulatory role, we profiled miRNA expression sequentially in intestinal lamina propria leukocytes (LPLs) of eight macaques before and at 21, 90, and 180 days postinfection (dpi). At 21 dpi, ϳ20 and 9 miRNAs were up-and downregulated, respectively. However, at 90 dpi (n ؍ 60) and 180 dpi (n ؍ 44), >75% of miRNAs showed decreased expression. Notably, the T-cell activation-associated miR-15b, miR-142-3p, miR-142-5p, and miR-150 expression was significantly downregulated at 90 and 180 dpi. Out of ϳ10 downregulated miRNAs predicted to regulate CD69, we confirmed miR-92a to directly target CD69. Interestingly, the SIV-induced miR-190b expression was elevated at all time points. Additionally, elevated lipopolysaccharide (LPS)-responsive miR-146b-5p expression at 180 dpi was confirmed in primary intestinal macrophages following LPS treatment in vitro. A major hallmark of untreated human immunodeficiency virus/simian immunodeficiency virus (HIV/SIV) infection is chronic generalized immune activation and inflammation that is linked to viral replication, loss of CD4 ϩ T cells, immunological dysfunction, and disease progression (1-3). Further, chronic immune activation has been reported to persist even in HIV-infected individuals successfully treated with combination antiretroviral therapy (cART), suggesting that proinflammatory signaling does not completely subside in treated individuals (4). While the exact mechanisms driving chronic immune activation in HIV/SIV infection remain to be determined, several independent studies have implicated HIV persistence, coinfections with hepatitis C virus/ hepatitis B virus/cytomegalovirus (HCV/HBV/CMV), compensatory homeostatic mechanisms, and chronic stimulation by translocated intestinal microbial products to drive this phenomenon. Among these, microbial translocation from a structurally and functionally damaged gastrointestinal (GI) tract has received considerable attention and is considered to significantly contribute to