This article is available online at http://www.jlr.org inhibits protein translation. Although mammalian miRNAs were not discovered until a decade ago ( 2 ), they have rapidly emerged as important posttranscriptional regulators of gene expression in a wide variety of biological pathways ( 3 ). Moreover, miRNAs have been demonstrated to be i ) stable plasma biomarkers of physiological status ( 4,5 ), ii ) novel intercellular signaling molecules ( 6 ), iii ) etiological factors in complex diseases ( 7 ), and iv ) promising therapeutic targets ( 8,9 ).In 2002, miR-122 was found to be the most abundant miRNA in the liver, accounting for greater than 70% of all hepatic miRNA expression ( 2 ). More recent, high-throughput small RNA sequencing (smRNA-seq) studies have confi rmed this fi nding and, notably, have not detected miR-122 in any other cell type ( 10 ). Circulating levels of miR-122 have been identifi ed as a clinically relevant biomarker of liver injury ( 11, 12 ), cirrhosis ( 13 ), necroinfl ammation ( 14 ), and hyperlipidemia ( 15 ). In 2005, miR-122 was also shown to directly promote the replication of the hepatitis C virus (HCV) ( 16 ). Subsequently, it was demonstrated that inhibition of miR-122 by a locked nucleic acid (LNA) antisense oligonucleotide diminishes HCV viremia in chimpanzees ( 17 ). The anti-miR-122 LNA molecule (known as Miravirsen) has since advanced to phase II human clinical trials for hepatitis C treatment, and it appears to induce a potent antiviral effect in the absence of evident liver or cardiac toxicities ( 18 ).miR-122 was also the fi rst miRNA identifi ed as a regulator of lipid metabolism ( 19 ). In 2006, antisense oligonucleotide-mediated inhibition of miR-122 (ASO-miR-122) in mice reduced plasma cholesterol levels, decreased hepatic lipid synthesis, and enhanced hepatic fatty acid oxidation ( 19 ). Moreover, the ASO-miR-122 was also able to reverse the effects of diet-induced obesity by reducing hepatic steatosis. Abbreviations: LRE, long-range regulatory element; miRNA (miR), microRNA; miR-122, miRNA-122; pre-miRNA, miRNA precursor; primiRNA, primary miRNA; ORF, open reading frame; RISC, RNA-induced silencing complex; SNP, single nucleotide polymorphism; TF, transcriptional factor; UTR, untranslated region.