“…HEK293T EVs were chosen for study due to their expected limited anti-inflammatory bioactivity as well as low intrinsic RNA content [ 29 ]. EVs were loaded with three different miRNA mimics (miR-146a, miR-155, and miR-223) that were found in the literature to be downregulated in septic patients, to regulate the TLR4 inflammatory pathway, and/or to have altered expression levels in response to LPS stimulation [ 4 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. While certain single-stranded miRNAs (including miR-146a-5p) have been shown to be proinflammatory TLR agonists [ 3 , 9 , 39 , 40 ], these double-stranded mimics are designed to interact with the RNA-induced silencing complex (RISC) with preferential strand selection.…”