MicroRNAs (miRNAs) are a set of small non-coding RNAs that could change gene expression with posttranscriptional regulation. MiRNAs have a signi cant role in regulating molecular signaling pathways and innate and adaptive immune system activity. Moreover, miRNAs can be utilized as a powerful instrument for tissue engineers and regenerative medicine by altering the expression of genes and growth factors.MiR-1290 was rst discovered in human embryonic stem cells, which play an essential role in developing the fetal nervous system. Our previous review study showed overexpression of miR-1290 in numerous cancers. This study aimed to determine whether the expression of miR-1290 is vital for human health to be used in gene therapy or tissue engineering. The results of these studies suggest that the regulation of miR-1290 may be helpful in the treatment of some bacterial and viral infections. Also, adjusting the expression of miR-1290 in non-infectious diseases such as celiac disease, necrotizing enterocolitis, polycystic ovary syndrome, pulmonary brosis, ankylosing spondylitis, muscle atrophy, sarcopenia, and ischemic heart disease can help to treat these diseases better. Moreover, miR-1290 could work as a biomarker for diagnosing various non-malignant disorders and a powerful instrument in tissue engineering and regenerative medicine. Consequently, it is suggested that the regulation of miR-1290 could be considered a possible therapeutic target in the treatment of non-malignant diseases in the future.