The MIR4465 gene is a member of the microRNA (miRNA) family, which plays critical roles in the post-transcriptional regulation of gene expression. Below is a comprehensive overview of MIR4465, along with the additional information requested.

### 1. Associated Genes
While specific associations with other genes may vary based on context, miRNAs including MIR4465 generally regulate multiple target mRNAs. Some known targets of the broader miRNA family to which MIR4465 may belong could include genes related to cellular processes, immune responses, and developmental pathways. Specific target genes for MIR4465 can be experimentally validated through techniques like luciferase assays, but those details should be perused in current literature specific to this miRNA.

### 2. Aging and Age-related Diseases
The role of miRNAs in aging is a significant area of research, as these molecules are involved in various biological processes that can affect both lifespan and healthspan. While no direct studies may have specifically spotlighted MIR4465 concerning aging or specific age-related diseases (such as Alzheimer’s, cardiovascular diseases, etc.), it can be inferred that given the general regulations of miRNAs in cellular stress responses, inflammation, and metabolism, MIR4465 could potentially play a role in age-related pathways, although concrete functional implications may still be under investigation.

### 3. Drug Interactions
Currently, there is limited information available regarding direct drug interactions with the MIR4465 gene. However, it is known that some miRNAs can modulate responses to drugs or be influenced by drug treatments. Therefore, the best approach is to look for interactions indirectly via downstream pathways or specific therapeutic areas. As drug discovery continues to include miRNAs as targets, future studies may reveal specific compounds that modulate MIR4465 activity or those that are affected by its expression.

### 4. Pathways and Biological Processes
MIR4465 is involved in several pathways and biological processes, which could include:

- **Gene Regulation**: As with all miRNAs, MIR4465 predominantly functions in the regulation of gene expression at the post-transcriptional level. This could include the suppression of mRNA translation or leading to degradation of target mRNAs.
  
- **Cell Proliferation and Differentiation**: Specific miRNAs are known to influence cellular processes such as proliferation, differentiation, and apoptosis, which may also pertain to MIR4465.

- **Immune Response**: The involvement of miRNAs in regulating immune responses makes it plausible that MIR4465 interacts with pathways related to inflammation and immune signaling.

- **Developmental Processes**: Many miRNAs, including those from members of the same family, play roles in developmental biology and regulation of stem cell pluripotency. While specific processes for MIR4465 may still require research validation, its relevance in these areas could be significant.

In summary, while comprehensive associations and data specific to MIR4465 are somewhat limited, it is clear that this gene as part of the miRNA landscape holds potential relevance in multiple biological contexts, including gene regulation and possibly age-related processes. Further experimental investigations will help elucidate its full role.