BenevolentAl Therapeutics Pipeline and Triage
Atopic Dermatitis - BEN-2293, pan-Trk inhibition rationale
Healthy skin
Non-lesional skin
Acute lesional stage
Chronic lesional stage
Lichenification
corneum
Skin microbiota
Staphylococcus aureus.
Barrier dysfunction, innate immune system activation and T2-driven inflammation and/or T 22-driven inflammation
Keratinocyte
Variable T1 and T17 activation
Allergen
TrkC
• NT3/TrkC potentiates
stimulated Th2 T-cell
inflammatory responses and
synergistically enhances T-cell
receptor induced IL-4
production by Th2 cells
• Mast cells within AD skin
lesions express high levels of
NT3 compared to normal
controls
Stratum
Stratum basale
TrkB
• AD Skin-resident eosinophils
express elevated levels of
TrkB (together with TrkA and
C) and functionally respond to
BDNF
• BDNF/TrkB inhibit eosinophil
• apoptosis and increase
chemotactic index
Scatum
gralosum
Stratum
spinosum
IL-1ẞ IL-33 TARC
IL-25 MDC TSLP
FCER1
IL-33
TSLP
Dermis
Blood
vessel
IL-4
IL-13
OX40L
Eosinophil
CLA
CCR10
H4R
CCR4 CRTH2
IL-4
IL-13
IgE
IL-31
-Cutaneous
sensory neuron
ILC2
B cell
T cell
T2
T22
T1
T17
Trm
cell
cell
cell
cell
cell
cell
Langerhans
cell
O
Dermal
dendritic
cell
IDEC
TrkA
• TrkA levels in skin
dramatically increase in
response to inflammatory
stimuli
NGF produced by AD
keratinocytes, is a major
mediator of cutaneous
hyperinnervation
• Increased NGF in the skin
sensitizes primary afferents
contributing to peripheral
itch sensitization and
chronic pruritus
Involved in the inflammatory
activation of mast cells and
basophils
ΑΙ
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